The effect of primary healthcare on mortality: Evidence from Costa Rica

Mora-García, Claudio A.; Pesec, Madeline; Prado, Andrea M.

doi:10.1016/j.jhealeco.2023.102833

Journal of Health Economics

2024

DOI: 10.1016/j.jhealeco.2023.102833

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The effect of primary healthcare on mortality: Evidence from Costa Rica

Claudio A. Mora-García,

Madeline Pesec,

Andrea M. Prado

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2024

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Cited by 2 publications

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Better off by risk adjustment? Socioeconomic disparities in care utilization in Sweden following a payment reform

Anell,

Dackehag,

Dietrichson

et al. 2024

J Policy Anal Manage

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Reducing socioeconomic health inequalities is a key goal of most health systems. A challenge in this regard is that healthcare providers may have incentives to avoid or undertreat patients who are relatively costly to treat. Due to the socioeconomic gradient in health, individuals with low socioeconomic status (SES) are especially likely to be negatively affected by such attempts. To counter these incentives, payments are often risk adjusted based on patient characteristics. However, empirical evidence is lacking on how, or if, risk adjustment affects care utilization. We examine if a novel risk adjustment model in primary care affected socioeconomic differences in care utilization among individuals with a chronic condition. The new risk adjustment model implied that the capitation—the monthly reimbursement paid by the health authority to care providers for each enrolled patient—increased substantially for chronically ill low‐SES patients. Yet, we do not find any robust evidence that their access to primary care improved relative to patients with high SES, and we find no effects on adverse health events (hospitalizations). These results suggest that the new risk adjustment model did not reduce existing health inequalities, indicating the need for more targeted incentives and interventions to reach low‐SES groups.

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Better off by risk adjustment? Socioeconomic disparities in care utilization in Sweden following a payment reform

Anell,

Dackehag,

Dietrichson

et al. 2024

J Policy Anal Manage

View full text Add to dashboard Cite

show abstract

The role of primary healthcare amid the COVID-19 pandemic: Evidence from the Family Health Strategy in Brazil

Teixeira,

Postali,

Ferreira-Batista

et al. 2024

Social Science & Medicine

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The effect of primary healthcare on mortality: Evidence from Costa Rica

Cited by 2 publications

References 45 publications

Better off by risk adjustment? Socioeconomic disparities in care utilization in Sweden following a payment reform

Better off by risk adjustment? Socioeconomic disparities in care utilization in Sweden following a payment reform

The role of primary healthcare amid the COVID-19 pandemic: Evidence from the Family Health Strategy in Brazil

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