Effects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial

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dc.creatorCapuno, Joseph J.
dc.creatorKraft, Aleli D.
dc.creatorQuimbo, Stella
dc.creatorTan, Carlos R., Jr.
dc.creatorWagstaff, Adam
dc.date2014-06-26T21:15:29Z
dc.date2014-06-26T21:15:29Z
dc.date2014-05
dc.date.accessioned2026-07-01T00:57:20Z
dc.descriptionA cluster randomized controlled trial was undertaken, testing two sets of interventions to encourage enrollment in the Philippines' Individual Payer Program. Of 243 municipalities, 179 were randomly assigned as intervention sites and 64 as controls. In early 2011, 2,950 families were interviewed; unenrolled Individual Payer Program-eligible families in intervention sites were given an information kit and a 50 percent premium subsidy until the end of 2011. In February 2012, the "non-compliers" had their voucher extended, were re-sent the enrollment kit, and received Short Message Service (SMS) reminders. Half were told that in the upcoming end-line interview the enumerator could help complete the enrollment form, deliver it to the insurer, and have identification cards mailed. The control and intervention sites were balanced at baseline. In the control sites, 9.9 percent (32/323) of eligible individuals had enrolled by January 2012, compared with 14.9 percent (119/801) in intervention sites. In the sub-experiment, enrollment was 3.4 percent (10/290) among eligible non-compliers and who did not receive assistance but 39.7 percent (124/312) among those who did. A premium subsidy combined with information can increase voluntary enrollment in a social health insurance program, but less than an intervention that reduces the enrollment burden; even that leaves enrollment below 50 percent.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2014/05/19581007/effects-interventions-raise-voluntary-enrollment-social-health-insurance-scheme-cluster-randomized-trial-vol-1
dc.identifierhttps://hdl.handle.net/10986/18793
dc.identifierhttps://doi.org/10.1596/1813-9450-6893
dc.identifier.urihttp://hdl.handle.net/123456789/413462
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper;No. 6893
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectADVERSE SELECTION
dc.subjectCOMMUNITIES
dc.subjectCOST-EFFECTIVENESS
dc.subjectDEMAND FOR HEALTH
dc.subjectDEMAND FOR INSURANCE
dc.subjectENROLLEES
dc.subjectFAIRS
dc.subjectFAMILIES
dc.subjectFAMILY INCOME
dc.subjectFINANCIAL PROTECTION
dc.subjectHEALTH CARE
dc.subjectHEALTH COVERAGE
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE COVERAGE
dc.subjectHEALTH INSURANCE PROGRAM
dc.subjectHEALTH INSURANCE SCHEME
dc.subjectHEALTH INSURANCE SCHEMES
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH POLICY
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEM PERFORMANCE
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH-CARE
dc.subjectHEALTH-FINANCING
dc.subjectHOUSEHOLD EXPENDITURE
dc.subjectHOUSEHOLDS
dc.subjectHUMAN DEVELOPMENT
dc.subjectINCOME COUNTRIES
dc.subjectINDIRECT COSTS
dc.subjectINFORMAL SECTOR
dc.subjectINFORMAL SECTOR WORKERS
dc.subjectINFORMATION PACK
dc.subjectINSURANCE COVERAGE
dc.subjectINSURANCE PREMIUM
dc.subjectINSURANCE PREMIUMS
dc.subjectINTERVENTION
dc.subjectINTERVENTIONS
dc.subjectLOCALITIES
dc.subjectMEDICAL PERSONNEL
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPOCKET PAYMENTS
dc.subjectPOLICY DISCUSSIONS
dc.subjectPOLICY RESEARCH
dc.subjectPROBABILITY
dc.subjectPUBLIC HOSPITAL
dc.subjectQUALITY OF HEALTH
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL SCIENCE
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SECURITY HEALTH INSURANCE
dc.subjectURBAN AREA
dc.subjectWORKERS
dc.titleEffects of Interventions to Raise Voluntary Enrollment in a Social Health Insurance Scheme : A Cluster Randomized Trial

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