AccScience Publishing / GHES / Online First / DOI: 10.36922/ghes.2001
ORIGINAL RESEARCH ARTICLE

The effect of the 2009 cancer coverage expansion policy in Korea

Changwoo Lee1*
Show Less
1 Department of Economics, Boston University, Boston, Massachusetts, United States of America
Submitted: 10 October 2023 | Accepted: 19 February 2024 | Published: 4 June 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

This study focuses on the effect of coverage expansion policy on medical expenditures at each initial medical expenditure level. More specifically, how each structural change, such as the enforcement of coverage expansion policy and other observable factors, influences the spending on medical care using the relatively recently developed decomposition technique was investigated in the study. The results showed that those at the lowest or highest medical cost level benefited most from the policy change. The observable variables seemed to affect the overall differences in the cancer inpatient cost for those at the middle medical cost level, and the structural changes seemed to account for the overall change in the cancer inpatient cost for those at the lowest or the highest medical cost level. The findings of this study offer an explanation for why the coverage expansion policy could not affect the equity in health utilization and financial burden reported in previous literature.

Keywords
Expansion of health insurance coverage
Medical expenditure
Decomposition
Funding
None.
References

Chernozhukov, V., Fernández-Val, I., & Melly, B. (2013). Inference on counterfactual distributions. Econometrica, 81(6):2205-2268. https://doi.org/10.3982/ECTA10582

 

Choi, J.K. (2012). Equity in the health care financing and payment. The Korean Journal of Health Economics and Policy, 18(1):49-66.

 

Kim, D., Kim, Y., Lee, S., Seo, J., & Kim, J. (2016). The Effect of Increased Health Care Coverage on Provider behavior in Cancer Care. Korea Institute for Health and Social Affairs. Available from: https://www.kihasa.re.kr/en/publish/paper/ research/view?searchText=cancer&page=1&seq=30657 [Last accessed on 2024 Feb 05].

 

Kim, J.H., Kim, S.J., & Kwon, S. (2014). Effect of expanding benefit coverage for cancer patients on equity in health care utilization and catastrophic expenditure. Health Policy and Management, 24(3):228-241. https://doi.org/10.4332/KJHPA.2014.24.3.228

 

Kim, S., & Kwon, S. (2014a). The effect of extension of benefit coverage for cancer patients on health care utilization across different income groups in South Korea. International Journal of Health Care Finance and Economics, 14(2):161-177. https://doi.org/10.1007/s10754-014-9144-y

 

Kim, S., & Kwon, S. (2014b). Has the National Health Insurance improved the inequality in the use of tertiary-care hospitals in Korea? Health Policy, 118(3):377-385. https://doi.org/10.1016/j.healthpol.2014.10.005

 

Kim, S., & Kwon, S. (2015). Impact of the policy of expanding benefit coverage for cancer patients on catastrophic health expenditure across different income groups in South Korea. Social Science Medicine, 138:241-247. https://doi.org/10.1016/j.socscimed.2015.06.012

 

Kim, S.J., Ko, Y., Oh, J.H., & Kwon, S.M. (2008). The effect of expanding health insurance benefits for cancer patients on the equity in health care utilization. Korean Journal of Health Policy and Administration, 18(3):90-109. https://doi.org/10.4332/KJHPA.2008.18.3.090

 

Lee, Y.J. (2009). A study on the influences of changes to the co-payment of cancer patients of their uses of medical services. Journal Korean Public Policy, 11(1):3-25.

 

Sommers, B.D., Gawande, A.A., & Baicker, K. (2017). Health insurance coverage and health - What the recent evidence tells us. The New England Journal of Medicine, 377(6): 586-593. https://doi.org/10.1056/NEJMsb1706645

 

Zeckhauser, R. (1970). Medical insurance: A case study of the tradeoff between risk spreading and appropriate incentives. Journal of Economic Theory, 2(1):10-26. https://doi.org/10.1016/0022-0531(70)90010-4

Conflict of interest
The author declares no conflicts of interest.
Share
Back to top
Global Health Economics and Sustainability, Electronic ISSN: 2972-4570 Published by AccScience Publishing