Working Paper: CEPR ID: DP5488
Authors: Pedro Luis Pita Barros; Matilde Machado; Anna Sanz de Galdeano
Abstract: We estimate the impact of health insurance coverage beyond National Health Insurance on the demand for several health services. Traditionally, the literature has tried to deal with the endogeneity of the private (extra) insurance decision by finding instrumental variables. Since a priori instrumental variables are hard to find we take a different approach. We focus on the most common health insurance plan in Portugal, ADSE, which is given to all civil servants and their dependants. We argue this insurance is exogenous i.e. not correlated with beneficiaries? health status. This identifying assumption allows us to estimate the impact of having ADSE coverage on three different health services using a matching estimator technique. The health services used are: number of visits, number of blood and urine tests, and the probability of visiting a dentist. Results show large positive effects of ADSE for number of visits and tests among the young (18 to 30 years old) but only the latter is statistically significantly different from zero. The effects represent 21.8 and 30% of the average number of visits and tests for the young. On the contrary, we find no evidence of moral hazard on the probability of visiting a dentist.
Keywords: demand for health services; matching estimator; moral hazard; Portuguese health system
JEL Codes: C31; I11
Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.
| Cause | Effect |
|---|---|
| ADSE coverage (H55) | number of visits to doctors (I11) |
| ADSE coverage (H55) | number of blood and urine tests (C12) |
| ADSE coverage (H55) | probability of visiting a dentist (I11) |
| younger cohort (J13) | effects of ADSE coverage (G52) |
| supply-induced demand (J23) | overestimation of moral hazard effect (G41) |