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Does Subsidized Health Insurance Cause Ex Ante Moral Hazard? Empirical Analysis Of Smoking Intensity In Poor Communities In Indonesia Maulida, Rizki Wibias Anwar; Nasrudin, Rus'an
EKOMBIS REVIEW: Jurnal Ilmiah Ekonomi dan Bisnis Vol 13 No 2 (2025): April
Publisher : UNIVED Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/ekombis.v13i2.6954

Abstract

The existence of ex ante moral hazard (EAMH) can cause inefficiency and threaten the sustainability of the health insurance program developed by the Indonesian government. The deficit in health social funds and the increase in the number of smokers in Indonesia may indicate the presence of EAMH. Several studies have explored EAMH, but their conclusions remain inconclusive. This study will utilize panel data from IFLS waves 2, 3, 4, and 5. By combining matching and Difference-in-Differences (PSM-DiD) methods to eliminate various potential biases, this research aims to reveal the impact of participating in subsidized health insurance on changes in smoking intensity among beneficiaries of Askeskin/JKN PBI. The findings suggest that, overall, the Askeskin policy does not indicate the presence of EAMH in relation to smoking behavior. However, within a specific subset of the data, there are indications of EAMH linked to rising smoking expenses among poor urban individuals.
Measuring the intensity of smoking behavior among beneficiaries of subsidized health insurance: Item Response Theory (IRT) Analysis maulida, rizki wibias anwar; Nasrudin, Rus'an
JEJAK Vol. 17 No. 2 (2024): September 2024
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jejak.v17i2.4551

Abstract

The absence of sufficient income leaves the impoverished and near-poor particularly susceptible to economic shocks, yet they encounter significant barriers in accessing the health insurance market. The government introduced the Health Premium Assistance for the Poor and Near-Poor (Askeskin) program on January 1, 2005, to address this issue. However, individuals with lower socioeconomic status are disproportionately likely to smoke. Therefore, it is imperative to conduct screening and assess smoking intensity, particularly among those facing economic hardships, to effectively address smoking behavior. To assess the severity of smoking habits among beneficiaries of subsidized health insurance (Askeskin), this study utilized data from the IFLS survey and applied Item Response Theory (IRT). IRT facilitates the development of highly precise measurement tools that accurately capture variations in an individual's health and well-being. The findings indicate that this scale serves as a suitable instrument for examining heavy smoking intensity in research endeavors, particularly within the Indonesian context.