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An Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgia

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dc.contributor.authorChao, Shiyan
dc.contributor.authorHou, Xiaohui
dc.date.accessioned2012-05-29T13:55:40Z
dc.date.available2012-05-29T13:55:40Z
dc.date.issued2008-04
dc.description.abstractAs part of the recent health reform effort, the government of Georgia launched a Medical Assistance Program in June 2006 to provide health insurance to its poor population. So far the program covers slightly over 50 percent of the poor and provides benefit coverage for outpatient and inpatient care. This paper estimates initial impact of the Medical Assistance Program and assesses whether the benefits have reached the poorest among those eligible, using utilization data from June 2006 to December 2006. Based on the analysis using a regression discontinuity design and a three-part model, the paper presents two main findings. First, the Medical Assistance Program has significantly increased utilization of acute surgeries/inpatient services by the poor. Second, the benefits have successfully reached the poorest among the poor. These two findings indicate that government efforts to improve the poor's access to and utilization of health services are yielding results. The paper emphasizes that the initial dramatic increase in surgeries must be interpreted with caution, given the possible misclassification or misreporting of acute surgeries in the data. The paper also stresses the need to continue monitoring implementation of the Medical Assistance Program and further improve program design, particularly the targeting mechanism, to achieve better efficiency, effectiveness and overall equity in access to health care services.en
dc.identifierhttp://documents.worldbank.org/curated/en/2008/04/9354513/evaluation-initial-impact-medical-assistance-program-poor-georgia
dc.identifier.doi10.1596/1813-9450-4588
dc.identifier.urihttps://hdl.handle.net/10986/6512
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesPolicy Research Working Paper; No. 4588
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH CARE SERVICES
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACUTE CARE
dc.subjectADDITIONAL MONIES
dc.subjectAMBULATORY SURGERY
dc.subjectBENEFICIARIES
dc.subjectBENEFICIARY
dc.subjectBUDGET CONSTRAINTS
dc.subjectCONSUMER
dc.subjectCONTINGENCY
dc.subjectCONTRIBUTION
dc.subjectCONTRIBUTION RATES
dc.subjectCOST CONTROL
dc.subjectCOST OF CARE
dc.subjectCOST SHARING
dc.subjectDELIVERY SYSTEM
dc.subjectDEMAND FOR HEALTH
dc.subjectDEMAND FOR HEALTH SERVICES
dc.subjectDRUGS
dc.subjectECONOMIC REVIEW
dc.subjectEMPLOYMENT
dc.subjectEMPLOYMENT AGENCY
dc.subjectENTITLEMENT
dc.subjectEQUITY IN ACCESS
dc.subjectEXPENDITURES
dc.subjectFAMILY MEMBERS
dc.subjectFEMALE EDUCATION
dc.subjectFINANCIAL BARRIERS
dc.subjectFINANCIAL CONSTRAINT
dc.subjectFINANCIAL SUSTAINABILITY
dc.subjectFISCAL POLICY
dc.subjectFORMAL EDUCATION
dc.subjectFREE CARE
dc.subjectFULL COVERAGE
dc.subjectGENERAL POPULATION
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE FINANCE
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE REFORM
dc.subjectHEALTH CARE REFORMS
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CARE SYSTEMS
dc.subjectHEALTH CARE SYSTEMS IN TRANSITION
dc.subjectHEALTH CARE UTILIZATION
dc.subjectHEALTH DATA
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FOR ALL
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE COMPANIES
dc.subjectHEALTH INSURANCE COVERAGE
dc.subjectHEALTH INSURANCE MARKET
dc.subjectHEALTH INSURANCE PLANS
dc.subjectHEALTH POLICY
dc.subjectHEALTH REFORM
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE UTILIZATION
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTHCARE
dc.subjectHEALTHCARE SERVICES
dc.subjectHEPATITIS C
dc.subjectHOSPITAL ADMISSIONS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD EXPENDITURES
dc.subjectHUMAN DEVELOPMENT
dc.subjectILLNESS
dc.subjectINCOME
dc.subjectINFANT MORTALITY
dc.subjectINFANT MORTALITY RATE
dc.subjectINFERTILITY
dc.subjectINFORMAL PAYMENTS
dc.subjectINPATIENT CARE
dc.subjectINSURANCE COMPANIES
dc.subjectINSURANCES
dc.subjectLACK OF INFORMATION
dc.subjectLEVEL OF EDUCATION
dc.subjectLIFE EXPECTANCY
dc.subjectLIVING CONDITIONS
dc.subjectLOW INCOME
dc.subjectMEDICAL CARE
dc.subjectMEDICAL COSTS
dc.subjectMEDICAL EXPENDITURES
dc.subjectMEDICAL FACILITIES
dc.subjectMEDICAL SERVICES
dc.subjectMEDICAL SUPPLIES
dc.subjectMEDICAL TECHNOLOGY
dc.subjectMEDICINES
dc.subjectMORAL HAZARD
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH SERVICE
dc.subjectNUTRITION
dc.subjectOUTPATIENT CARE
dc.subjectPATIENT
dc.subjectPATIENT TREATMENT
dc.subjectPATIENTS
dc.subjectPHYSICIANS
dc.subjectPOCKET PAYMENT
dc.subjectPOCKET PAYMENTS
dc.subjectPOLICY RESEARCH
dc.subjectPRICE ELASTICITY
dc.subjectPRIMARY EDUCATION
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE HEALTH INSURANCE
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE INSURERS
dc.subjectPRIVATE INVESTMENT
dc.subjectPRIVATE SECTOR
dc.subjectPROBABILITY
dc.subjectPROVIDER PAYMENT
dc.subjectPSYCHOLOGIST
dc.subjectPUBLIC EXPENDITURES
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH SYSTEM
dc.subjectREIMBURSEMENT RATES
dc.subjectRETAIL PHARMACIES
dc.subjectSAFETY NET
dc.subjectSECONDARY EDUCATION
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectSHARE OF INPATIENT CARE
dc.subjectSOCIAL ASSISTANCE
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL INSURANCE
dc.subjectSOCIAL SERVICES
dc.subjectSURGERY
dc.subjectTOTAL COSTS
dc.subjectUNEMPLOYED
dc.subjectUNEMPLOYED PEOPLE
dc.subjectVISITS
dc.subjectWELFARE PROGRAMS
dc.subjectWELFARE REFORM
dc.titleAn Evaluation of the Initial Impact of the Medical Assistance Program for the Poor in Georgiaen
dspace.entity.typePublication
okr.crossref.titleAn Evaluation Of The Initial Impact Of The Medical Assistance Program For The Poor In Georgia
okr.date.doiregistration2025-04-10T10:35:38.009570Z
okr.doctypePublications & Research::Policy Research Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2008/04/9354513/evaluation-initial-impact-medical-assistance-program-poor-georgia
okr.globalpracticeHealth, Nutrition, and Population
okr.globalpracticeGovernance
okr.globalpracticeHealth, Nutrition, and Population
okr.guid333901468031559070
okr.identifier.doi10.1596/1813-9450-4588
okr.identifier.externaldocumentum000158349_20080414101557
okr.identifier.internaldocumentum9354513
okr.identifier.reportWPS4588
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2008/04/14/000158349_20080414101557/Rendered/PDF/wps4588.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryGeorgia
okr.topicLaw and Development::Health Law
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicHealth Economics and Finance
okr.topicHealth, Nutrition and Population
okr.unitDevelopment Research Group (DECRG)
okr.volume1 of 1
relation.isAuthorOfPublication2d7bf586-0366-53b9-9625-7c13148c0b81
relation.isAuthorOfPublication.latestForDiscovery2d7bf586-0366-53b9-9625-7c13148c0b81
relation.isSeriesOfPublication26e071dc-b0bf-409c-b982-df2970295c87
relation.isSeriesOfPublication.latestForDiscovery26e071dc-b0bf-409c-b982-df2970295c87
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