Evaluating Health Insurance Programmes: An Insurance Cascade Framework


Bauhoff, Sebastian, and Nikkil Sudharsanan. 2021. “Evaluating Health Insurance Programmes: An Insurance Cascade Framework.” Economic & Political Weekly 56 (23): 22-28. Copy at https://tinyurl.com/y84ns3dn


Abstract (edited by EPW): An array of bottlenecks has ensured that the numerous health insurance schemes introduced over the years have failed to make any significant dent on the health sector. This article tries to assess these problems by using the “insurance cascade,” a framework that traces the steps from enrolling eligible households to ultimately delivering their benefits. The existing evidence suggests substantial bottlenecks across all cascade steps, with especially large gaps in beneficiaries’ awareness of how to enrol in schemes, what the schemes covers, and how to access scheme benefits.

Also available at CGD Working Paper 583.

Published paper (gated)

Last updated on 06/09/2021