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The impact of updating health benefits plans on health technologies usage and expenditures: the case of Colombia

Author

Listed:
  • Espinosa, Oscar

    (Instituto de Evaluación Tecnológica en Salud; Universidad Nacional)

  • Rodríguez, Jhonathan

    (Instituto de Evaluación Tecnológica en Salud)

  • Ávila, Diego

    (Instituto de Evaluación Tecnológica en Salud)

  • Rodríguez-Lesmes, Paul

    (Universidad del Rosario)

  • Basto, Sergio

    (Instituto de Evaluación Tecnológica en Salud)

  • Romano, Giancarlo

    (1 Instituto de Evaluación Tecnológica en Salud)

  • Mesa, Lorena

    (Instituto de Evaluación Tecnológica en Salud)

  • Enríquez, Hernán

    (Universidad Sergio Arboleda)

Abstract

Using administrative data in 2012–2019, we estimate the impact of the inclusion of technology into the Colombian health benefits plan (HBP) charged to the capitation payment unit (CPU) on the usage, expenditures, and market conditions. Technologies (drugs and procedures) before and after their inclusion were compared using a Callaway-Sant’Anna’s difference-in-differences with multiple time period method and a synthetic control strategy. A substantial increase in the use and prescription of these technologies was noted. Expenditure levels per user slightly increased; however, the response varies over time. Annual expansion of HBP charged to CPU provided tacit benefits to the Colombian population.

Suggested Citation

  • Espinosa, Oscar & Rodríguez, Jhonathan & Ávila, Diego & Rodríguez-Lesmes, Paul & Basto, Sergio & Romano, Giancarlo & Mesa, Lorena & Enríquez, Hernán, 2023. "The impact of updating health benefits plans on health technologies usage and expenditures: the case of Colombia," Documentos de Trabajo 20821, Universidad del Rosario.
    • Handle: RePEc:col:000092:020821
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    References listed on IDEAS

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    1. Berndt Ernst R. & McGuire Thomas & Newhouse Joseph P., 2011. "A Primer on the Economics of Prescription Pharmaceutical Pricing in Health Insurance Markets," Forum for Health Economics & Policy, De Gruyter, vol. 14(1), pages 1-30, November.
    2. Salaheddine El Omari & Mahmoud Karasneh, 2021. "Social health insurance in the Philippines: do the poor really benefit?," Journal of Economics and Finance, Springer;Academy of Economics and Finance, vol. 45(1), pages 171-187, January.
    3. Gnawali, Devendra Prasad & Pokhrel, Subhash & Sié, Ali & Sanon, Mamadou & De Allegri, Manuela & Souares, Aurélia & Dong, Hengjin & Sauerborn, Rainer, 2009. "The effect of community-based health insurance on the utilization of modern health care services: Evidence from Burkina Faso," Health Policy, Elsevier, vol. 90(2-3), pages 214-222, May.
    4. Alberto Abadie & Javier Gardeazabal, 2003. "The Economic Costs of Conflict: A Case Study of the Basque Country," American Economic Review, American Economic Association, vol. 93(1), pages 113-132, March.
    5. Grant Miller & Diana Pinto & Marcos Vera-Hernández, 2013. "Risk Protection, Service Use, and Health Outcomes under Colombia's Health Insurance Program for the Poor," American Economic Journal: Applied Economics, American Economic Association, vol. 5(4), pages 61-91, October.
    6. Alberto Abadie, 2021. "Using Synthetic Controls: Feasibility, Data Requirements, and Methodological Aspects," Journal of Economic Literature, American Economic Association, vol. 59(2), pages 391-425, June.
    7. Fink, Günther & Robyn, Paul Jacob & Sié, Ali & Sauerborn, Rainer, 2013. "Does health insurance improve health?," Journal of Health Economics, Elsevier, vol. 32(6), pages 1043-1056.
    8. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    9. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
    10. Giedion, Ursula & Gómez-Fraga, Sandra & Panopoulou, Giota, 2009. "Diseño y ajuste de los planes explícitos de beneficios: el caso de Colombia y México," Financiamiento para el Desarrollo 5201, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    11. Fritz von der Schulenburg & Sotiris Vandoros & Panos Kanavos, 2011. "The effects of drug market regulation on pharmaceutical prices in Europe: overview and evidence from the market of ACE inhibitors," Health Economics Review, Springer, vol. 1(1), pages 1-8, December.
    12. Monica Lambon-Quayefio & Nkechi S. Owoo, 2017. "Determinants and the impact of the National Health Insurance on neonatal mortality in Ghana," Health Economics Review, Springer, vol. 7(1), pages 1-16, December.
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    More about this item

    Keywords

    Health benefits plan; universal health coverage; health expenditures; CallawaySant’Anna’s method; synthetic control;
    All these keywords.

    JEL classification:

    • C55 - Mathematical and Quantitative Methods - - Econometric Modeling - - - Large Data Sets: Modeling and Analysis
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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