The Merge of the National Medical Insurance System and the Financial Analysis of the Medical Insurance Program for the Self-employeds

의료보험 통합과 지역의료보험의 재정분석

  • 사공진 (한양대학교 경상대 경제학부)
  • Published : 1998.06.01

Abstract

In Korea, the institutional reform for the national medical insurance system is in process. Eventually, three kinds of the national medical insurance system, i.e., medical insurance program for the industrial workers, the govemment employees and the private school teachers, and the self-employeds, would be merged into an unifed system. In this study, I analyzed the annual trends of the finance in the medical insurance system in Korea, in which I found the financial instability especially in the medical insurance program for the self-employeds. The regression analysis was carried out to forecast the accumulated reserve at the end of this year for the medical insurance program for the self-employeds. I also analyzed the economic effect of the merge of the medical insurance program for the self-employeds by using the case of Japan and Korea. I found that the medical insurance for the self-employeds is expected to have financial deficit at the end of the year 1998 after the merge. In onclusion, it seems to be quite difficult to solve the financial instability in the medical insurance program for the self-employeds after it would be merged. That means that there would be a lot of problems on the way to the merge.

Keywords

References

  1. 지역의료보험의 보험료 부과체계 개선방안연구 김기옥;노인철;유미녀
  2. NERA보고서 韓國醫療保險 體系의 改 文玉綸 (역)
  3. 보건경제연구 v.2 의료보험의 재원조달과 의료이용의 형평성에 관한 연구 박실비아;신영전;문옥륜
  4. 經濟硏究 v.14 no.1 Panel Study에 대한 理論的 考察 및 그 適用 司空 珍
  5. 사회보장연구 v.12 no.1 우리나라 의료개혁에 대한 고찰 - 의료보장제도를 중심으로-
  6. 사회보장연구 v.13 no.1 우리나라 지역의료보험조합의 재정안정화 및 최적규모에 대한 연구
  7. 21세기에 대비한 의료보장개혁과제와 정책방향 의료개혁위원회
  8. 의료보장 개혁과제와 정책방향 의료보장개혁위원회
  9. 의료보험 통계연보 의료보험 연합회
  10. 지역의료보험조합 결산현황
  11. 사회보장연구 v.10 no.2 한국의 의료개혁과 향후과제 이규식
  12. 의료보험조합의 경영평가 현황과 발전방향 이충섭
  13. 지역의료보험 국고지원방식의 평가와 개선방안 최병호
  14. 사회보장연구 v.12 no.2 의료보험 관리운영비 산출기준 연구 한오석;김의문
  15. Econometrica v.34 Pooling cross-section and time-series data in the estimation of a dynamic model : The Demand for Natural Gas Balestra P;Nerlove M
  16. Theory and practice of managed competition in health care finance Enthoven AC
  17. Econometrica v.45 no.7 Quality change and the demand for hospital care Feldstein MS
  18. Health care economics, (4th ed.) Feldstein PJ
  19. Journal of the American Statistical Association v.68 Transformations for estimation of linear models with nested error structures Fuller WA;Battese GE
  20. Key issues in health economics Mooney G
  21. Fianacing health care with particular reference to medicines v.1 NERA
  22. Fianacing health care with particular reference to medicines v.2
  23. Financing and delivering health care OECD
  24. A comparative analysis of seven OECD countries The reform of health care
  25. Journal of Political Economy v.80 no.6 A microeconometric study of hospital cost inflation Salkever DS
  26. Economics of social issues(11th Edition) Sharp A(et al.)
  27. Quarterly Journal of Economics v.93 On moral hazard and insurance Shavell S