TY  - RPRT
        AU  - Kulshreshtha, Shobhit
AU  - Salm, Martin
AU  - Wübker, Ansgar
        TI  - Does Population Sorting through Internal Migration Increase Healthcare Costs and Needs in Peripheral Regions?
        PY  - 2022/Sep/
        PB  - Institute of Labor Economics (IZA)
        CY  - Bonn
        T2  - IZA Discussion Paper
        IS  - 15559
        UR  - https://www.iza.org/publications/dp15559
        AB  - Large regional disparities in health and healthcare costs prevail in many countries, but our understanding of the underlying causes is still limited. This study shows for the case of the Netherlands that population sorting through internal migration can explain a substantial share, around 28%, of regional variation in healthcare costs. Internal migration during the 1998-2018 period increases average healthcare costs in peripheral provinces by up to 3%. Most of this effect can be attributed to selective migration. We find similar results for risk scores, a measure of healthcare needs. The Dutch risk equalization scheme compensates only partially for these effects.
        KW  - regional variation in healthcare costs
KW  - internal migration
KW  - movers approach
KW  - regional disparities
        ER  -