Browse > Article
http://dx.doi.org/10.5762/KAIS.2019.20.1.121

A Study on the Analysis of Factors for the Increase of Oriental Medicine Expenditure in the Automobile Insurance  

Lee, ChangSoo (Department of Statistics and Actuarial Science, Soongsil University)
Lee, Hyeon Ju (Health Insurance Review & Assessment Service)
Chae, JungMi (Health Insurance Review & Assessment Service)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.20, no.1, 2019 , pp. 121-130 More about this Journal
Abstract
Automobile insurance medical expenses increased by 12% in year 2015 compared to year 2014. But the oriental medical service expenses in automobile insurance increased by 36% during the same period. In this paper the reason for the rapid increase of expenses for oriental medical service was analyzed using the method of decomposing medical expenses. As a result of analyzing 34,351,120 cases that were examined and completed during the period of 2014~2015, the number of oriental medicine patients increased by 27% and the medical expense per patient increased by 7%. The result of analysis showed that there was no significant change in service period per patient but medical expense per day increased by 7%. The increase in the number of patients receiving only oriental medical services was 32%. Increase in the number of patients receiving medical treatment and oriental medical services was 24% and the number of patients receiving medical treatment only decreased by 4%. There was significant increase in non standardized cost of oriental physical therapy which was one reason of the increase of the expenses. However, the most influential factor of the increase in the expenses of oriental medical services was the increase of the number of patients.
Keywords
Automobile insurance; Oriental Medical Services; Non Standardized Cost; Patient; Oriental physical therapy;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Health Insurance Review & Assessment Service, Statistical Indicator of Automobile Insurance Medical Expense in 2016, Health Insurance Review & Assessment Service, 2017.
2 D. O. Lim, M. J. Jeong, J. S. Park, K. S. Seung, J. W. Hwang, E. Y. Kim, J. E. Kim, K. J. Han, S. M. Kim, Y. S. Kim, "Usage and Consumption of Korean Medicine Report in 2014", Ministry of Health and welfare.Korea Health Industry Development Institute, 2014. DOI:https://doi.org/10.979.1185111/797
3 Korea Insurance Development Institute, "Appropriate payment of Automobile insurance medical expenses", CEO report, Korea Insurance Development Institute, 2006.
4 S. Yu, K. S. Lee, M. J. Lee, "The Study of Automobile Insurance Application in Using Oriental Medicine to the Traffic Accident Patients", Journal of Oriental Rehabilitation Medicine, Vol.14, No.3 pp. 45-52, 2004.
5 S. Y. Park, Y. K. Lee, J. S. Kim, S. C. Lim, B. H. Lee, T. Y. Jung, I. D. Ha, S. W. Han, K. M. Lee, "Survey of Oriental Medical Care for Traffic Accident Patients with Automobile insurance; 544 Cases Report", The Journal of Korean Acupuncture & Moxibustion Society, Vol.26, No.3 pp. 1-10, 2009.
6 Y. S. Jeon, "Current Issues and Policy Improvements of Future Medical Costs in Automobile insurance", KIRI report, Korea Insurance Research Institute, 2017
7 J. Y. Park, H. Y. Chai, "The Effects of an increase of Outpatient Co-insurance Rate on the Financial Status of the National Health Insurance", Korean insurance journal, Vol.64, pp. 109-136, 2003.
8 H. S. Kim, J. H. Kim, "A Study of Medical Expense Characteristics Whiplash Victims on Automobile Liability Insurance", Journal of risk management, Vol.22, No.1, pp. 125-153, 2011.   DOI
9 Health Insurance Review & Assessment Service, "Payment Standards of Automobile Insurance Medical Fee", 2016.12.
10 Health Insurance Review & Assessment Service, "Payment Standards of Automobile Insurance Medical Fee", 2017.12.
11 H. S. Kim, J. H. Kim, J. T. Hwang, D. H. Kim, "The Effect Analysis after the reviewer unification of Automobile Insurance Medical Fee", Health Insurance Review & Assessment Service, 2016.
12 J. H. Kim, "A Study on the Improvement Plan of Automobile Insurance Medical Fee", Minister of Land, Infrastructure and Transport, 2011.
13 Y. A. Song, L. S. Yang, "The Present Status and Future Direction of Oriental Medical Servies in the Automobile Insurance", KIRI Report, Korea Insurance Development Institute, 2017.
14 T. J. Lee, "The Present Status and Improvement Plan of Oriental Medical Servies in the Automobile Insurance", General Insurance Association of Korea, 2015.
15 J. M. Chae, H. J. Lee, H. M. Cho, "The Analysis of Oriental Medicine expenditure variation and management plan in the Automobile Insurance", Health Insurance Review & Assessment Service, 2017.
16 H. Y. Shin, J. U. Won, I. S. Chang, Y. H. Choi, T. E. Kim, B. C. Seong, "A Study to Reinforce Base about Social Security's Financial Projection", Ministry of Health and Welfare, 2014.
17 J. M. Chae, Y. J. Choi, Y. M. Choi, "Study on the rationalization of Oriental medical service insurance claims", Health Insurance Review & Assessment Service, 2014.
18 H. S. Jeong, Y. M. Song, "Contributing factors to the Increases in Health Insurance Expenditures for the Aged and Their Forecasts", The Korean Journal of Health Economics and Policy, Vol.19, No.2, pp. 21-38, 2013.
19 The Korea ROAD Traffic Authority, TAAS Traffic Accident Analysis System, [cited 2018 Oct 09], Available from: http://taas.koroad.or.kr/sta/acs/exs/typical.do?menuId=WEB_KMP_STA_UAS_UDS.
20 D. H. Kim, S. J. Cho, J. A. Ko, "A Study of Policy Improvement Plan on Based Oriental Medical Services", Health Insurance Review & Assessment Service, Seoul. 2015.