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Co-payment exemption and healthcare consumption

Quasi-experimental evidence from Italy

Dados Bibliográficos

ID21541817
AutoresVanessa Cirulli (0000-0002-2905-178X, Sapienza University of Rome), Giuliano Resce (0000-0002-3913-0510, University of Molise), Marco Ventura (0000-0002-2007-6649, Sapienza University of Rome, autor correspondente)
Ano2024
Volume67
Fascículo1
Páginas355-380
Data de publicação2024-07-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoEmpirical Economics (JOURNAL)
Identificadores do periódicoISSN: 0377-7332 • E-ISSN: 1435-8921
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s00181-023-02552-1
OpenAlexW3208463656
IdiomaEN
Referências citadas67

This paper investigates the causal effect of co-payment exemption on the number of specialist visits in the Italian National Health System. Exploiting a discontinuity in the multiple eligibility criteria, we apply multiple regression discontinuity in a quasi-experimental setting, considering both age and income requirements. Differently from the standard regression discontinuity, this twofold discontinuity allows to identify the effect of co-payment on a particularly needy sub-population of less wealthy people and how it changes according to the eligibility criteria. We find positive effects of co-payment exemption and the effects are stronger for less wealthy and older individuals. The result may be useful to the policy maker to tailor ad-hoc policies aimed at disadvantaged sub-populations

Business · Economic growth · Economics · Health care · Payment · Sociology · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Finance

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