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KMID : 1124020150310020063
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Korean Social Security Studies
2015 Volume.31 No. 2 p.63 ~ p.99
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A Study On Implications For Korea Through Analyzing Japan’S Fee Schedule Revision System
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Kim Jung-Duck
Kang Min-Jin
Kim Do-Hoon
Choi Young-Soon
Yuki Katagiri
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Abstract
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Health Insurance Financing(HIF) of Korea is supposed to be unsubstantiality. Because revenue factors of HIF have been decreasing due to low fertility, whereas expenditure factors of HIF have been increasing due to aging & chronic disease. But as we had experienced controversial issue related to ‘tax increase’ at the second half of 2014, there is no alternative to financing for health insurance by raising health insurance premium. Therefore, in a given situation, the HIF spending structure reforms would be a contributory initiative. Among the aging & chronic disease - developed countries, Japan’s HIF indicators relatively had better performances than Korea through managing fee schedule revision system as a tool for health expenditure controlling mechanism. According to such a result, Korea and Japan are similar to revenue factors of HIF, Korea and Japan are different in expenditure factors of HIF. The implications for Korea through analyzing Japan’s medical fee schedule revision system as follows. First, Korea must review to introduce the strategy for driving macro-economic efficiency. Second, Korea must review to introduce the strategy for driving micro-economic efficiency.
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KEYWORD
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Japan`S Fee Schedule Revision System, Health Expenditure, Controlling Mechanism
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