• Title/Summary/Keyword: Private Insurance

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A study on the reinforcing competitiveness plan for insurer from PB market (PB 시장에서의 보험사 경쟁력 강화방안 연구)

  • Kwak, Bong-Hwan;Ham, Young-Jin
    • International Commerce and Information Review
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    • v.9 no.2
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    • pp.41-64
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    • 2007
  • A life insurance industry's market is reaching a state of saturation recently, and the competition is as time goes by intense among the non-life insurance industry. Consequently, the insurance companies must grope a new source of revenue and develop a new business model for a stability growth. At the forked road, the insurance companies must group the existing and new customers in order to find the royal customers, and develop a new service with them. Accordingly, it is the time to study the advance of PB field and the royal customer management that will maintain and expand the new relations with them. Besides, the PB was the service to begin in needs of the specific group, but now it is regarded as a new source of high profit in the age of universal financial service among the financial circles. As a consequence, the PB marketing is introduced in haste, and such trend seems to be continued. Therefore, the plans that help the domestic insurance company reflect the characteristic of the insurance and expand the scope of business into the scope of property management according to the needs of customers under a universal financial service trend will be studied.

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Deterministic Private Matching with Perfect Correctness (정확성을 보장하는 결정적 Private Matching)

  • Hong, Jeong-Dae;Kim, Jin-Il;Cheon, Jung-Hee;Park, Kun-Soo
    • Journal of KIISE:Computer Systems and Theory
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    • v.34 no.10
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    • pp.502-510
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    • 2007
  • Private Matching is a problem of computing the intersection of private datasets of two parties. One could envision the usage of private matching for Insurance fraud detection system, Do-not-fly list, medical databases, and many other applications. In 2004, Freedman et at. [1] introduced a probabilistic solution for this problem, and they extended it to malicious adversary model and multi-party computation. In this paper, we propose a new deterministic protocol for private matching with perfect correctness. We apply this technique to adversary models, achieving more reliable and higher speed computation.

NHS Reforms and Healthcare Market in the United Kingdom (영국의 NHS 개혁 및 의료시장 동향에 관한 연구)

  • Nam, Eun-Woo;Chun, Ki-Young
    • Korea Journal of Hospital Management
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    • v.8 no.4
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    • pp.1-25
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    • 2003
  • The wave of globalisation initiated by marketisation has increasingly penetrated into all sectors across the world, accordingly, the health & hospital service sector could not be made no escapes, and it currently faces the order of more marketised competition more than ever. Traditionally, the characteristic of the hospital services in the UK has considered as a model of social provision by government. However, contrary to our knowledge, the sphere of the hospital service in the UK has already been immersed in by the marketisation, in which the private actors have been embedded in order to tweak the activities of the hospital service with in the European Union. As the methodology of this research, the qualitative analysis, namely the interview with some doctors in Surgery, NHS Trusts staffs and relevant specialists in has been performed on April to May, 2003. And on the other hand, the various documents related to its service have been analysed. Thus, this paper will review the characteristics of the health service sector in the UK. In doing so, it will illuminate what would be the structural factors derived from its existing system, as a result, it will shed light on how the UK government makes an effort to resolve the problematic situation by reviewing the policy direction of Foundation Hospital proposed recently. In the next stage, it will analyse how all elements consist of the hospital management in the UK has been adjusted and be likely to be changed within Europe. More specifically focuses on how the private hospital service has been managed and related with the activities of its public hospital service-NHS Trusts. Also, under the circumstance, what private health insurance companies function will be studied. In conclusion, it will be concluded that what will be the implication of Korean hospital service market so as to correspond to globally open market by WTO. Now the UK health service system has faced a turning point of becoming more health care market internally and externally pressed by global and regional factors. Thus it is meaningful to scrutinize how a key part of social provision in the health care market system tends to adjust to globally marketised regulation.

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A Study on the Improvement of Export Risk Management in the Changing of Export Payment Methods (무역결제방식의 변화에 따른 수출보험제도의 개선방안에 관한 연구)

  • Kim, Byung-Hak;Gil-Jong, Hong
    • International Commerce and Information Review
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    • v.8 no.3
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    • pp.99-119
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    • 2006
  • The recent trend in the payment terms of international trade shows the gradual shift toward more diversified payment methods (from L/C to not L/C) in order to cope with the increasingly dynamic international transactions in a more flexible manner. The reasons behind this recent shift are as follows : first, the global trade market is breaking away from the traditional L/C methods based on letters of credit toward a not L/C methods. nother reason for the changing trade payment methods is the increasing volume of intra transactions between headquarters and their foreign subsidiaries based on collection payment methods. Having mentioned the above problems that impede the Korean export insurance system, some suggestions can be put forward through a comparative analysis with foreign export insurance system. First, inducing private investments is one way of strengthening financial health of the KEIC. The KEIC also needs to diversify its insurance coverage adapting to the changing international trade environments.

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2015 National Health Accounts and Current Health Expenditures in Korea (2015년 국민보건계정과 경상의료비)

  • Jeong, Hyoung-Sun;Shin, Jeong-Woo
    • Health Policy and Management
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    • v.27 no.3
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    • pp.199-210
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    • 2017
  • Background: This paper aims to demonstrate current health expenditure (CHE) and National Health Accounts of the years 2015 constructed according to the SHA2011, which is a new manual of System of Health Accounts (SHA) that was published jointly by the Organization for Economic Cooperation and Development (OECD), Eurostat, and World Health Organization in 2011. Comparison is made with international trends by collecting and analysing health accounts of OECD member countries. Particularly, financing public-private mix is parsed in depth using SHA data of both HF as financing schemes as well as FS (financing source) as their revenue types. Methods: Data sources such as Health Insurance Review and Assessment Service's publications of both motor insurance and drugs are newly used to construct the 2015 National Health Accounts. In the case of private financing, an estimation of total expenditures for revenues by provider groups is made from the Economic Census data; and the household income and expenditure survey, Korean healthcare panel study, etc. are used to allocate those totals into functional classifications. Results: CHE was 115.2 trillion won in 2015, which accounts for 7.4 percent of Korea's gross domestic product. It was a big increase of 9.3 trillion won, 8.8 percent, from the previous year. Government and compulsory schemes's share (or public share) of 56.4% of the CHE in 2015 was much lower than the OECD average of 72.6%. 'Transfers from government domestic revenue' share of total revenue of HF was 17.8% in Korea, lower than the other contribution-based countries. When it comes to 'compulsory contributory health financing schemes,' 'Transfers from government domestic revenue' share of 14.9% was again much lower compared to Japan (44.7%) and Belgium (34.8%) as contribution-based countries. Conclusion: Considering relatively lower public financing share in the inpatient care as well as overall low public financing share of total CHE, priorities in health insurance coverage need to be repositioned among inpatient care, outpatient care and drugs.

Expenditure in ambulatory dental care and factors related to its spending (우리나라 치과 외래의료비 지출규모와 치과 외래의료비 지출에 미치는 요인)

  • Kim, Hye-Sung;Kim, Myeng-Ki;Shin, Ho-Sung
    • Health Policy and Management
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    • v.22 no.2
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    • pp.207-224
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    • 2012
  • This study estimates the total health expenditure of ambulatory dental care and explores the factors related to disbursements. The study used two waves of a 2008 Korea Health Panel (KHP) survey, of which each wave is composed of 7866 households and 24,659 persons. The KHP includes missing expanses of reimbursement data of the National Health Insurance (NHI), such as out-of-pocket, drugs, and private health insurance. The study estimates total monthly ambulatory dental expenditure and the sub-special categories of dental care. For influential factors analyses, the study exploits log-linear model with age, gender, education, job, equivalence income, the status of chronic diseases, means-tested benefit recipients, private insurance, and the composite deprivation index as independent variables. The total monthly outpatient health spending is estimated to be 102,468 won per household, and for dental, each household spends 31,115 won per month. Older age, means-test recipients, non-regular workers are more likely to spend less money on dental care, whereas private insurers, high income, and those who live in less deprived areas are more likely to spend more money for dental services. From the study we found that the KHP data are more suitable to estimate the total amount of health care markets, especially when the NHI coverage is low, such as for dental care in Korea.

Review of Debate over the Expansion of Public Medical Facilities to Enhance the Public Role in the Medical Care Sector (의료의 공공성제고와 공공의료기관 확충 논의의 검토)

  • 이규식
    • Health Policy and Management
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    • v.11 no.1
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    • pp.107-130
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    • 2001
  • During the last year, we had a very severe situation with the strike of physicians working in medical facilities. From that time, many politicians and scholars insisted on the expansion of public hospitals to enhance the public role in the medical care sector. They think that private medical facilities work for profit motivation and that the high proportion of private to whole facilities is an obstacle to the public function of medical care under social insurance system. They found that one of the reasons for failing to prevent the physicians' strike was the high proportion of private facilities. Others insisted that the strike was not a good reason for the expansion of public hospitals. The physicians' strike was a very rare case, and it is not a good basis for generalization of the discussion of public hospitals. Last year almost all apprentice physicians in public facilities took part in the strike, and consequently the public hospitals also lost the role of public function. They view this increasing involvement of government in the medical sector as improper and the cause of inefficiencies. In this paper we review the debate over the expansion of public facilities. To clarify the debate, we review traditional criteria for the role of government in a market system and to apply these criteria to medical care. There are two traditional areas where government Is acknowledged to have a role in a market system: market imperfections and market failure. Where market imperfections and market failure exist, there may be a role for government. The justifications for government intervention are consumer protection and the existence of externalities. One of externalities is to provide medical care for the poor. The appropriate measures to provide medical owe to the poor can be sought in both demand and supply side subsidies. National health insurance is a method of demand subsidies and establishment of public hospitals is a method of supply side subsidies. Under the National Health Insurance System, the expansion of public hospitals is not an appropriate subsidy policy.

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Factors Affecting the Catastrophic Health Expenditure of BabyBoomer Generation (베이비부머세대의 과부담 의료비 지출에 미치는 영향)

  • Kim, Yun-Jeong
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.484-492
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    • 2022
  • In this study, we used the Korea Health Panel Study for 2017 raw data as analytical data to understand the factors that affect the catastrophic health expenditures of the baby boomer generation and the final number of analyzed was 808 people. Analysis methods performed frequency analysis, crosstabulation, and multiple regression analysis, with p = .05 at the significance level for all validations. The statistically significant differences among the baby boomer generation were education level, marriage status, health insurence, household income, drinking, smoking, subjective health, outpatient care, and inpatient care. The average number of illnesses in the baby boomer generation was 8.14, of which 7.97 for male and 7.97 for female. The average number of outpatient visits was 16.81, of which 14.81 recalls for male and 26.89 for female. More than 40% of the ability to pay the catastrophic health expenditures rate was 15.3% for male and 26.3% for female. The factors affecting the catastrophic health expenditure of babyboomer generation are as follows. that influence the widow's fence medical expenses are as follows. Male were private insurance, household income, drinking, and inpatient care, and female were private insurance, household income, and drinking.

Literature Review on Private Health Insurance for Korean older adults (한국 노인대상 민간의료보험에 관한 선행연구 고찰)

  • Choi, Hyoung-Shim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.75-82
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    • 2021
  • The purpose of this study was to review literature about private health insurance (PHI) schemes for Korean older adults published in Korea and abroad from 2015 to 2019, and to present the implications of the study and provide an overview of PHI utilization by Korean older adults. Nineteen quantitative academic research papers were selected and analyzed with respect to presentation time, research purpose, data source, and study design. Old age, low income, low education, and chronic disease were found to hinder enrollment in PHI schemes. Although the relationship between PHI and medical usage was not consistent, it was positively related to health outcomes such as subjective health status and health-related quality of life. Therefore, for PHI to fulfill the role of providing supplementary medical care for older adults with high medical demands, a national improvement policy should be developed to address the barriers that prevent older adults adopting PHI schemes, and empirical studies related to medical usages by and the health outcomes of older adults should be conducted in order to generate a basis for the use of PHI.

Reimbursement for Preventive Health Services: The U.S. Experience

  • Davis, Karen
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.1 s.25
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    • pp.1-7
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    • 1989
  • This paper examines the failure to promote adequate preventive health care in the U.S. It focuses specifically on the preventive health services of screening, counseling, and immunization. It explores evidence on their effectiveness, as well as coverage under current private and public health insurance plans. It concludes with a proposal to expand health insurance coverage for preventive services and to reimburse physicians directly for preventive health services provided to patients.

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