KMID : 0387320230330020166
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Korean Journal of Health Policy and Administration 2023 Volume.33 No. 2 p.166 ~ p.172
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Improvement for the Catastrophic Health Expenditure Support Program
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Seon Jeong-Yeon
Lim Seung-Ji Lee Hae-Jong Park Eun-Cheol
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Abstract
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Background: To improve the support low-income individuals¡¯ medical expenses, it is necessary to think about ways to enhance the Catastrophic Health Expenditure Support Program. This study proposes expanding support criteria and changing the income standard.
Methods: This study conducted simulations using national data from the National Health Insurance Service. Simulations performed for people who have used health services(n=172,764) in 2022 to confirm the Catastrophic Health Expenditure Support Program¡¯s size based on changes to the subject selection criteria.
Results: As a result of the simulation with expanded criteria, the expected budget was estimated to increase between Korean won (KRW) 13.2 (11.5%) and 138.6 billion (37.4%), and the number of recipients increased between 41,979 (48.9%) and 150,317 (76.1%). The results of the simulation for the change in income criteria (applied to health insurance levels below the 50th percentile) estimated the expected budget to increase between KRW -8.9 (-7.8%) and 55.6 billion (15.0%) and the number of recipients to increase between -8,704 (-10.1%) and 41,693 (21.1%) compared to the current standard.
Conclusion: The 2023 Catastrophic Health Expenditure Support Program¡¯s criteria were expanded as per the 20th Presidential Office¡¯s national agenda to alleviate the burden of medical expenses on the low-income class. In addition, The Catastrophic Health Expenditure Support Program needs to be integrated with other medical expense support policies in the mid- to long-term, and a foundation must be prepared to ensure the consistency of each system.
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KEYWORD
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Catastrophic Health Expenditure Support Program, Low-income class, Simulation, Out-of-pocket money
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