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http://dx.doi.org/10.4332/KJHPA.2020.30.2.253

Comparison of the Health Insurance Systems of South Korea and Peru  

Kim, Yanghee (Health Insurance Research Institute, National Health Insurance Service)
Tantalean-Del-Aguila, Martin (Promotional Preventive Care)
Dronina, Yuliya (Department of Health Management and Policy, Kangwon National University School of Medicine)
Nam, Eun Woo (Yonsei Global Health Center, Yonsei University)
Publication Information
Health Policy and Management / v.30, no.2, 2020 , pp. 253-262 More about this Journal
Abstract
Background: The public health care system of a country is shaped and driven by its historical background as well as social, economic, and cultural structures. This study sheds light on the unique features, strengths, and weaknesses of the health insurance systems of South Korea (Korea) and Peru. Methods: The capacity mapping tool was used to explore the Korean and Peruvian population and geographical structures; health insurance laws, regulations, and policies; payment systems; eligibility and contribution collection; and long-term care insurance. Results: The study found that the Korean government took the lead in integrating multiple insurers into a single-payer system in an effort to reinforce and stabilize its health insurance system in 2000. Peru has been developed mixed model such based on taxes and contributions, to address a gap between different social classes. Peruvian government developed a two-axis system, one for low-income earners, financed by taxes, and another financed by contributions paid by workers and government officials in the formal sector. Peru has introduced many variations to its fee payment and insurer systems, target population, and coverage scope, and maintains its health insurance system accordingly to this day. Conclusion: The current study provides observation of the Health Insurance System in two different countries and helps to understand possible ways to improve the health insurance system in both countries. Based on this study, Peru will be able to see how its system differs from Korea's and benefit from the related policy implications.
Keywords
Health insurance; Health policy; Universal health coverage; Republic of Korea; Peru;
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