[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/p/cep/stieop/025.html
   My bibliography  Save this paper

Implementing Health Insurance For The Poor: The Rollout Of Rsby In Karnataka

Author

Listed:
  • Erlend Berg
  • Maitreesh Ghatak
  • R Manjula
  • D Rajasekhar
  • Sanchari Roy
Abstract
The National Health Insurance Scheme (Rashtriya Swasthya Bima Yojana, RSBY) aims to improve poor people's access to quality health care in India. This paper looks at the implementation of the scheme in Karnataka, drawing on a large survey of eligible households and interviews with empanelled hospitals in the state. Six months after initiation, an impressive 85% of eligible households in the sample were aware of the scheme, and 68% had been enrolled. However, the scheme was hardly operational and utilisation was virtually zero. A large proportion of beneficiaries were yet to receive their cards, and many did not know how and where to obtain treatment under the scheme. Moreover, hospitals were not ready to treat RSBY patients. Surveyed hospitals complained of a lack of training and delays in the reimbursement of their expenses. Many were refusing to treat patients under the scheme until the issues were resolved, and others were asking cardholders to pay cash. As is typical for the implementation of a government scheme, many of the problems discussed can be related to a misalignment of incentives.

Suggested Citation

  • Erlend Berg & Maitreesh Ghatak & R Manjula & D Rajasekhar & Sanchari Roy, 2011. "Implementing Health Insurance For The Poor: The Rollout Of Rsby In Karnataka," STICERD - Economic Organisation and Public Policy Discussion Papers Series 025, Suntory and Toyota International Centres for Economics and Related Disciplines, LSE.
    • Handle: RePEc:cep:stieop:025
    as

    Download full text from publisher

    File URL: https://sticerd.lse.ac.uk/dps/eopp/eopp25.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Das, Jishnu & Hammer, Jeffrey, 2007. "Money for nothing: The dire straits of medical practice in Delhi, India," Journal of Development Economics, Elsevier, vol. 83(1), pages 1-36, May.
    2. Krishna, Anirudh, 2004. "Escaping Poverty and Becoming Poor: Who Gains, Who Loses, and Why?," World Development, Elsevier, vol. 32(1), pages 121-136, January.
    3. Anirudh Krishna & Mahesh Kapila & Mahendra Porwal & Virpal Singh, 2005. "Why growth is not enough: Household poverty dynamics in Northeast Gujarat, India," Journal of Development Studies, Taylor & Francis Journals, vol. 41(7), pages 1163-1192.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Manini Ojha, 2022. "Gender gap in schooling: Is there a role for health insurance?," Journal of International Development, John Wiley & Sons, Ltd., vol. 34(1), pages 29-54, January.
    2. Chatterjee, Chirantan & Joshi, Radhika & Sood, Neeraj & Boregowda, P., 2018. "Government health insurance and spatial peer effects: New evidence from India," Social Science & Medicine, Elsevier, vol. 196(C), pages 131-141.
    3. Khetrapal, Sonalini & Acharya, Arnab & Mills, Anne, 2019. "Assessment of the public-private-partnerships model of a national health insurance scheme in India," Social Science & Medicine, Elsevier, vol. 243(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rishi Kumar, 2022. "Household poverty dynamics in tribal Madhya Pradesh, India: A case study of 54 villages," Poverty & Public Policy, John Wiley & Sons, vol. 14(2), pages 184-203, June.
    2. Krishna, Anirudh, 2006. "Pathways out of and into poverty in 36 villages of Andhra Pradesh, India," World Development, Elsevier, vol. 34(2), pages 271-288, February.
    3. Singh, K.M. & Singh, R.K.P. & Meena, M.S. & Kumar, Abhay & Jha, A.K. & Kumar, Anjani, 2012. "Rural Poverty in Jharkhand: An Empirical Exploration of Socioeconomic determinants," MPRA Paper 44811, University Library of Munich, Germany, revised 15 Dec 2012.
    4. Gabriela Flores & Jaya Krishnakumar & Owen O'Donnell & Eddy van Doorslaer, 2008. "Coping with health‐care costs: implications for the measurement of catastrophic expenditures and poverty," Health Economics, John Wiley & Sons, Ltd., vol. 17(12), pages 1393-1412, December.
    5. Onyango, L. & Swallow, B. & Roy, J. L. & Meinzen-Dick, R., 2007. "Coping with history and hydrology: how Kenya\u2019s settlement and land tenure patterns shape contemporary water rights and gender relations in water," IWMI Books, Reports H040694, International Water Management Institute.
    6. Singh, K.M. & Meena, M.S. & Singh, R.K.P. & Kumar, Abhay & Kumar, Anjani, 2012. "Rural Poverty in Jharkhand, India : An Empirical Study based on Panel Data," MPRA Paper 45258, University Library of Munich, Germany, revised 14 Sep 2012.
    7. Krishna, Anirudh & Shariff, Abusaleh, 2011. "The Irrelevance of National Strategies? Rural Poverty Dynamics in States and Regions of India, 1993-2005," World Development, Elsevier, vol. 39(4), pages 533-549, April.
    8. Gabriela Flores & Jaya Krishnakumar & Owen O'Donnell & Eddy van Doorslaer, 2008. "Coping with health-care costs: implications for the measurement of catastrophic expenditures and poverty," Health Economics, John Wiley & Sons, Ltd., vol. 17(12), pages 1393-1412.
    9. Peralta Alexandra & James A. García & Nancy Johnson, 2006. "Dinámica y definición de pobreza en los Andes colombianos: enfoques participativos versus enfoques objetivos," Revista Desarrollo y Sociedad, Universidad de los Andes,Facultad de Economía, CEDE, August.
    10. Pradip K. Bhaumik & Arindam Banik, 2010. "Rigidities restraining movement of a rural artisan from poor to non‐poor state," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 37(1), pages 17-40, January.
    11. Das, Jishnu & Hammer, Jeffrey & Sánchez-Paramo, Carolina, 2012. "The impact of recall periods on reported morbidity and health seeking behavior," Journal of Development Economics, Elsevier, vol. 98(1), pages 76-88.
    12. Pal, Rama, 2010. "Borrowing for hospitalization in India," MPRA Paper 29404, University Library of Munich, Germany.
    13. Neena Shah More & Ujwala Bapat & Sushmita Das & Glyn Alcock & Sarita Patil & Maya Porel & Leena Vaidya & Armida Fernandez & Wasundhara Joshi & David Osrin, 2012. "Community Mobilization in Mumbai Slums to Improve Perinatal Care and Outcomes: A Cluster Randomized Controlled Trial," Working Papers id:5098, eSocialSciences.
    14. Sushanta K. Mallick, 2014. "Disentangling the Poverty Effects of Sectoral Output, Prices, and Policies in India," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 60(4), pages 773-801, December.
    15. Esther Atukunda & Anne Fitzpatrick, 2015. "An Evaluation of Factors Affecting Drug Quality: Evidence from the Antimalarial Market in Uganda," Working Papers 2015_03, University of Massachusetts Boston, Economics Department.
    16. ILes, Richard, 2017. "Government Doctor Absenteeism And Its Effects On Consumer Demand In Rural North India," Working Papers 2018-9, School of Economic Sciences, Washington State University, revised 12 2018.
    17. Powell-Jackson, Timothy & Mazumdar, Sumit & Mills, Anne, 2015. "Financial incentives in health: New evidence from India's Janani Suraksha Yojana," Journal of Health Economics, Elsevier, vol. 43(C), pages 154-169.
    18. Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
    19. Peter Davis & Bob Baulch, 2010. "Casting the net wide and deep: lessons learned in a mixed-methods study of poverty dynamics in rural Bangladesh," Working Papers id:2674, eSocialSciences.
    20. Syed Masud Ahmed & AKM Masud Rana, 2010. "Customized Development Interventions for the Ultra Poor: Preliminary Change Assessments of Health and Health-seeking Behaviour (CFPR/TUP 2002 to 2004)," Working Papers id:2575, eSocialSciences.

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:cep:stieop:025. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: the person in charge (email available below). General contact details of provider: https://sticerd.lse.ac.uk/_new/publications/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.