• Journal of the Korean Data and Information Science Society
• /
• 제18권4호
• /
• pp.1093-1101
• /
• 2007

Bonus-Malus system in automobile insurance rewards claim-free policyholders by premium discounts and penalizes policyholders with claims by premium surcharges. The purpose of adopting bonus-malus system is to alleviate differences in risk propensity. A well-known side-effect of bonus-malus system is the tendency of policyholders to pay small claims themselves and not report them to their, in order to avoid future premium increases. This phenomenon is called hunger for bonus. In this paper, we introduces an alternative approach to the Bonus-Malus system in automobile insurance - the approach is based on a deductible theory; and then search for a proper way combining both of them. Also, we construct a new algorithm to determine the optimal strategy of the policyholder based on the proposed model.

• 한국산학기술학회논문지
• /
• 제3권4호
• /
• pp.325-332
• /
• 2002

본 논문은 최적리콜보험계약의 설계와 관련된 논문의 survey이다. 리콜보험 뿐만이 아니라 최적보험계약을 만들기 위해서는 보험계약의 조건들이 내생적이라는 가정하에서 연구모형을 구축하고 분석의 과정에서는 보험구매를 위한 의사결정 원칙으로 기대효용이론, 비기대효용이론, 및 상태귀속적인 (state-dependent) 효용함수를 사용하였다. 어떠한 이론을 사용하더라도 최적보험의 조건들은 존재한다. 다만 계약조건에 관련되어서는 보험의 비용, 자기부담금, 보상한도액 등이 차이가 날 수 있다. 보험의 비용은 지급보험금과 선형, 오목형, 볼록형의 관계가 성립할 수 있으나 잠식비용과 고정비용의 존재를 인정하여야 한다. 이를 바탕으로 최적보험을 위한 비용 설계가 이루어져야 한다. 또한 전부보험이냐 일부보험이냐를 결정하는 자기부담금의 존재는 일률자기부담금형태와 점감식자기부담금형태가 가능하다. 자기부담금 수준의 결정과 관련하여 담보되는 모든 위험에 동일한 수준을 적용시킬 것인가 혹은 차별화시킬 것인가는 보험의 종류에 따라 달라질 수밖에 없다. 보상한도와 관련되어서는 특히 리콜보험에 있어서는 기업의 파산위험성이 상당히 존재하고 있으므로 계약당사자의 파산선고를 포함한 이익이 충분히 고려되어야 한다. 또한 제약조건으로는 불완전시장에 대한 이해를 필요로 하며 담보할 수 없는 배경위험의 존재에 대한 배려가 있어야 한다.

• 산학경영연구
• /
• 제20권1호
• /
• pp.123-143
• /
• 2007

이 연구는 조세특례제한법상 세액공제 및 세액감면 등의 직접감면과 준비금 손금산입 등의 간접감면의 세제혜택이 기업가치와 관련성이 있는지를 Ohlson(1995)모형을 토대로 1999년부터 2001년까지 3개년도 제조업을 대상으로 총 497개를 대상으로 실증분석하였다. 연구결과 주주지분 장부가치측면에서 직접 감면제도에 의한 기업합리화 적립금(누적액)과 당기전입 기업합리화적립금이 기업가치에 긍정적인 정(+)의 영향을 미치는 것으로 나타났다. 이는 세제지원의 성격과 사후관리제도의 정도 및 지속성의 차이로 인하여 기업가치 관련성에 있어서 서로 차이가 있을 수 있음을 보여주는 것이라 할 수 있다. 특히, 주주지분 장부가치측면과 회계이익측면에서 각각의 감면제도가 기업가치에 미치는 정도의 차이가 있는 것으로 나타났다. 이는 정책당국에서 간접감면제도의 조세정책적 실효성을 재검토 할 필요성의 여지를 가질 수 있음을 보여주고 있다.

• Journal of Trauma and Injury
• /
• 제25권4호
• /
• pp.178-187
• /
• 2012

Purpose: In Korea, the nation's medical expenses were 12 billion won in 2010. The medical costs for individuals can also be overwhelming. If a patient has sustained severe trauma, his/her insurance company responsible may pay only part of the medical bills. In Korean, there are diverse types of medical insurance, such as health insurance, automobile insurance, and industrial accident compensation insurance. And each insurance system has a different type of payment system. Our study will be essential for establishing the optimal medical expense payment system. Methods: From January to December 2011, we retrospectively reviewed the medical charts of 161 patients who were admitted to our hospital's emergency room after having undergone severe trauma. Of those 161 patients, 125 were retrospectively reviewed. Written permission was obtained from all of the patients. We analysed the demographic characteristics, clinical outcomes, data of the trauma, type of the patient's insurance, and the entire bill when the patient was discharged. Results: Seventy-one patients had health insurance, 48 automobile insurance, and six industrial accident compensation insurance. High-deductible insurance included health insurance and industrial accident compensation insurance, with the deductibles up to 20.6% and 19.1%, respectively. We attempted to analyze the cause of the high deductible rate. In patients with health insurance, medicines, primarily sedatives, pain killers, antibiotics, and fluids. comprised a large proportion. On the other hand, industrial accident compensation insurance deducted for a high-grade hospital room charge. Conclusion: We found that medical expenses were diverse according to the type of insurance. In particular, health insurance forced patients to pay too much of the medical expenses. Therefore, in Korea we should try to identify the insurance problems and improve the wage system.

• 재활복지
• /
• 제17권4호
• /
• pp.1-26
• /
• 2013

사회가 발전함에 따라 장애복지정책도 장애인의 권리를 보장하기 위한 방향으로 발전하고 있으며 활동보조서비스는 장애인들의 자기결정권을 보장하는 주요 제도이다. 이번 연구의 목적은 한국의 장애인활동 지원제도의 발전방안을 모색하기 위해 한국과 일본의 제도를 비교분석하기 위한 것이다. 비교분석은 신청 자격기준, 정보제공, 지원내용(서비스의 양과 종류 및 지급기관), 이의 신청 제도, 경제적 부담능력 등과 같은 제도 현황을 중심으로 비교분석하였다. 조사 결과에 따르면 한국의 활동지원제도는 이용자의 필요욕구 보다는 행정 중심적으로 이루어지고 있었으며 서비스 시간과 서비스 유형이 개인의 활동지원 필요성에 의하여 이루어 지고 있지 못한 상태에 있었다. 반면, 일본의 활동지원제도는 자립생활의 이념에 맞춰 제공되고 있으며 자기결정권과 서비스 선택권에 의해 서비스가 계획되고 제공되고 있었다. 한국의 장애인활동 지원제도의 발전을 위해서는 첫째, 활동지원제도는 자립생활의 이념에 맞춰 제공되어야 한다. 이는 활동지원서비스의 이념이 장애인의 자기결정권과 선택권을 기초로 하고 있기 때문이다. 둘째, 신청 자격기준, 정보제공, 지원내용, 이의 신청 제도, 경제적 부담능력 등을 분석한 결과 한국의 장애인활동 지원제도는 전반적으로 재검토가 필요하다. 셋째, 한국의 활동지원제도의 효율성 및 정착을 위해 일본제도와 같이 상담지원(사례관리)체계의 도입이 필요하다. 이는 사례관리체계를 통해 활동지원의 양과 서비스 유형이 체계화되면서 장애인들의 사회참여의 기회가 확대될 것이기 때문이다.

• 보건의료산업학회지
• /
• 제14권1호
• /
• pp.147-159
• /
• 2020

Objectives: This study is the human factors and disease factors of the copayment system for the elderly (>65 years old) and to identify does the current status and characteristics of the applied elderly and conducted to provide basic data. Methods: Sample cohort data from the National Health Insurance Corporation database, from the years 2012-2015, were analyzed of 21,772 elderly people over the copayment ceiling. Results: The ratio of those who exceeded the copayment ceiling system rose sharply from progressive rates of 3.39% in 2012, 3.69% in 2013 and 5.03% in 2014, to rates of 37.13% from 2013. Factors identified that affect the instances of being over the copayment ceiling were: age, income group, region, severity, disability, sickness distribution, inpatient days, and outpatient days. Conclusions: The reorganization of the copayment ceiling system in 2014 favored low-income families of the elderly, but in 2015, the proportion of elderly was low (only 5.78%). The government's policies needs to change to allow for the amount of the deductible upper limit for low- and middle- income groups to be further subdivided in order for the elderly to receive more deductibles.

• 산업융합연구
• /
• 제1권2호
• /
• pp.141-172
• /
• 2003

To enhance Social Welfare and Public Interests, government has been enforcing the policies that induce private Sector to participate in the Public Service. In general, these policies consist of the direct or indirect supporting systems, including the advantages of taxation applicable to Private Sector that takes part in Public Service. Of the various supporting systems taken by government, the privilege from the taxes is known to the most important supporting system. The representative exemple is the tax beduction of amounts donated to the not-for-profit organizations. That is to say that donations can be deductible from taxable amounts on assessing inheritance tax and gift tax. Generally much higher cumulative tax rates are applied to the laws of inheritance tax and gift tax than the other taxes in order to redistribute the social wealth and to restrain the concentration of the wealth. On the other hand, the special exemption from the taxes can be applied to not-for-profit organization according to the standards of the relevant lows and regulations, because not-for-profit organization usually performs the partial role of government in Public Service. The perpose of this study is to find the systematical support that the not-for-profit organizations can practice Public service more efficiently than government. This study approaches the subject by means of examining current taxation systems of inheritance tax law and gift tax law and developing systematic alternatives that can make inefficient parts in taxation systems more reasonable.

• 보건행정학회지
• /
• 제22권3호
• /
• pp.451-465
• /
• 2012

In order to strengthen assurance of National Health Insurance, co-payment should be reduced. This can happen with collaborative efforts of patients, medical institutes, and government altogether at the same time. This research applied Dutton(1986)'s medical service research model with high R-square, and analyzed 2008 Korea Health Panel Data (Beta Version 1), that was examined by Korea Institute for Health and Social Affairs and National Health Insurance, in order to figure out influential variables on co-payment. In result of Multiple Linear Regression Analysis, R-square was 46.7%, the older the age, the patients who had surgery, the longer days of hospital treatment are, the higher gross income of a household is, the more hospitalized in upper grade general hospitals, and the more upper grade rooms and selecting a doctor are used. The results have statistical significance. When conducting research applying medical service research model, there is a need to apply Dutton(1986)'s medical service research model with high R-square. In order to strengthen assurance of National Health Insurance, first conditions should be that patients are hospitalized in upper grade general hospital, and at the same time, are patients who had surgery with long stay of hospitalization. In addition, if proven that patients used upper grade rooms and selecting a doctor due to lack of regular treatment and rooms, for certain number of days of such hospitalization, it is suggested to be provided with health care insurance in upper grade rooms and selecting a doctor in calculating co-payment limit.

• 대한본초학회지
• /
• 제27권2호
• /
• pp.1-16
• /
• 2012

Objective : To investigate the current status of prescription drugs in Oriental medical institutes and to draw up a future plan for the revitalization of Oriental medical health insurance, this survey has been performed. Method : The survey has been made with 321 doctors working at Oriental medical institutes in Daegu and Kyungbuk areas for a period of 3 month from June 1, 2010 until September 1, 2010. Result : 1. When it comes to the current status of the use of herbal drugs in Oriental Health insurance, most of doctors surveyed prescribe insurance drugs, and they prescribe insurance drugs to patients, who are less than 20% of total patients visiting their clinics. 2. The awareness of Herbal Health Care Drugs is investigated. When it comes to the understanding of the difference between insurance drugs(powder type drugs) and granular type drugs, doctors admit that they differ only in one aspect, whether or not their being covered by health insurance. Based on the survey results on the understanding of insurance coverage of granular type drugs, doctors, even though they long for granular type drugs to be accepted as insurance drugs, are worrying whether the number of outpatients might dwindle due to increased insurance co-payments. They also point out that the biggest obstacles in the expansion of the granular type drugs as insurance drugs are the lack of understanding of the government and the objection of the Health Insurance Review and Assesment service (HIRA) for fear of increased insurance claims. 3. Upon investigation on Oriental medicine doctors' understandings of herbal pharmaceutical industry, it is found that doctors' responses on pharmaceutical industry are not all positive ones('new product development and neglect of R&D infrastructure' and 'smallness of industry'). When it is investigated what area needs the greatest improvement in herbal pharmaceutical industry, 'securing sufficient capital, good manufacturing, and strengthening quality control', is the highest. 4. When it is asked what are the most needed in order to improve herbal health insurance medicine, responses such as 'the increase in the accessibility to and the utilization of Oriental medical clinics through the diversification of the means of prescriptions', 'the improvement of insurance benefits(cap adjustments)', 'increase the proportion of high quality medicinal plants', 'the ceiling of co-payments(deductible) at 20,000 won or more', 'expansion of the choices of formulations', 'formulational expansions of tablets and pills', and finally 'admittance and expansion of granular type drug as insurance drug' are the highest. 5. Upon investigating the general characteristics of the current status of the usage of Oriental health care herbal drugs, the followings are observed. First, the frequency of use of health insurance drugs by the doctors who use health insurance with general characteristics shows similar differences in case of total monthly sales amount (p<0.001), average number of daily patients (p<0.05). Secondly, as to the willingness of the expanded usage of insurance drugs, similar differences are observed in case of total monthly sales amount (p<0.05). 6. Upon investigating the general characteristics of the perception of Herbal health care drugs, the followings are observed. First, inspecting general characteristics and insurance claims due to increased co-payments(deductible amount) reveals similar differences in case of working period (p<0.01) and in case of total monthly sales amount (p <0.01). Secondly, inspecting general characteristics and the obstacles that hinder granular type drugs from being accepted as health care insurance drugs shows similar differences in case of working period (p<0.05). 7. Upon investigating the general characteristics of the understanding of Oriental Herbal pharmaceutical companies, the followings are observed. First, opinions on the general characteristics of pharmaceutical companies, when examined with variance analysis, shows similar differences in case of total monthly sales amount (p<0.05). Secondly, when opinions are examined on general characteristics and the problems of herbal pharmaceutical companies, similar differences are found in case of working period (p<0.01) and in case of total monthly sales amount (p<0.001). Lastly, opinions on the general characteristics and reforms of pharmaceutical companies, similar differences are observed in case of working period (p<0.001). 8. Upon investigating the general characteristics of the improvement of insurance Herbal drugs, the followings are observed. First, regarding general characteristics and insurance benefits, similar differences are observed in case of working period (p<0.05), in case of total monthly sales amount (p<0.05), and in case of average number of daily patients (p<0.01). Secondly, opinions on the general characteristics and the needs for the improvement of Herbal insurance drugs are examined in 5 different aspects, which are the approval of granular type drugs as insurance drugs, the expanded practices of the number of prescription insurance drugs, the needs of a variety of formulations, the needs of TFT of which numbers of Oriental medical doctors are members for the revision of the existing system, and the needs of adjusting the current ceiling of the fixed amount and the fixed rate. When processed by the analysis of variance, the results show similar differences in case of average number of daily patients (p<0.01). Conclusion : From the results of this study the first measures to take are, to reform overall insurance benefit system, including insurance co-payment system(fixed rate cap adjustment), to expand the number of the herbal drugs to be prescribed matching with insurance benefit accordingly, and to revitalize herbal medicine insurance system through the change of various formulations. In addition, it is recommended to improve the effectiveness of herbal medicine by making plans to enhance the efficacy of herbal medicine and by enabling small pharmaceutical companies to outgrow themselves.

• 디지털융복합연구
• /
• 제16권8호
• /
• pp.109-116
• /
• 2018

본 연구는 2018년부터 시행되는 소득세법상 종교인소득 과세와 관련한 법률규정과 주요 쟁점에 대하여 검토해 보고, 이에 대한 올바른 개선 방안을 검토하는 것이다. 본 연구는 2018년 1월 1일부터 시행되는 종교인소득 과세와 관련된 찬성론과 반대론에 대한 내용을 재검토하고 과세제도의 기본방향에 대한 이론적 근거를 제시하고자 한다. 이를 위하여 종교인소득 과세제도에 대한 선행연구를 검토하고 주요쟁점 사항을 분석적 검토를 통하여 합리적인 개선방안을 제시하고자 한다. 연구결과는 첫째, 종교인소득을 근로소득의 별도 항목으로 규정하는 것이 법체계적 측면이나 실질적인 측면에서 최선의 방안이 될 것이다. 둘째, 필요경비 공제율 적용에 있어서 근로소득에 대한 근로소득공제를 적용하는 것이 타당할 것으로 생각된다. 셋째, 종교인의 소득에 대한 정확하고 투명한 신고가 요구되므로 원천징수 의무를 강제하는 방안이 시행되어야 할 것이다. 넷째, 종교 활동과 관련하여 지출한 비용의 투명성과 신뢰성 제고를 위해 종교단체의 전체 수입과 지출에 대한 내용을 외부에 공시하는 방향으로 개선되어야 할 것이다. 본 연구는 현행 종교인소득 과세제도와 이에 대한 개선방안을 검토한 연구로써, 종교인소득 과세와 관련된 논의의 출발점과 기초자료를 제공함으로써 관련분야 연구에 실무적인 시사점을 제공하였다.