Estimating the causal effects of private health insurance in Brazil: evidence from a regression kink design

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dc.contributor.authorNAERCIO AQUINO MENEZES FILHO
dc.contributor.authorPoliti, Ricardo
dc.coverage.cidadeNão informadopt_BR
dc.coverage.paisNão Informadopt_BR
dc.creatorPoliti, Ricardo
dc.date.accessioned2022-10-31T22:30:09Z
dc.date.available2022-10-31T22:30:09Z
dc.date.issued2020
dc.description.otherDespite having free access to the public health system, 25% of the Brazilian population have a private insurance plan, which is subsidized by the government by means of an income tax rebate. This paper explores this rebate to tackle the potential endogeneity between private insurance and the demand for health services, using the fiscal incentive as a source of quasi-experimental variation in insurance prices. We estimate the average effect of private insurance for the marginal individuals at the kink points by means of a nonseparable nonparametric regression model. Our data allow us to disentangle moral hazard from adverse selection effects and the results indicate that private insurance has a positive impact on the use of preventive services, health outcomes, physical exercises, and smoke quiting, and does not impact the use of nonpreventive health services, such as inpatient services and surgeries.pt_BR
dc.format.extent9 p.pt_BR
dc.format.mediumDigitalpt_BR
dc.identifier.doihttps://doi.org/10.1016/j.socscimed.2020.113258pt_BR
dc.identifier.issn0277-9536pt_BR
dc.identifier.urihttps://repositorio.insper.edu.br/handle/11224/4586
dc.identifier.volume264pt_BR
dc.language.isoInglêspt_BR
dc.publisherNão informadopt_BR
dc.relation.ispartofSocial Science & Medicinept_BR
dc.rights.licenseO INSPER E ESTE REPOSITÓRIO NÃO DETÊM OS DIREITOS DE USO E REPRODUÇÃO DOS CONTEÚDOS AQUI REGISTRADOS. É RESPONSABILIDADE DOS USUÁRIOS INDIVIDUAIS VERIFICAR OS USOS PERMITIDOS NA FONTE ORIGINAL, RESPEITANDO-SE OS DIREITOS DE AUTOR OU EDITOR.pt_BR
dc.subject.keywordsHealth services utilizationpt_BR
dc.subject.keywordsMedical insurancept_BR
dc.subject.keywordsBrazilian health systempt_BR
dc.subject.keywordsRegression kink discontinuitypt_BR
dc.titleEstimating the causal effects of private health insurance in Brazil: evidence from a regression kink designpt_BR
dc.typejournal article
dspace.entity.typePublication
local.subject.cnpqCiências Sociais Aplicadaspt_BR
local.typeArtigo Científicopt_BR
relation.isAuthorOfPublicationf6aa41b4-c778-4302-9674-af120c85cc97
relation.isAuthorOfPublication.latestForDiscoveryf6aa41b4-c778-4302-9674-af120c85cc97

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