The Operation of Nationwide Health Insurance and its Implications
Title
The Operation of Nationwide Health Insurance and its Implications
Author(s)
Kim, Jinsoo
; Choi, In-Duck
; Yi, Gi Joo
Publication Year
2011
Publisher
기획재정부
KDI국제정책대학원
한국보건사회연구원
Table Of Contents
Contents
Abstracts 1
CHAPTER 1 The Contextual Background of the Introduction of Medical Insurance 9 1. The Socio-Economic Context 11 2. Health care Environment 15 3. Major Motivations for the Implementation of Medical Insurance 17 4. The Decision-Making Process Leading to the Implementation 20 5. The Characteristics of Health Insurance in Korea 27
CHAPTER 2 The Medical Insurance Implementation System 37 1. The Legislation and Amendment of Medical Insurance Laws 39 2. The Establishment of the Medical Insurance Cooperative and the Implementation of Demonstration Projects 44 3. Securing Medical Institutions and Building a Collaborative System 50 4. Governmental Financial Support 56 5. Public Promotional Efforts 57
CHAPTER 3 The Implementation of Nationwide Health Insurance and the Current Status of Key Policy Implementations 61 1. Expansion of Eligibility 63 2. Changes in the Method of Assessing Insurance Premiums 68 3. Expansion of insurance benefits 76 4. The Integration of Organizations and Finances 89
CHAPTER 4 The Management and Operation System of National Health Insurance 101 1. The Policy Decision-Making System 103 2. Assessment and collection of insurance premiums 110 3. Financing 119 4. Management of Eligibility 122 5. Management of Benefits 127
CHAPTER 5 Evaluating the Achievements and Future Challenges of the National Health Insurance System 135 1. Accomplishments 137 2. Evaluation 152
