Determinants of Health Insurance Penetration in India: An Empirical Analysis
Abstract
Insufficient participation of the government in the provision of health care services to the people puts tremendous pressure on households financing their health care expenditure from private sources. Health insurance can be seen as an effective measure to circumvent this problem. However, penetration of health insurance in India is very low. This article seeks to explore the effect of household assets, access to media demographic and caste profile of households in explaining the use of health insurance in India using data from the National Family Health Survey-III. Results suggest that richer households have a higher probability of enrolling into health insurance and access to media exerts a positive significant impact on health insurance enrolment. Particularly vulnerable are those from the scheduled tribe background in both rural and urban region and the Muslim community residing in urban area. Non-profit insurance scheme such as community-based health insurance (CBHI) has limited success in drawing people from the poorest economic status into their safety nets. Considerable regional disparity exists in terms of health insurance enrolment pattern. Odds of enrolling in private health insurance and public health insurance in comparison to no insurance are significantly higher for urban region. The opposite result holds for CBHI scheme.
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In India, access to good health insurance services is limited to higher income groups due to lack of awareness, income disparity, individualistic slackness, and paucity of government support.
“On the contrary, in India, the accessibility to good health insurance services is limited to higher income groups due to lack of awareness, income disparity, individualistic slackness, paucity of government support etc. (Chakrabarti and Shankar 2015).”
From Health insurance policy renewal: an exploration of reputation, performance, and affect to understand customer inertia (2022) · cites this paper as Chakrabarti and Shankar 2015
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- Authors
- Chakrabarti, A., & Shankar, A.
- Affiliations
- Reserve Bank of India (IN)
- Venue
- Oxford Development Studies
- Publisher
- Informa UK Limited
- Published
- 2015-07-03
- Volume
- 43
- Issue
- 3
- Pages
- 379-401
- ISSN
- 0264-5491 (ISSN-L)
- 1360-0818
- 1469-9966
- OpenAlex
- W2198846339
- Cited by
- 28
- References
- 23
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 6 · 2023: 3 · 2022: 4 · 2021: 2 · 2019: 2 · 2017: 1 · 2016: 1
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Oxford Development Studies (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Microfinance and Financial Inclusion
- Keywords
- health insurance enrollment, household assets, media access, caste, Scheduled Tribes, Muslim households, community-based health insurance, private health insurance, public health insurance, regional disparities, urban-rural differences, household health expenditure, India
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