Bundling Health Insurance and Microfinance in India: There Cannot be Adverse Selection if There Is No Demand

Microfinance institutions have started to bundle their basic loans with other financial services, such as health insurance. Using a randomized control trial in Karnataka, India, we evaluate the impact on loan renewal from mandating the purchase of actuarially-fair health insurance covering hospitali...

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Bibliographic Details
Main Authors: Banerjee, Abhijit (Contributor), Duflo, Esther (Contributor), Hornbeck, Richard (Author)
Other Authors: Massachusetts Institute of Technology. Department of Economics (Contributor)
Format: Article
Language:English
Published: American Economic Association, 2015-03-10T18:54:59Z.
Subjects:
Online Access:Get fulltext
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100 1 0 |a Banerjee, Abhijit  |e author 
100 1 0 |a Massachusetts Institute of Technology. Department of Economics  |e contributor 
100 1 0 |a Banerjee, Abhijit  |e contributor 
100 1 0 |a Duflo, Esther  |e contributor 
700 1 0 |a Duflo, Esther  |e author 
700 1 0 |a Hornbeck, Richard  |e author 
245 0 0 |a Bundling Health Insurance and Microfinance in India: There Cannot be Adverse Selection if There Is No Demand 
260 |b American Economic Association,   |c 2015-03-10T18:54:59Z. 
856 |z Get fulltext  |u http://hdl.handle.net/1721.1/95939 
520 |a Microfinance institutions have started to bundle their basic loans with other financial services, such as health insurance. Using a randomized control trial in Karnataka, India, we evaluate the impact on loan renewal from mandating the purchase of actuarially-fair health insurance covering hospitalization and maternity expenses. Bundling loans with insurance led to a 16 percentage points (23 percent) increase in drop-out from microfinance, as many clients preferred to give up microfinance than pay higher interest rates and receive insurance. In a Pyrrhic victory, the total absence of demand for health insurance led to there being no adverse selection in insurance enrollment. 
520 |a National Institutes of Health (U.S.) (Grant PO1 HD061315-04) 
546 |a en_US 
655 7 |a Article 
773 |t American Economic Review