A Study on Management of Coverage Gaps and EFC(Error, Fraud, Corruption) in Social Security Sector

Abstract

Solution of Coverage Gaps is a consistent goal always with priority in terms of effectiveness of welfare policies and people’s sense of welfare. And EFC(Error, Fraud, Corruption) is a problem that needs to be addressed in terms of efficient use of social security finances and sustainability of the system, which tends to have a very large social interest compared to the actual scale of occurrence. This study suggests following policy directions through overseas case studies and perception surveys. The short-term and medium-term countermeasures against Coverage Gaps and EFC include reduction of non-applications through active promotion of the systems, easing the complexity of the systems, simplifying the selection criteria, and continuing the visiting welfare service. Plans for reduction of EFC are to increase the recovery rate, to improve the management system for prevention of fraudulent supply and demand, to continuously manage and announce indicators related to fraudulent supply and demand, and to install personnel or organizations dedicated to fraudulent matters in the local governments. The long-term and integrated policy direction encompasses all of the short-term and mid-term improvements mentioned above, and the main contents are 1) improvement and simplification of systems when designing, 2) evaluation for improvement of consistency and sustainability of programs and systems, and 3) reinforcement of preventive measures against blind spots and improper expenditures.