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Could cost sharing sustain the Ghana National Health Insurance Scheme?

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dc.title Could cost sharing sustain the Ghana National Health Insurance Scheme? en
dc.contributor.author Afful-Dadzie, Anthony
dc.contributor.author Afful-Dadzie, Eric
dc.contributor.author Mensah, Seth
dc.relation.ispartof International Journal of Healthcare Management
dc.identifier.issn 2047-9700 Scopus Sources, Sherpa/RoMEO, JCR
dc.date.issued 2019
dc.type article
dc.language.iso en
dc.publisher Taylor and Francis Ltd.
dc.identifier.doi 10.1080/20479700.2019.1617982
dc.relation.uri https://www.tandfonline.com/doi/abs/10.1080/20479700.2019.1617982?journalCode=yjhm20
dc.subject cost sharing en
dc.subject financing healthcare en
dc.subject health policy en
dc.subject National Health Insurance en
dc.subject retention rate en
dc.subject utilization rate en
dc.description.abstract This paper estimates the effect of cost sharing on the sustainability of the Ghana National Health Insurance Scheme (NHIS) from the point of view of enrollment, utilization, and financing. We use data from a nationwide survey to estimate the retention of subscribers and propensity to utilize the scheme's benefit package under a cost sharing policy. The estimates from the survey are used together with data on the Ghana NHIS, to estimate the patronage, and financial status of the Ghana NHIS had cost sharing been introduced. The result indicates that a 5% cost sharing rate would have kept the scheme in surplus between 2007 and 2015. In addition, the 5% cost sharing rate would have led to virtually no change in enrollment and would have reduced utilization rate by about 15%. It is also found that women have higher enrollment and utilization of health insurance than men under cost sharing. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group. en
utb.faculty Faculty of Applied Informatics
dc.identifier.uri http://hdl.handle.net/10563/1008919
utb.identifier.scopus 2-s2.0-85067667786
utb.source j-scopus
dc.date.accessioned 2019-08-16T09:30:07Z
dc.date.available 2019-08-16T09:30:07Z
utb.contributor.internalauthor Afful-Dadzie, Eric
utb.scopus.affiliation University of Ghana Business School, University of Ghana, Accra, Ghana; Faculty of Applied Informatics, Tomas Bata University in Zlin, Zlin, Czech Republic; University of Ghana, Business School, University of Ghana, Accra, Ghana
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