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Fighting Inequalities: Impact of Urban-Rural Health Insurance Integration in Rural China

Descriptive

TypeOfResource
Text
TitleInfo
Title
Fighting Inequalities: Impact of Urban-Rural Health Insurance Integration in Rural China
Name (type = personal); (authority = orcid); (authorityURI = http://id.loc.gov/vocabulary/identifiers/orcid.html); (valueURI = http://orcid.org/0000-0001-9406-4483)
NamePart (type = family)
Huang
NamePart (type = given)
Xian
Affiliation
Political Science (New Brunswick), Rutgers University
Role
RoleTerm (type = text); (authority = marcrt)
author
Name (type = personal)
NamePart (type = family)
Wu
NamePart (type = given)
Bingxiao
Affiliation
Economics (New Brunswick), Rutgers University
Role
RoleTerm (type = text); (authority = marcrt)
author
Name (type = corporate); (authority = RutgersOrg-Department)
NamePart
Political Science (New Brunswick)
Name (type = corporate); (authority = RutgersOrg-School)
NamePart
School of Arts and Sciences (SAS) (New Brunswick)
Name (type = corporate); (authority = RutgersOrg-Department)
NamePart
Economics (New Brunswick)
Genre (authority = RULIB-FS)
Article, Refereed
Genre (authority = NISO JAV)
Submitted Manuscript Under Review (SMUR)
Note (type = peerReview)
Peer reviewed
OriginInfo
DateCreated (encoding = w3cdtf); (qualifier = exact); (keyDate = yes)
2018
Abstract (type = Abstract)
Integrating social health insurance, which helps unify the administration, policies, and funds of various health insurance programs, is expected to combat health inequalities. This paper provides the first micro-level evidence from China on the impact of health insurance integration on health care. We exploit the China Health and Retirement Longitudinal Study (CHARLS) dataset and combine it with original city-level data on social health insurance policy. We employ difference-in-difference models with matching to estimate the effects of integrating the Urban Resident Basic Medical Insurance (URBMI) and the New Rural Cooperative Medical Insurance (NRCMI) on individuals’ health care utilization (including inpatient and outpatient care) and health outcomes. We find that the health insurance integration has significantly increased inpatient and outpatient care utilization. Moreover, we provide evidence of a possible mechanism that drives this relationship: the inpatient reimbursement rate significantly increased after the integration. We further find that after the integration, people traveled longer distances to seek inpatient and outpatient care, and their health, as measured by self-assessed health status, has improved. Nonetheless, these results are found in the rural sample only, and we observe no significant impact of the health insurance integration on total hospital charges or patients’ out-of-pocket payments.
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
PhysicalDescription
InternetMediaType
application/pdf
Extent
40 pages
Subject (authority = local)
Topic
Urban-rural insurance integration
Subject (authority = local)
Topic
Health care utilization
Subject (authority = local)
Topic
Difference-in-difference
Subject (authority = local)
Topic
Matching
Subject (authority = local)
Topic
CHARLS
Subject (authority = local)
Topic
China
RelatedItem (type = host)
TitleInfo
Title
Huang, Xian
Identifier (type = local)
rucore30259100001
RelatedItem (type = host)
TitleInfo
Title
Wu, Bingxiao
Identifier (type = local)
rucore30259300001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3TQ654X
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Rights

RightsDeclaration (AUTHORITY = FS); (TYPE = [FS] statement #1); (ID = rulibRdec0004)
Copyright for scholarly resources published in RUcore is retained by the copyright holder. By virtue of its appearance in this open access medium, you are free to use this resource, with proper attribution, in educational and other non-commercial settings. Other uses, such as reproduction or republication, may require the permission of the copyright holder.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsEvent
Type
Permission or license
AssociatedObject
Type
License
Name
Multiple author license v. 1
Detail
I hereby grant to Rutgers, The State University of New Jersey (Rutgers) the non-exclusive right to retain, reproduce, and distribute the deposited work (Work) in whole or in part, in and from its electronic format, without fee. This agreement does not represent a transfer of copyright to Rutgers.Rutgers may make and keep more than one copy of the Work for purposes of security, backup, preservation, and access and may migrate the Work to any medium or format for the purpose of preservation and access in the future. Rutgers will not make any alteration, other than as allowed by this agreement, to the Work.I represent and warrant to Rutgers that the Work is my original work. I also represent that the Work does not, to the best of my knowledge, infringe or violate any rights of others.I further represent and warrant that I have obtained all necessary rights to permit Rutgers to reproduce and distribute the Work and that any third-party owned content is clearly identified and acknowledged within the Work.By granting this license, I acknowledge that I have read and agreed to the terms of this agreement and all related RUcore and Rutgers policies.
RightsEvent
Type
Embargo
DateTime (point = start); (encoding = w3cdtf); (qualifier = exact)
2018-11-19
DateTime (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-11-19
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after November 11, 2020.
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
Document
CreatingApplication
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2018-11-17T16:04:00
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2018-11-17T16:07:00
ApplicationName
Microsoft Office Word
Version
16.0000
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