Effect of Restricting Access to Health Care on Health Expenditures among Asylum-Seekers and Refugees: A Quasi-Experimental Study in Germany, 1994–2013

BACKGROUND: Access to health care for asylum-seekers and refugees (AS and (b) two major policy reforms (1997, 2007) on incident health expenditures for AS 375.89]) and relative terms (IRR = 1.39). The AFe was 28.07% and the AFp 22.21%. Between-group differences in mean age and in the type of accommodation were the main independent predictors of between-group expenditure differences. Need variables explained 50-75% of the variation in between-group differences over time. The 1997 policy reform significantly increased ∆IRt adjusted for secular trends and between-group differences in age (by 600.0 Euros 212.6; 986.2) and sex (by 867.0 Euros 390.9; 1342.5). The 2007 policy reform had no such effect. CONCLUSION: The cost of excluding AS it urgently requires high-quality, individual-level data.