nep-ias New Economics Papers
on Insurance Economics
Issue of 2013‒08‒10
seven papers chosen by
Soumitra K Mallick
Indian Institute of Social Welfare and Business Management

  1. Trends in the Composition and Outcomes of Young Social Security Disability Awardees. By Yonatan Ben-Shalom; David Stapleton
  2. Factors Influencing PhilHealth Coverage and In-patient Benefit Utilization of Filipino Children under Five By Puyat, Maria Elizabeth Angeline D.
  3. Work Norms, Social Insurance and the Allocation of Talent By Corneo, Giacomo
  4. "The Impact of a Path to Citizenship on the US Economy and Social Insurance System" By Selcuk Eren
  5. Effects of Colombia's social protection system on workers'choice between formal and informal employment By Camacho, Adriana; Conover, Emily; Hoyos, Alejandro
  6. An Assessment of the Outpatient HIV/AIDS Treatment Package Provided by the Philippine Health Insurance Corporation By Reyes-Lao, Issa
  7. Enrollment, Employment, and Earnings in the Medicaid Buy-In Program, 2010. By Matthew Kehn; Jody Schimmel

  1. By: Yonatan Ben-Shalom; David Stapleton
    Keywords: Supplemental Security Income, SSDI, Social Security Disability Insurance, disabled workers
    JEL: I J
    Date: 2013–07–30
  2. By: Puyat, Maria Elizabeth Angeline D.
    Abstract: According to the 2008 National Demographic and Health Survey (NDHS) report, children under 5 are more likely to use in-patient care than other age groups. These children are not only more vulnerable to getting sick, but are also at risk of incurring high health expenditures if they are without health insurance. Using the 2008 NDHS dataset, this study focused on the coverage and in-patient benefit utilization of children under 5, who are dependents of the Philippine Health Insurance Corporation (PhilHealth). Unique to this analysis was the shift in focus of coverage and utilization from the traditional angle of primary members to the dependents. Descriptive analyses revealed that PhilHealth covered only 33.93 percent of the under-5 population, and of those PhilHealth dependents who were confined in a hospital, 67.59 percent used PhilHealth as a source of payment. Logistic regression analysis determined that age and educational attainment of the household head, region, and wealth index were significant factors that influenced coverage. Moreover, it was found that confinement in a private facility and for longer periods of time increased the probability of in-patient benefit utilization for PhilHealth dependents. These results will be useful for PhilHealth as they create evidence-based initiatives to attain Universal Health Coverage.
    Keywords: health insurance, Philippines, children, insurance coverage, benefit utilization
    Date: 2013
  3. By: Corneo, Giacomo
    Abstract: This paper challanges the view that weak work norms in generous welfare states makes them economically unsustainable. I develop a dynamic model of family-transmitted values that has a laissez-faire equilibrium with strong work norms coexisting with a social-insurance equilibrium with weak work norms. While the former has better incentives, the latter induces more intergenerational occupational mobility which improves the allocation of talent and fuels growth. Strong work norms arise as a defensive strategy of parents that aims at perpetuating their occupation along family lines. I present evidence from microdata showing that generous social insurance correlates with high intergenerational occupational mobility and that more mobile individuals endorse weaker work norms.
    Keywords: work norms; unemployment insurance; occupational mobility; economic growth
    JEL: H2 O0 Z1
    Date: 2013–08
  4. By: Selcuk Eren
    Abstract: Comprehensive immigration reform has long eluded Congress. Although the Senate recently passed a bill—S. 744, or the Border Security, Economic Opportunity, and Immigration Modernization Act—that would take significant steps toward comprehensive reform, it is currently being held up in the Republican-controlled House. The sticking point? The "path to citizenship" provision for undocumented immigrants included in the Senate bill. Yet legalizing a significant proportion of the undocumented immigrant population would not impose serious costs on either the economy in general or the social insurance system in particular. On the contrary: maintaining the status quo would be economically wasteful.
    Date: 2013–07
  5. By: Camacho, Adriana; Conover, Emily; Hoyos, Alejandro
    Abstract: This paper examines whether the Colombian government's expansion of social programs in the early 1990s, particularly the publicly provided health insurance, discouraged formal employment. Using household survey data and variation across municipalities in the onset of interviews for the SISBEN, the instrument used to identify beneficiaries for public health insurance, it shows robust and consistent estimates of an increase in informal employment of approximately 4 percentage points. Similar results are obtained using an alternative dataset, consisting of a panel of individuals interviewed for the first and second SISBEN. The findings suggest that marginal individuals optimized when deciding whether to participate in the formal sector.
    Keywords: Health Monitoring&Evaluation,Labor Markets,Health Systems Development&Reform,Labor Policies,Population Policies
    Date: 2013–08–01
  6. By: Reyes-Lao, Issa
    Abstract: The Philippines is one of the few countries where the prevalence of HIV/AIDS remains relatively small. However, recent data show that while other countries have shown a decrease in the incidence rate for this disease, the Philippines has experienced a 25 percent increase in incidence rate for HIV infection. While the proportion of people living with HIV/AIDS accounts for less than 1 percent of the population, the country is clearly falling behind in attaining the Millennium Development Goal for this disease. Moreover, it is still evident that Filipinos continue to experience inequity and unequal access to health services for HIV/AIDS even with different interventions already in place. The Philippine Health Insurance Corporation (PHIC) launched the Outpatient HIV/AIDS Treatment (OHAT) package in 2010 to improve accessibility and affordability of HIV/AIDS treatment. With already three years underway and continued growth in people infected with HIV/AIDS, an assessment of this benefit package looked into issues that hinder the utilization of this package. The benefit coverage, support value, and utilization rate for this benefit package were evaluated through a review of literature, costing analysis, and key informant interviews. The results of this study show that there is a need to enhance the OHAT package, as this is not fully utilized despite the increasing number of people living with HIV/AIDS who are in need of treatment. Addressing underutilization and retention among PHIC members will involve expanding coverage benefits to patients at different stages of the disease, increasing patient awareness, and improving claims processes. However, expanding access to treatment must also be coupled with preventive programs for HIV at the primary care level to maximize the benefits of this intervention and minimize financial out-of-pocket.
    Keywords: PHIC, Philippines, Outpatient HIV/AIDS Treatment package, benefit coverage, support value, package utilization
    Date: 2013
  7. By: Matthew Kehn; Jody Schimmel
    Keywords: Medicaid , disability, employment, Medicaid Buy-In
    JEL: I
    Date: 2013–05–14

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