Unintended Effects From The Expansion Of The Non Contributory Health System In Peru
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Unintended Effects From The Expansion Of The Non Contributory Health System In Peru
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Author : Jose Torres
language : en
Publisher: International Monetary Fund
Release Date : 2021-04-23
Unintended Effects From The Expansion Of The Non Contributory Health System In Peru written by Jose Torres and has been published by International Monetary Fund this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-04-23 with Business & Economics categories.
Over the last two decades, the Peruvian government has made great efforts to improve access to health care by significantly augmenting the coverage of the non-contributory public health care system Seguro Integral de Salud (SIS). This expansion has a positive impact on welfare and public health indicators, as it limits the risk of catastrophic health-related costs for previously uninsured individuals and allows for the appropriate treatment of illnesses. However, it also entails some unintended consequences for informality, tax revenues, and GDP, since a few formal agents are paying for a service that the majority of (informal) agents receive for free. In this paper, we use a general equilibrium model calibrated for Peru to simulate the expansion of SIS to quantify the unintended effects. We find that overall welfare increases, but informality rises by 2.7 percent, while tax revenues and output decrease by roughly 0.1 percent. Given the extent of the expansion in eligibility, the economic relevance of these results seems negligible. However, this occurs because the expansion of coverage was mostly funded by reducing the spending per-insured person. In fact, we find larger costs if public spending is increased to improve the quality of service given universal coverage.
Oecd Economic Surveys Peru 2023
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Author : OECD
language : en
Publisher: OECD Publishing
Release Date : 2023-09-27
Oecd Economic Surveys Peru 2023 written by OECD and has been published by OECD Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-09-27 with categories.
Peru's solid macroeconomic framework has driven substantial economic growth and poverty reduction in the past two decades. While the economy swiftly rebounded from the pandemic due to strong policy support, it exposed structural weaknesses such as a large informal sector and stark regional disparities in accessing public services.
Peru
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Author : International Monetary Fund. Western Hemisphere Dept.
language : en
Publisher: International Monetary Fund
Release Date : 2021-03-24
Peru written by International Monetary Fund. Western Hemisphere Dept. and has been published by International Monetary Fund this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-03-24 with Business & Economics categories.
Peru entered the pandemic with a sustained track record of implementing very strong policies amid very strong economic fundamentals and institutional policy frameworks, but was hit hard by the pandemic, which took a heavy toll in terms of human lives and economic output. Tensions between executive and legislative powers continue to affect institutional cohesion, but new general elections will be held in April-June 2021. The IMF Executive Board approved a two-year FCL arrangement in the amount of US$11 billion (600 percent of quota) on May 28, 2020.
Estudios Econ Micos De La Ocde Per 2023
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Author : OECD
language : es
Publisher: OECD Publishing
Release Date : 2023-09-27
Estudios Econ Micos De La Ocde Per 2023 written by OECD and has been published by OECD Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-09-27 with categories.
El sólido marco macroeconómico de Perú ha impulsado un crecimiento económico sustancial y la reducción de la pobreza en las últimas dos décadas. Si bien la economía se recuperó rápidamente de la pandemia, esta reveló debilidades estructurales, como la alta informalidad y marcadas disparidades regionales en el acceso a servicios públicos.
Impact Of Health Insurance In Low And Middle Income Countries
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Author : Maria-Luisa Escobar
language : en
Publisher: Brookings Institution Press
Release Date : 2010
Impact Of Health Insurance In Low And Middle Income Countries written by Maria-Luisa Escobar and has been published by Brookings Institution Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with Social Science categories.
Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.
After The Washington Consensus Restarting Growth And Reform In Latin America
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Author :
language : en
Publisher: Peterson Institute
Release Date :
After The Washington Consensus Restarting Growth And Reform In Latin America written by and has been published by Peterson Institute this book supported file pdf, txt, epub, kindle and other format this book has been release on with Latin America categories.
Examines the nature of the economic policy agenda that the region should be pursuing after the better part of a decade that was punctuated by crises, achieved disappointingly slow growth, and saw no improvement in the region's highly skewed income distribution. Diagnoses the first-generation (liberalizing and stabilizing) reforms that are still lacking, the complementary second-generation (institutional) reforms that are necessary to provide the institutional infrastructure of a market economy with an egalitarian bias, and the new initiatives that are needed to crisis-proof the economies of the region to end its perpetual series of crises.
From Few To Many
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Author : Amanda Glassman
language : en
Publisher: Brookings Institution Press
Release Date : 2009
From Few To Many written by Amanda Glassman and has been published by Brookings Institution Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Business & Economics categories.
"From Few to Many is the first comprehensive look at Colombia's 1993 health system reforms. It describes the implementation of universal health insurance, including a subsidized system for the poor, and examines the impact of this and other reforms during a time when Colombia experienced crushing recession and internal conflict that displaced half a million people." "Prior to the reforms, a quarter of the Colombian population had health insurance. Subsidies failed to reach the poor, who were vulnerable to catastrophic financial consequences of illness. Yet by 2008, 85 percent of the population benefited from health insurance." "From Few to Many describes the challenges and benefits of implementing social health reforms in a developing country, exploring health care financing, institutional reform, the effects of political will on health care, and more. The reforms have provided important lessons not only for continued reform in Colombia, but also for other nations facing similar challenges." --Book Jacket.
Assessing Chile S Pension System Challenges And Reform Options
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Author : Samuel Pienknagura
language : en
Publisher: International Monetary Fund
Release Date : 2021-09-10
Assessing Chile S Pension System Challenges And Reform Options written by Samuel Pienknagura and has been published by International Monetary Fund this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-09-10 with Business & Economics categories.
Chile’s pension system came under close scrutiny in recent years. This paper takes stock of the adequacy of the system and highlights its challenges. Chile’s defined contribution system was quite influential when introduced, and was taken as an example by other countries. However, it is now delivering low replacement rates relative to OECD peers, as its parameters did not adapt over time to changing demographics and global returns, while informality persists in the labor market. In the absence of reforms, the system’s inability to deliver adequate outcomes for a large share of participants will continue to magnify, as demographic trends and low global interest rates will continue to reduce replacement rates. In addition, recent legislation allowing for pension savings withdrawals to counter the effects from the COVID-19 pandemic, is projected to further reduce replacement rates and increase fiscal costs. A substantial improvement in replacement rates is feasible, via a reform that raises contribution rates and the retirement age, coupled with policies that increases workers’ contribution density.
Social Security In Latin America
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Author : Carmelo Mesa-Lago
language : en
Publisher: University of Pittsburgh Pre
Release Date : 1978-11-15
Social Security In Latin America written by Carmelo Mesa-Lago and has been published by University of Pittsburgh Pre this book supported file pdf, txt, epub, kindle and other format this book has been release on 1978-11-15 with History categories.
A comprehensive and sophisticated study of the relationship between social security policy and inequality in Latin America. Individual case studies of Chile, Uruguay, Peru, Argentina, and Mexico are presented, that provide a historical analysis of each country's social security policy, the pressure groups involved, the present structure of the systems, and a statistical examination of the inequality among these pressure groups.
Going Universal
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Author : Daniel Cotlear
language : en
Publisher: World Bank Publications
Release Date : 2015-09-28
Going Universal written by Daniel Cotlear and has been published by World Bank Publications this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-09-28 with Medical categories.
This book is about 24 developing countries that have embarked on the journey towards universal health coverage (UHC) following a bottom-up approach, with a special focus on the poor and vulnerable, through a systematic data collection that provides practical insights to policymakers and practitioners. Each of the UHC programs analyzed in this book is seeking to overcome the legacy of inequality by tackling both a “financing gap†? and a “provision gap†?: the financing gap (or lower per capita spending on the poor) by spending additional resources in a pro-poor way; the provision gap (or underperformance of service delivery for the poor) by expanding supply and changing incentives in a variety of ways. The prevailing view seems to indicate that UHC require not just more money, but also a focus on changing the rules of the game for spending health system resources. The book does not attempt to identify best practices, but rather aims to help policy makers understand the options they face, and help develop a new operational research agenda. The main chapters are focused on providing a granular understanding of policy design, while the appendixes offer a systematic review of the literature attempting to evaluate UHC program impact on access to services, on financial protection, and on health outcomes.