Health for all? A cost-utility evaluation of Colombia's policy to enroll Venezuelan migrants (2021-2023)

  • 0Economic Models and Quantitative Methods Research Group, Universidad Nacional de Colombia, Bogotá, D.C., Colombia.

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Summary

This summary is machine-generated.

Colombia

Area Of Science

  • Public Health
  • Health Economics
  • Migration Studies

Background

  • Colombia extended subsidized health insurance to over 1.4 million Venezuelan migrants (2021-2023).
  • The policy integrated migrants into the existing universal health coverage system for low-income Colombians.

Purpose Of The Study

  • To evaluate the cost-utility and economic returns of extending health insurance to Venezuelan migrants.
  • To assess the health benefits in Quality-Adjusted Life Years (QALYs) and Years of Life Lost (YLLs) averted.

Main Methods

  • Cost-utility analysis using Colombia-specific cost-effectiveness thresholds.
  • Internal Rate of Return (IRR) analysis to determine social profitability.
  • Health outcomes measured in QALYs gained and YLLs averted.

Main Results

  • The intervention yielded 10,259 QALYs gained or 11,843 YLLs averted.
  • An IRR of 27.5% was observed, indicating significant social returns.
  • Greatest health gains were seen in women and adults aged 19-44; urban areas benefited most.

Conclusions

  • Extending subsidized health insurance to migrants is a highly cost-effective policy.
  • Colombia's approach serves as a scalable, impactful model for inclusive public health and universal health coverage.
  • Health policies can achieve substantial social returns, even with large-scale migration.

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