• 보건행정학회지
• /
• 제9권4호
• /
• pp.1-14
• /
• 1999

The purpose of this study was to estimate the magnitude of patient's actual cost-sharing for hospital services in the National Health Insurance which has been estimated with only a few hospitals or limited number of patients. Also we aimed at analysis of factors influencing the magnitude. Sources of analyzed data were two databases. 1997 medical benefits record of the National Federation of Medical Insurance and 1997 Statistics for Hospital Management from the Korea Institute of Health Services Management(KIHM). We merged two databases and related records for 224 hospitals. based on the identification details of each hospital. The average percent of patients' cost-sharing was 51.7% of total hospital revenues from the insurance. with 40.3% of revenue in inpatient and 67.4% in outpatient. respectively. The contributing hospital factors to the magnitude of cost-sharing were size of hospitals. teaching status. location. number of employed physicians. etc. Larger and university hospital. urban location. and with more physicians were positively correlated with higher level of cost-sharing. Additionally, the higher the expenses of inpatient's treatment was, the higher the size of patient's cost-sharing was. These findings suggest that present level of patients' cost-sharing is quitely high and it is urgent to reduce the patient's cost-sharing to the reasonable level. It would be necessary to extend the coverage of insurance benefits and to develop policies focusing on larger hospitals and inpatient services.

• 한국건축시공학회:학술대회논문집
• /
• 한국건축시공학회 2019년도 추계 학술논문 발표대회
• /
• pp.184-185
• /
• 2019

The purpose of this study is to suggest the improved methods for cost sharing in apartment remodeling projects. Case studies on apartment remodeling projects with different plan type were analyzed and compared. Cost sharing estimated by 'proportional rate method' shows similar results estimated by 'return on investment method' in case of similar area ratio of existing plan to remodeling plan. Otherwise cost sharing estimated by 'proportional rate method' shows great differences comparing the results estimated by 'return on investment method'. Although return on 'proportional rate method' is widely used, it is not proper to estimate cost sharing when each householder's contribution for the project varies, such as considerable differences area ratio of existing plan to remodeling plan. Improved cost sharing method is needed taking into account project contribution and characteristics.

• 보건행정학회지
• /
• 제17권1호
• /
• pp.1-27
• /
• 2007

This study is designed to estimate an appropriate level of patient's cost-sharing for oriental medical services in the Korean National Health Insurance. The findings of this study can be summarized as follows: 1) The current co-payment system for oriental medical services does not reflect its cost structure in clinical practice due to inconsistency of cost-sharing plan in the NHI. 2) Both oriental medical institutions and their patients, as a result, are at a relative disadvantage in financial burden, compared with other services. 3) The substantial proportion of patients' cost-sharing depends on the amount of co-payment and the range of medical cost that a flat rate is applied to. 4) The extension of the range doesn't make any substantial decrease in patient's cost-sharing. 5) The fixed amount of co-payment is more sensitive than a range to total variations of patient's cost-sharing. Based on the above, the budget impacts of a new co-payment system were estimated for each co-insurance rate, according to given scenarios. The results range from -59 billion Won (-8.5%) to 16 billion Won(2.3%).

• 대한산업공학회지
• /
• 제41권3호
• /
• pp.243-252
• /
• 2015

This paper considers a supply chain consisting of a manufacturer under the cap-and-trade emissions regulation and a permit supplier. We study joint production quantity and investment in reducing permit production cost decisions for centralized and decentralized supply chains. We formulate two supply chain contracts with aims to coordinate the decentralized supply chain; wholesale price contract and cost-sharing contract. Under the cost-sharing contract, the manufacturer shares a part of the investment in reducing permit production cost and then is allowed to purchase emission permit at a lower price. We analytically find that the proposed cost-sharing contract with reasonable parameters can coordinate the supply chain whereas the wholesale price contract is not desirable to achieve the system-wide profit. Numerical example is followed to support the analysis.

• Journal of Preventive Medicine and Public Health
• /
• 제43권6호
• /
• pp.496-504
• /
• 2010

Objectives: The purpose of this study was to analyze the effect of outpatient cost-sharing on health care utilization by the elderly. Methods: The data in this analysis was the health insurance claims data between July 1999 and December 2008 (114 months). The study group was divided into two age groups, namely 60-64 years old and 65-69 years old. This study evaluated the impact of policy change on office visits, the office visits per person, and the percentage of the copayment-paid visits in total visits. Interrupted time series and segmented regression model were used for statistical analysis. Results: The results showed that outpatient cost-sharing decreased office visits, but it also decreased the percentage of copayment-paid visits, implying that the intensity of care increased. There was little difference in the results between the two age groups. But after the introduction of the coinsurance system for those patients under age 65, office visits and the percentage of copayment-paid visits decreased, and the 60-64 years old group had a larger decrease than the 65-69 years old group. Conclusions: This study evaluated the effects of outpatient cost-sharing on health care utilization by the aged. Cost sharing of the elderly had little effect on controlling health care utilization.

• 문화기술의 융합
• /
• 제10권1호
• /
• pp.183-192
• /
• 2024

한미 방위비분담금은 1991년 1,073억 원을 부담하는 것으로 시작되었고, 2021년 1조 1,833억 원을 부담하는 것으로 규모가 점차 증가하고 있으며, 방위비 분담금에 대한 국민의 관심도 높아지고 있다. 본 연구의 목적은 한미 방위비 분담금 결정에 영향을 미치는 결정 요인(경제, 안보, 국내정치, 행정, 국제정치)을 실증적으로 분석하여 방위비 분담금 결정 과정을 보다 깊이 있게 이해하고, 방위비 분담금 산정과 집행의 효율성을 제고하는 것이다. 연구 범위는 1991년 ~ 2021년의 한미 방위비 분담금이다. 실증분석에 이용된 자료는 국방부, 정부 통계자료, SIPRI, 언론보도 등 다양한 2차 자료를 활용했다. 실증분석 방법으로 시계열을 활용한 다중회귀분석을 이용하고 자기회귀모형으로 데이터를 분석하였다. 다중회귀분석을 통한 실증적 연구 결과 우리는 아래와 같은 결과를 도출했다. 한국의 경제 규모, 즉 GDP와 전년도의 방위비 분담금, 그리고 주한미군의 병력 수치가 방위비 분담금 결정에 정(+)의 영향을 미치는 것으로 분석되었다. 이는 한국의 경제 성장이 방위비 분담금 증가에 영향을 주는 주요 요인임을 나타내며, 예산의 점진적 증가와 주한미군 주둔 비용 분담 특별협정(SMA) 협상 방식이 중요한 역할을 한다는 것을 시사한다. 반면, 집권당의 정치적 성향, 북한의 군사 위협, 중국의 국방예산 등은 방위비 분담금 결정에 통계적으로 유의미한 영향을 미치지 않는 것으로 나타났다.

• Management Science and Financial Engineering
• /
• 제12권1호
• /
• pp.1-34
• /
• 2006

In this paper, the impact of information sharing, possibly with some delay, on costs in a simple supply chain in which there are two participants, a single retailer and a single manufacturer, is considered. When participants in the supply chain do not use fully integrated EDI, some delay associated with information sharing is inevitable. A mathematical model that allows us to quantify the cost incurred by the manufacturer in the supply chain under information sharing, possibly with some delay, vs. no information sharing is presented. From this model, some managerial implications are gleaned.

• 대한안전경영과학회지
• /
• 제12권4호
• /
• pp.153-160
• /
• 2010

In this paper, effects of information sharing in multi-level supply chain management have been studied through simulation. The simulation model consists of a manufacturing company as a center, three suppliers, two logistic centers, and three different retail supply lines of each logistics centers. The mathematical model and the simulation were developed when real-time information sharing occurs and does not occur in supply chain under the assumption that each company applies (s, S) inventory policies. In addition, this paper analyzed the effects of the change of variables related to total costs, which compose of total ordering cost, total transportation cost, total carrying cost and shortage cost that are caused by the change of demand of three different patterns with the way of information sharing.

• 한국경영과학회지
• /
• 제36권1호
• /
• pp.69-84
• /
• 2011

In this study, based on the principal-agent paradigm, we investigate a joint cost reduction activity in a buyer-supplier supply chain where a buyer motivates its operations department and a supplier to reduce the supply chain's production cost. We construct a benefit-sharing model based on the target cost scheme, a basic philosophy in practice which has not been explored in previous studies. The model also incorporates various supply chain issues such as the cooperation of multiple agents, the opportunity loss, and the degree of strategic relationship between the buyer and the supplier. Based on the analysis of the principal-agent model, we investigate the benefit-sharing rule to control agents' actions, and we also provide important managerial implications into supply chain practices via extensive comparative static analyses.

• 산업경영시스템학회지
• /
• 제22권53호
• /
• pp.1-12
• /
• 1999

A warranty cost analysis for new products have received a lot of attention. In contrast, there is hardly any literature on similar analysis for second-hand products. The market of second-hand products has been increasing and along with that the importance of warranties for second-hand products has also been increasing. However, warranty policies similar to new products are not economically acceptable to dealers. One needs to formulate new warranty policies and models to estimate expected warranty costs for second-hand products. This paper proposes one-dimensional cost sharing warranty policies and develops models at system level to analysis warranty cost for second-hand products sold with these policies.