Who will drop out of voluntary social health insurance? Evidence from the New Cooperative Medical Scheme in China.

ABSTRACT: Although public voluntary health insurance (VHI) has been adopted in many low- and middle-income countries to improve access to care for the population, a common issue with VHI is its high dropout rate. Using the New Cooperative Medical Scheme (NCMS)-a public VHI in China-as a case study, this article employs a fixed-effects negative binomial regression model combining the difference-in-difference-in-differences approach and multivariate distance matching to examine the factors associated with dropping out and the impact of dropout on outpatient care utilization among middle-aged and older people in rural China. Drawing data from the China Health and Retirement Longitudinal Study, our results showed that healthy people, vulnerable people and people who use less healthcare tended to drop ou

SUBMITTER: Xu M 

PROVIDER: S-EPMC8530158 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature