Objective: To estimate the impact of the management of the High Cost Account (CAC) on mortality due to HIV. Methods: Study of difference in differences (DID), estimated with a fixed effects panel model. The unit of analysis are the insurers and departments by year. The treated units are those insurers that are part of the management of the CCS. The insurers covered are EPS (subsidized or contributory) and Entities Obliged to Compensate (EOC). A trend study is also carried out based on the sociodemographic characteristics of the deceased with this pathology. Results: Statistically there is no evidence of the impact of CAC on insurers using the DID estimator. Differences were found by sociodemographic characteristics (man vs. woman) based on the increase in the mortality rate of men inverse to the pre-treatment years. On the other hand, there is a trend of concentration of deaths from HIV / AIDS in the age range of 15 to 44 years. Departments such as Antioquia, Valle del Cauca and the District of Bogotá are more likely to present increases in their mortality rate due to the disease than other territories. Conclusions: The impact of the management of the High Cost Account (CAC) on mortality due to HIV / AIDS in Colombia seems to be identified from the mortality rate and sociodemographic characteristics, but statistically it requires the use of indicators entity's own, counting on the disadvantage of bias.
publication date
February 17, 2021 3:30 PM
Research
keywords
Benefit Plan Insurance Entities (EAPB) in Colombia
CAC (The High Cost Account: Colombian Fund for High Cost Diseases)
Difference-in-Difference Study (DID) for the assessment of ACC in the treatment of HIV / AIDS
General System of Social Security in Health of Colombia
