Asia-Pacific journal of risk and insurance: Are Publicly Funded Health Insurance Schemes Leading Towards Better Healthcare Utilization and Quality of Life? A Case Study from India

Sharma, Shashi Kant; Sen, Subir

Are Publicly Funded Health Insurance Schemes Leading Towards Better Healthcare Utilization and Quality of Life? A Case Study from India / Sharma, Shashi Kant (Rights reserved)

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Contents : Are Publicly Funded Health Insurance Schemes Leading Towards Better Healthcare Utilization and Quality of Life? A Case Study from India / Sharma, Shashi Kant (Rights reserved)

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Eingeschränkter Zugang mit Nutzungsbeschränkungen: Das Dokument ist in den Räumen der Zentral- und Landesbibliothek mit dem "Virtuellen Lesesaal der Landesbibliothek" auf allen Internet-Arbeitsplätzen zugreifbar, darf jedoch nicht kopiert, versendet oder in einem Umfang von mehr als 10% ausgedruckt werden. Weitere Informationen.

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Periodical

Title:: Asia-Pacific journal of risk and insurance

Publication:: Berlin Boston, Mass.: De Gruyter

Note:: Fortsetzung der Druck-Ausgabe; Gesehen am 06.02.12; C!URL-Ä(06-02-12)

Scope:: Online-Ressource

ISSN:: 2153-3792

ZDB-ID:: 2541118-4

VÖBB-Katalog:: 35340970

Keywords:: Zeitschrift

Classification:: Wirtschaft

Collection:: Wirtschaft

Copyright:: Rights reserved

Accessibility:: Eingeschränkter Zugang mit Nutzungsbeschränkungen

Title:: Asia-Pacific journal of risk and insurance

Publication:: Berlin Boston, Mass.: De Gruyter

Note:: Fortsetzung der Druck-Ausgabe; Gesehen am 06.02.12; C!URL-Ä(06-02-12)

Scope:: Online-Ressource

ISSN:: 2153-3792

ZDB-ID:: 2541118-4

VÖBB-Katalog:: 35340970

Keywords:: Zeitschrift

Classification:: Wirtschaft

Collection:: Wirtschaft

Copyright:: Rights reserved

Accessibility:: Eingeschränkter Zugang mit Nutzungsbeschränkungen

Article

Author:: Sharma, Shashi Kant; Sen, Subir

Title:: Are Publicly Funded Health Insurance Schemes Leading Towards Better Healthcare Utilization and Quality of Life? A Case Study from India

Publication:: Berlin Boston, Mass.: De Gruyter, 2025

Language:: English

Information:: Abstract: India introduced a new healthcare scheme, the Pradhan Mantri Jan Arogya Yojana (PMJAY), in 2018, which has been in effect since 2019. This scheme aims to achieve universal health coverage and supports the catastrophic Out-of-Pocket Expenditure (OOPE) of below poverty line population in Indian states. This study assesses the impact of PMJAY in two selected districts of the Indian state of Bihar considering a sample of 324 respondents. Propensity score matching (PSM) and entropy balancing (EB) are two widely used methods to ensure the robustness of impact assessment exercises. The EB method is considered relatively robust and therefore, we use and compare both. The average effect of PMJAY on the beneficiaries using EB shows a significant rise in healthcare utilization; the values are 2.51, 0.79 and 0.36 for OPD visits, hospitalizations, and surgeries, respectively. Our sample consists of 22 percent PMJAY-beneficiaries. The findings highlight the scheme’s potential to improve healthcare access and outcomes for the vulnerable population. Beneficiaries have reported better post-hospitalization quality of life and are more likely to return to work regularly after treatment. These insights may assist policymakers in further improving their effectiveness by raising awareness among the eligible households, as there are still barriers to enrollment and information asymmetries with regard to utilization.

Scope:: Online-Ressource

Note:: Open Access unbekannt; Archivierung/Langzeitarchivierung gewährleistet

Keywords:: health insurance ; PMJAY ; impact evaluation ; India ; Universal Health Coverage

Classification:: Wirtschaft

DDC Group:: 360 Soziale Probleme, Sozialarbeit

URN:: urn:nbn:de:101:1-2602070358536.265504922037

Collection:: Wirtschaft

Copyright:: Rights reserved

Accessibility:: Eingeschränkter Zugang mit Nutzungsbeschränkungen

Author:: Sharma, Shashi Kant; Sen, Subir

Title:: Are Publicly Funded Health Insurance Schemes Leading Towards Better Healthcare Utilization and Quality of Life? A Case Study from India

Publication:: Berlin Boston, Mass.: De Gruyter, 2025

Language:: English

Information:: Abstract: India introduced a new healthcare scheme, the Pradhan Mantri Jan Arogya Yojana (PMJAY), in 2018, which has been in effect since 2019. This scheme aims to achieve universal health coverage and supports the catastrophic Out-of-Pocket Expenditure (OOPE) of below poverty line population in Indian states. This study assesses the impact of PMJAY in two selected districts of the Indian state of Bihar considering a sample of 324 respondents. Propensity score matching (PSM) and entropy balancing (EB) are two widely used methods to ensure the robustness of impact assessment exercises. The EB method is considered relatively robust and therefore, we use and compare both. The average effect of PMJAY on the beneficiaries using EB shows a significant rise in healthcare utilization; the values are 2.51, 0.79 and 0.36 for OPD visits, hospitalizations, and surgeries, respectively. Our sample consists of 22 percent PMJAY-beneficiaries. The findings highlight the scheme’s potential to improve healthcare access and outcomes for the vulnerable population. Beneficiaries have reported better post-hospitalization quality of life and are more likely to return to work regularly after treatment. These insights may assist policymakers in further improving their effectiveness by raising awareness among the eligible households, as there are still barriers to enrollment and information asymmetries with regard to utilization.

Scope:: Online-Ressource

Note:: Open Access unbekannt; Archivierung/Langzeitarchivierung gewährleistet

Keywords:: health insurance ; PMJAY ; impact evaluation ; India ; Universal Health Coverage

Classification:: Wirtschaft

DDC Group:: 360 Soziale Probleme, Sozialarbeit

URN:: urn:nbn:de:101:1-2602070358536.265504922037

Collection:: Wirtschaft

Copyright:: Rights reserved

Accessibility:: Eingeschränkter Zugang mit Nutzungsbeschränkungen

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Diese Publikation wurde im Rahmen des Kooperationsprojekts "NP Regional" von der Deutschen Nationalbibliothek übernommen. Sie fällt unter die E-Pflicht (Elektronische Pflichtpublikationen in Berlin).

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