Responsiveness and Satisfaction with Providers and Carriers in a Safety Net Insurance Program: Evidence from Georgia's Medical Insurance for the Poor

Health Policy 102, No. 2-3: 286-294, 2011

Posted: 4 Nov 2012

See all articles by Sebastian Bauhoff

Sebastian Bauhoff

Center for Global Development

David Hotchkiss

Tulane University - School of Public Health and Tropical Medicine

Owen Smith

affiliation not provided to SSRN

Date Written: 2011

Abstract

Objective: To evaluate provider responsiveness and beneficiary satisfaction with insurance carriers participating in the Republic of Georgia’s Medical Insurance for the Poor.

Study setting: A dedicated survey of approximately 3,500 households in two types of regions – with different eligibility thresholds – in November and December 2008.

Study design: Regression-based estimation of responsiveness ratings by beneficiaries and non-beneficiaries of the insurance program and estimation of mean satisfaction scores for beneficiaries.

Principal findings: In the high-threshold regions, provider responsiveness toward beneficiaries and non-beneficiaries is comparable. In the low-threshold regions, beneficiary status is associated with lower responsiveness of outpatient providers. Inpatient providers may have become less responsive toward beneficiaries during the program’s transition from public to private administration. While satisfaction of beneficiaries with carriers is above average, there are reports of difficulties obtaining reimbursement and information about benefits.

Conclusions: The results suggest that relying on private insurance companies to deliver public programs in middle-income settings may impact provider responsiveness and indicates the need for continuous monitoring and regulation.

Keywords: Health insurance, Responsiveness, Safety net programs, Private sector, Georgia

JEL Classification: I00, I11

Suggested Citation

Bauhoff, Sebastian and Hotchkiss, David and Smith, Owen, Responsiveness and Satisfaction with Providers and Carriers in a Safety Net Insurance Program: Evidence from Georgia's Medical Insurance for the Poor (2011). Health Policy 102, No. 2-3: 286-294, 2011. Available at SSRN: https://ssrn.com/abstract=2171000

Sebastian Bauhoff (Contact Author)

Center for Global Development ( email )

2055 L Street NW
Washington, DC DC 20009
United States

HOME PAGE: http://scholar.harvard.edu/bauhoff/

David Hotchkiss

Tulane University - School of Public Health and Tropical Medicine ( email )

6823 St Charles Ave
New Orleans, LA 70118
United States
504-988-3289 (Phone)

Owen Smith

affiliation not provided to SSRN ( email )

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