• Title/Summary/Keyword: 보험수가

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A Study on Demand-side Wage Subsidy (노동수요 측면의 임금보조정책 연구)

  • YOO, Hanwook
    • KDI Journal of Economic Policy
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    • v.33 no.2
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    • pp.111-143
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    • 2011
  • As the 'jobless growth' is developing into a worldwide phenomenon, many countries try to recover a virtuous relationship between the growth and employment using various wage subsidy programs. This study focuses on wage subsidy to employers, labor demand-side wage subsidy for which one can think of two types-a tax credit(a flat wage subsidy) and a social insurance premium exemption(a proportional wage subsidy). For job creation, Korean government reintroduced a tax credit to small and medium-sized enterprises(SMEs) which have increased their employment level in 2010. But many experts has continuously insisted that it should be replaced with a social insurance premium exemption arguing only a few SMEs benefit from the tax credit as most of them are actually not paying any corporate or general income tax bills. However, as the insurance premium exemption accompanies an increase in the amount of budget with the coverage widen, one cannot confirm its cost effectiveness over the tax credit. This paper aims to provide a theoretical analysis to derive some formal conditions under which a social insurance premium exemption creates more jobs than a tax credit does given a budget constraint. We show that the former's dominance over the latter depends on whether there exists a dead zone of social insurance or not. If there does not exist a dead zone, a social insurance premium exemption is more desirable in many cases, whereas one cannot guarantees its dominance over a tax credit if there exists a dead zone. Therefore in order to realize its dominance, the government should minimize a dead zone so that most SMEs effectively benefit from the insurance premium exemption. In addition, applying discriminative exemption rates which reflect each firm's job conditions such as wage level and labor demand/supply sensitivity, the government try to enhance job creation effect.

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A Study on the Healthcare Utilization Pattern of Foreign Nationals with National Health Insurance in South Korea (외국인 건강보험가입자의 의료서비스 이용 현황 분석)

  • Park, Hyung Are;Jin, Ki Nam;Koo, Jun Hyuk
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.314-323
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    • 2021
  • The purpose of this study is to analyze the status of medical service use of foreigners living in Korea by their nationality and types of national health insurance. As of 2018, 1,058,886 people were extracted from the qualification DB, excluding people whose insurance premium is missing. The data analysis showed that nearly 78% of foreigners with national health insurance used medical services and the countries with the largest number of users were China, Vietnam, and the United States. The total cost of treatment per capita was highest in the United States regardless of hospitalization and outpatient. The number of medical treatments per person, and the medical expenses of outpatients & inpatients services were highest among the regionally-insured and the length of stay per person was highest among the workers' dependents. Lastly, it was found that Chinese and regionally-insured received much more benefits than other groups compared to the premium they pay. After July 2019, foreign nationals residing in Korea for six months or longer are obligated to enroll in the national health insurance program. Since the latest data was in 2018, the result did not properly reflect the current situation, but it is meaningful that it made basic data for future comparative analysis.

The Development and Reformation of China Mothernity Insurance - Related to the Family Plannings - (중국생육보험의 발달과 개혁 - 계획생육과 관련하여 -)

  • Lim, Mi-young;Zhang, Xiao-yi
    • Korean Journal of Social Welfare Studies
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    • no.36
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    • pp.29-53
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    • 2008
  • Being the most populated country in the world, China's one-child policy is its basic national policy. This basic national policy is implemented together with the Maternity Insurance, which is one of the five main social insurances in the Chinese society. The Maternity Insurance is society's way of recognizing women's contribution towards child- bearing and is of utmost important significance. However, with regard to women who are not living within the city or are not working, not only are they not the target for one-child policy, they are also unable to receive the social benefit from the Maternity Insurance. Among the conditions for payment of the Maternity Insurance is the adherence to the one-child policy. Ultimately, working women living in towns and cities adhering to the one-child policy will have a positive influence on the Maternity Insurance. However this places a restriction on reducing the discrepancies to benefit from the Maternity Insurance. On the contrary, women from the villages and those moving between towns and cities are those who really need the Maternity Insurance and yet are unable to benefit from it. While we improve on the Maternity Insurance to include this group of women, we have to at the same time consider the effect it has on the one-child policy. The reformation of the Maternity Insurance has to embody the principle of a harmonious society. It has to have a certain order in the country's national policies, so as to be included in the economic policies of towns and villages.

생명보험산업(生命保險産業)의 효율성(效率性) 분석(分析)과 업무개선방안(業務改善方案)에 관한 연구(硏究)

  • Na, Dong-Min
    • KDI Journal of Economic Policy
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    • v.17 no.1
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    • pp.145-176
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    • 1995
  • 우리나라 생명보험산업(生命保險産業)은 과거 40여년간의 비약적인 외형성장(外形成長)에도 불구하고 내적(內的)으로는 인위적(人爲的)으로 조성되어 온 과점적(寡占的) 시장체제하(市場體制下)에서 여러가지 문제점이 노정되고 있어, 금융(金融)의 자율화(自律化) 개방화(開放化) 국제화(國際化) 시대(時代)를 맞이하여 대외경쟁력(對外競爭力) 강화(强化)와 내부효율성(內部效率性) 제고(提高)를 위한 본격적인 연구(硏究)가 시급히 이루어져야 할 시점에 섰다. 본(本) 연구(硏究)는 계량적(計量的)인 기법(技法)을 활용함으로써 우리나라 생명보험산업(生命保險産業)의 효율성(效率性)에 관한 실증분석(實證分析)을 시도하여, 내재(內在)하고 있는 문제점(問題點)을 파악하고 이에 대한 발전방안(發展方案)을 제시하고자 하는 데 목적(目的)을 두고 있다. 규모(規模)의 경제성(經濟性)(economies of scale) 분석결과 생명보험회사들이 영업인원(營業人員)에 대한 과다(過多)한 투자(投資)에 상응하는 규모확대(規模擴大)나 효과적인 경비절감(經費節減)을 이루지 못하여 내부적으로 과다인력(過多人力)의 사용으로 인한 경영(經營)의 비효율화(非效率化)가 초래되고 있으며, 대리점(代理店)을 통한 점포정책(店鋪政策)에서도 규모(規模)의 비경제성(非經濟性)이 존재하고 있음을 알 수 있다. 범위(範圍)의 경제성(經濟性)(economies of scope)과 관련해서는 주업무(主業務)인 보험영업업무(保險營業業務)와 부대업무(附帶業務)인 자산운용업무(資産運用業務)간에 비용보완성(費用補完性)(cost complementarity)이 존재하고 있는 것으로 나타나, 자산업무에 대한 적극적(積極的)인 투자(投資)와 효율적(效率的)인 관리(管理)로 업무다변화(業務多邊化)를 추진하여 범위의 경제성을 높이는 것이 바람직하다고 사료된다. 이 밖에 本(본) 논문(論文)의 분석(分析)을 통하여 도출된 우리나라 생명보험산업의 문제점으로 낮은 수익력(收益力), 저생산성(低生産性), 재무구조(財務構造)의 부건전성(不健全性), 비효율적(非效率的)인 자산운용(資産運用), 소비자보호장치(消費者保護裝置)의 미비(未備) 등을 들 수 있으며, 본 논문에서는 이에 대한 업무(業務) 및 제도개선(制度改善)의 구체적인 방향을 제시하고 있다.

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A study on applying of the ITC-Hulls & ISM Code for the Accident of Foundering Ship (선박침몰사고에 따른 ITC약관 및 ISM Code 적용에 관한 연구)

  • Kim, Dae-Hae;Kim, Se-Won
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2007.12a
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    • pp.117-118
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    • 2007
  • This paper was provided to apply the ITC-Hulls Clauses & ISM Code for the accident of sunken ship which was occurred by seamen's barratry. For the causes of the sunken accident, the underwriter insisted that shipowner submerged the vessel intentionally for the purpose of the insured amounts, while shipowner protests that the ship was submerged because of crews faults. In this connection, the judge sentenced that this accident was caused by humans errors as the Provisions of 6.2.4 of ITC-Hulls, however shipowner is responsible for hiring onboard qualified seafarers and carrying out the due diligence for performing ISM Code for ensuring ship's safety and seaworthiness.

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An empirical study on telemarketing efficiency at life insurance (생명보험사 텔레마케팅 효율성 제고에 관한연구)

  • Koh, Bong-Sung;Lee, Seok-Won;Heo, Jeong
    • Journal of the Korean Data and Information Science Society
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    • v.20 no.4
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    • pp.673-684
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    • 2009
  • Lower Prices are offered through sales by telemarketing. This is to serve our customers by the fastest and most appropriate referral product that is most important to attract insurance. Therefore, Considering the time the customer's preferred products and preferred customer for screening and targeting, depending on what is the difference between the premiums. This study of the logistic regression model using datamining techniques, the life insurance companies in outbound telemarketing to support sales of the effect you want to validate. To join existing life insurance companies for the customer response and sales strategy based on the L segment and by age group, family-love insurance, accident insurance, and cancer insurance were in progress for the modeling. Set model based on the progress of the campaign to existing customers marketing methods and how to extract and run the model results has proven the superiority of the model. In addition, over time, depending on the aging model is set to a decline in operating profit to maximize the profits th update the model which was derived.

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An Empirical Study on the Effects of the Determinants of Service Quality to Customer Satisfaction in P&I Insurance (P&I 보험의 서비스품질 결정요인이 고객만족에 미치는 영향에 관한 실증연구)

  • Park, Beom-Shik;Shin, Young-Ran;Shin, Han-Won
    • Journal of Navigation and Port Research
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    • v.35 no.10
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    • pp.855-861
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    • 2011
  • With the rapid growth and development of the Korean Shipping Industry both in external quantum and internal complexity, the marine insurance industry has accordingly expanded with it. This empirical study analyzes the quality factors of the Insurance and P&I Services using 5 factors of quality measures with 22 questions regarding the effect on customer satisfaction by the services offered by the P&I Clubs. The Study is expected to provide P&I Clubs with management tactics for customer satisfaction and the subsequent continued patronage supported by their members through the enhancement of the service quality. This study also provides direction for ship-owners and the members of the P&I Clubs in finding the most efficient service provider as well as in proposing competitive prices of the P&I insurance premium as their management tactic.

A Study on the Application of Blockchain to Accounts Receivable Insurance to Small and Mid-Size Businesses (중소기업 매출채권보험 활성화를 위한 블록체인 적용방안 연구)

  • Kwon, HyukJun;Kim, Hyeob
    • The Journal of Society for e-Business Studies
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    • v.24 no.4
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    • pp.135-149
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    • 2019
  • Accounts receivable insurance is a system in which small and medium-sized enterprises insure the accounts receivables acquired by the purchasing company, and the insurance company pays when the purchaser fails to pay the debts. Accounts receivable insurance is a very effective means of eliminating the risk of loss due to the counterparty default, and it is economically effective to protect the domestic industry by preventing the bankruptcy of one company leading to a chain bankruptcy of other companies. In this study, we constructed a business model of the accounts receivable insurance, by building an infrastructure based on a private blockchain in activating the accounts receivable insurance accounts. The accounts receivable insurance platform using these blockchain technologies not only addressed the problem of document and reliability verification for insurance, but also sought ways to facilitate accounts receivable insurance by small businesses through rapid transaction rates, easy network expansion and access management based on private blockchain.

Differences of Cancer Patient's Health Care Utilizations between Medical Aid Program and National Health Insurance in the Elderly (노인 암환자의 건강보험과 의료급여 이용차이 분석)

  • Lee, Yong-Jae
    • The Journal of the Korea Contents Association
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    • v.11 no.5
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    • pp.270-279
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    • 2011
  • This study to analyze differences of cancer patient's health utilizations in medical aid program and national health insurance by analysing health insurance claims data, and identify effects of health care systems. The majors results of the research were as follows. First, cancer patients in medical aid program more used total medical expenditures than in national health insurance mostly by many outpatient visits and long term hospitalization. Second, results of multiple regression, cancer patients in medical aid program more used total expenditures and inpatient expenditures. But, outpatient expenditures weren't different, cancer patients in medical aid program more visited medical institutions and hospitalized long term periods than in national health insurance. Therefore, it is too early to conclude that moral hazard is in health utilizations of medical aid program, because cancer patients in medical aid program many use in benefits for many nonbenefit burdens.

The Violation of Medical law and liability of tort regarding National Health Insurance Service (NHIS) - Supreme Court 2013. 6. 13 Sentence 2012Da91262 Ruling, 2015. 5. 14 Sentence 2012Da72384 regarding the Judgment - (의료법 위반과 국민건강보험공단에 대한 민법상 불법행위책임 - 대법원 2013. 6. 13. 선고 2012다91262 판결, 2015. 5. 14. 선고 2012다72384 판결을 중심으로 -)

  • Lee, Dong Pil
    • The Korean Society of Law and Medicine
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    • v.16 no.2
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    • pp.131-157
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    • 2015
  • NHIS claimed for damages to doctors that by doing the treatment breaching medical insurance criteria caused by doctors, NHIS paid for medicine cost to pharmacy; as a result, the doctors caused the tort to NHIS. Following consecutive rulings afterwards, NHIS also argued that the medicine cost violating medical law or medical treatment expense paid to medical organizations are both the tort in civil law. NHIS claimed for all the damages, and the Supreme Court confirmed this judgment. However, within our national health insurance system, the subject of insurance payment is NHIS and the subject of medical treatment expense are also NHIS since the treatment expense is also insurance payment by asking the treatment to medical organizations. Further, national health insurance law is not made to control the violation of medical treatment cases; therefore, the breach of medical law cannot be covered by illegality of tort in civil law regarding NHIS. If that is the case, in the case that if the patients are treated according to treatment criteria via the doctors delegated the doctors' permission by Health and Welfare minister, NHIS acquired the benefits to remove the duty to give treatment payment to doctors in civil law; thus, even though the doctors have breached the medical law, NHIS does not have any damages. The fact that supreme court confirmed the ruling that the treatment is the tort in civil law towards NHIS is the judgment not counting the benefits of insurance payment as the subject but only considering the fact that NHIS paid to the doctors and this ruling have gone against the principle under civil code section 750. If the doctors have breached the medical law, the case should be sanctioned by medical law not national health insurance law, and the ruling of supreme court is assumed that they have confused both with the principle of national health insurance law and civil law.

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