• 제목/요약/키워드: fee-for-service

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평택지방해양수산청의 적정 항로표지이용료 추정에 관한 연구 (A Study on Estimating the Appropriate Fee of Aids to Navigation Service for the Pyeongtaek Regional Office of Oceans and Fisheries)

  • 문범식;전기준;김태균
    • 한국항해항만학회지
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    • 제44권4호
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    • pp.347-353
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    • 2020
  • 항로표지는 선박에게 위치정보 등 다양한 정보를 제공함으로써 해양사고 예방 및 해양환경 보호 등에 기여하고 있다. 이러한 항로표지의 중요성을 인식하여 무역항을 입출항하는 선박에 톤당 24원의 항로표지이용료가 징수되고 있다. 그러나 24원의 항로표지이용료는 1999년에 책정된 이후 현재까지 유지되어 오고 있는 반면, 해운 및 항만 4.0 시대변화에 따라 자율운항 선박 및 스마트 항만운영 등을 위한 항로표지의 새로운 역할에 대한 수요는 점점 증가하고 있다. 따라서 본 연구의 목적은 이러한 해운 및 항만산업의 변화에 따른 적정한 항로표지이용료의 추정에 있으며, 이를 위해 평택청을 대상으로 총괄원가를 회수하는 방법을 도입하였다. 항로표지이용료 추정은 연도별 및 누적환산 연도별 2가지와 항로표지이용료 징수대상이 무역항 이용 선박임으로 평택청의 항로표지를 전체와 대상 항로표지로 구분한 총 4가지 경우로 추정하였다. 추정결과 평택청의 항로표지이용료는 53.78-71.62원(2019년 기준)으로 현재 24원보다 29.78-47.62원이 높게 추정되어 인상이 필요하였다. 이러한 연구결과는 항로표지의 역할을 고려한 관련 예산 운영과 정책 운용에 유용한 기초자료로 활용될 수 있을 것이다.

What drives Indonesians Subscribe and Push the Distribution of Disney+ Hotstar?

  • ZAHARA, Nadia;WULANDARI, Naomi Crisant;KAIRUPAN, Joshua Hezekiah;HIDAYAT, Z.
    • 유통과학연구
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    • 제20권6호
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    • pp.21-32
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    • 2022
  • Purpose: This study aims to test the influence of brand relationship, price, content, brand awareness, and electronic Word-Of-Mouth (eWOM) on willingness to pay for the subscription fee of Disney+ Hotstar. As the latest streaming service provider in Indonesia, Disney + Hotstar under Disney Media and Entertainment Distribution has actively conducted strategies to strengthen the brand and attract consumers. Research design, data and methodology: Structural Equation Modelling with WarpPLS approach was used to assess the proposed model gathering data from 316 people who have ever known about Disney+ Hotstar through an online survey using measurement items from previous literature. Results: Most responses were obtained from millennial generations. Findings demonstrated that brand relationships, price, content, and brand awareness positively influenced willingness to pay for the subscription fee whereas eWOM showed a negative and insignificant influence on the willingness to pay for the subscription fee. Conclusions: The most significant factor towards willingness to pay a for subscription fee is price, followed by brand awareness, brand relationship, and content. The result of this study may be used as a guide for professionals in the streaming service industry to better implement their strategies in influencing people to have the willingness to subscribe.

질병군별 포괄수가제(DRG 지불제도) 시범사업에서 제왕절개산모의 의료서비스 - 서울시내 한 종합병원을 대상으로 - (Medical Services for Cesarean Section Cases in One DRG Pilot Study Hospital)

  • 이귀진;유승흠
    • 한국병원경영학회지
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    • 제4권2호
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    • pp.21-40
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    • 1999
  • One Diagnosis Related Group(DRG) pilot study participating hospital was measured and analyzed to see if there were any changes after the DRG program. It was implemented in consideration of medical service utilization, hospital charges, and non-covered medical service charges by insurance in all Cesarean section cases by reviewing medical records for 3 years, including 1 year before pilot study as well as 1 and 2 years after, respectively. The results were as follows: First, the use of intramuscular antibiotics decreased statistically significantly, whereas intravenous use did not. Second, the administration period and charges of antianemic medication decreased significantly, where the prescription was appropriate. Third, the length of hospital stay decreased statistically significantly. Fourth, there were significant statistical differences in cost sharing between the insured and the insurer: cost sharing of the insured was reduced, whereas the share of the insurer increased. However, there was no change in the quality of care. Fifth, there were no statistically significant changes in the Cesarean section rate. As a result, if the fee schedule is reasonably high, hospitals can provide quality care. This DRG pilot study resulted expected outcomes: by paying a higher fee schedule than fee-for-service, then hospitals can provide quality care to their patients and increase hospital profits.

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한국의 장애인 환자 치과 진료를 위한 국민 건강 보험 가산제도의 종류 및 청구 현황 (THE ADDITIONAL POINT SYSTEM OF NATIONAL HEALTH INSURANCE FOR DENTAL TREATMENT IN PATIENTS WITH A SPECIAL HEALTH CARE NEED IN KOREA)

  • 권도윤;남옥형;김미선;최성철;김광철;최재영;이효설
    • 대한장애인치과학회지
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    • 제14권1호
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    • pp.11-16
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    • 2018
  • In order to increase the accessibility of dental care for people with disabilities, National Health Insurance Service has implemented an additional point system of National Dental Insurance for dental treatment of patients with a special health care need (AID). The purpose of this study is to investigate the types and status of AID in Korea using data of the Health Insurance Review and Assessment Service from 2011 to 2017. The basic consultation fee is increased by 9.03 points (713 won) for brain disorder, intellectual disability, mental disability, or autistic disorder. From 2011 to 2015, the number of claims with a basic consultation fee increased from 90,456 to 141,179. Dental treatment and surgical treatment fee is increased by 100% of the defined insurance score for each of the 15 items. During the five years from 2012 to 2016, the number and amount of claims for each item increased steadily. Of the total claims for 5 years, endodontic treatment was highest, with 107,477 cases, followed by 51,641 cases of scaling. There are two types of dental safety observation fee, simple and complex. The simple safety observation fee is 10,370 won per day, and the complex safety observation fee is 20,750 won per day. Dental safety observation fees were charged 34 times in 2015, 14 times in 2016, and 41 times through May 2017. From 2011 to 2017, the number and amount of claims using AID for dental care for people with disabilities increased. However, considering that the number of registered dental users with disability was about 560,000 in 2016, the number of claims using AID is 1-20,000, which is less than 2% of registered dental users with disability. Therefore, it is necessary to expand dental services for people with disabilities including AID.

해상수입 LCL화물의 창고보관료 적정화방안에 관한 연구 (A Study on the Plan for Rationalizing Warehouse Storage Fee of LCL Cargo imported by Sea)

  • 김용진;서동균
    • 한국항만경제학회지
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    • 제26권4호
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    • pp.310-328
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    • 2010
  • 본 연구의 목적은 해상으로 수입되는 LCL화물(LCL Cargo)의 창고보관료 현황과 과다인상의 원인과 문제점, 창고보관료 적정화 방안을 모색함으로써 물류비 절감, 수출가격경쟁력 향상, LCL화물의 유통체계 개선에 이바지하고자 하는데 있다. 1999년 창고보관료 자율화 이후 LCL창고보관료가 10배 이상 급등하여 제품원가 상승의 요인이 되고 불법 리베이트 관행으로 국부 유출 현상까지 발생하여 심각한 사회적 문제로 부각되고 있다. 해상수입 LCL화물 창고보관료 급등 원인은 LCL화물 유통상의 리베이트 관행 고착화, 포워더의 난립 및 독점적인 창고 배정권한 행사, 관리감독기관의 관리 소홀에 있다. LCL화물 창고보관료 적정화 방안으로 창고 보관요율 상한제 도입, 창고보관요율 정보제공 의무화, 불법 리베이트 근절, 수입 LCL화물의 유통체계 개선, 수입 화주가 보세창고와 포워더를 지정하는 방안, 가칭 '최저창고보관요율서비스(LORAS : Lowest Rate Service)' 제도 도입, 창고보관료 분쟁조정위원회 구성 등을 제시하였다.

영상진단 수가 변화가 의료공급자 진료행태에 미치는 영향: 전산화단층영상진단 검사건수를 중심으로 (The Impact of Diagnostic Imaging Fee Changes to Medical Provider Behavior: Focused on the Number of Exams of Computed Tomograph)

  • 조수진;김동환;윤은지
    • 보건행정학회지
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    • 제28권2호
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    • pp.138-144
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    • 2018
  • Background: Diagnostic imaging fee had been reduced in May 2011, but it was recovered after 6 months because of strong opposition of medical providers. This study aimed to analyze the behavior of medical providers according to fee changes. Methods: The National Health Insurance claims data between November 2010 and December 2012 were used. The number of exams per computed tomography was analyzed to verify that the fee changes increased or decreased the number of exams. Multivariate regression model were applied. Results: The monthly number of exams increased by 92.5% after fee reduction, so the diagnostic imaging spending were remained before it. But medical provider decreased the number of exams after fee return. After adjusting characteristic of hospitals, fee reduction increased the monthly number of exams by 48.0% in a regression model. Regardless type of hospitals and severity of disease, the monthly number of exams increased during period of fee reduction. The number of exams in large-scaled hospitals (tertiary and general hospital) were increased more than those of small-scaled hospitals. Conclusion: Fee-reduction increased unnecessary diagnostic exams under the fee-for-service system. It is needed to define appropriate exam and change reimbursement system on the basis of guideline.

효율적 빗물관리를 위한 하수도 요금체계 개편 방안 (The improvement of sewerage fee imposition system for efficient rainwater management)

  • 박규홍;강병준;박주양;박완규;김성태
    • 상하수도학회지
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    • 제28권5호
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    • pp.517-527
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    • 2014
  • As sewer flooding frequents due to localized and concentrated stormwater and increased non-permeable surface area after urbanization, building cities with sound water recycle and accordingly efficient management of rainwater is demanded. To do this, the existing sewage (including rainwater) fee imposition system should be philosophically evaluated. This study presents problematic issues of the existing domestic sewage fee imposition system considering the principle of sharing costs on the service of sewage and rainwater collection and treatment. Four methods to improve the existing sewage fee imposition system are suggested: 1) imposing stormwater fee according to Polluter Pays Principle, 2) clarification of the share of public sector, 3) reducing or exempting the sewerage fee for inhabitants reducing urban runoff by constructing their own rainwater management facilities, 4) imposing charge for discharging rainwater to sewers due to new development action. Short, mid, or long term planning for rainwater management is recommended considering the situation of each municipality.

한국과 미국의 기술료에 대한 상대가치 비교 (Comparison of Relative Value on Physician Payment Schedule for reimbursement of health insurance between Korea and U.S.A.)

  • 김한중;조우현;손명세;박은철
    • 보건행정학회지
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    • 제2권1호
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    • pp.1-16
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    • 1992
  • This study compares the physician payment of national fee schedule for Korean Medical Insurance with that of the United States based on Resource Based Relative Value Scales (RBRVS) which Hsiao developed in 1988 for the Medicare reimbursement. Through the comparison of two fees schedules, this study is purposed to evaluate the appropriateness of relative values which assigned to each physician services of Korean fee schedule. A total of 264 physician services are selected for the comparison. The ratio of Korean schedule to RBRVS is selected as an index of appropriateness. It the score of index shows large variation among services, the relative value of Korean fee schedule is inappropriate with U.S. RBRVS which was developed recently. The Ratios of Korean schedule to RBRVS are widly variated ; the range of those is 8.1 to 379.3. In subgroups which are regrouped to controll systematic differences between two national fee schedules, these ratios are also variated. Services which are relatively less compensated are management/evaluation services, while services which are relatively more compensated are invasive and imaging services. By the way, the service classification of Korean fee schedule is unclear, specially in management/evalutaion services. Therefore, Korean Medical Insurance fee schedule should be modified to be more balanced and rational.

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Fee-based Field Trips to Jirisan National Park; Eco-guide Led Programs

  • Cho, Kye-joong
    • 한국산림과학회지
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    • 제96권5호
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    • pp.543-550
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    • 2007
  • Arguments against charging fees for use of recreational forests and parks generally rest on the assumption that the public sector has the responsibility to provide as many recreational opportunities as it can to all visitors in Korea. The entrance fee in recreational forests allowed some governmental resource management agencies to keep a portion of user fees generated on-site, instead of returning all revenue to the general treasury. Funded primarily through entrance, activity, parking, and mountain villa-use fees, this legislation has been successful in reducing the maintenance backlog for participating agencies. However, it is unclear what effect user fees might have on visitors attending interpretive programs and the benefits that agencies might receive from implementing this policy. From this point of view, this study is a similar case at the Visitor Center and Species Restoration Center at Jirisan in terms of fee-based field trips to the places. In this research, two hundred twenty-three visitors at the Visitor Center and Species Restoration Center at Jirisan National Park answered questions about their trips from 2005 to 2006. Results indicted that the ecoguide not only increased visitor's appreciation of the resource, but also enhanced their perceptions of the Korean National Park Service (KNPS) fee policies.

MRI 외부병원 판독 수가 인상의 효과 분석: 뇌 관련 자기공명영상을 중심으로 (An Analysis on the Effect of the Increase in the Fee of Magnetic Resonance Imaging Deciphering of the External Hospital: Focusing on the Brain Magnetic Resonance Imaging)

  • 김록영;사공진;조민호;위세아;이진용;김용규
    • 보건행정학회지
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    • 제31권3호
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    • pp.261-271
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    • 2021
  • Background: In 2018, the government increased the fee for the magnetic resonance imaging (MRI) image deciphering services of the external hospital to discourage the redundant MRI scan and to induce appropriate use of the MRI services. It is important to evaluate the effect of the policy to provide the basis for establishing other MRI-related policies. Methods: The healthcare data of the patients who had brain MRI scans were organized by episode and analyzed using the panel study in order to find out the effect of the MRI-related policy on the substitution effect and the medical expenses. Results: As a result of the increase in the fee of deciphering the MRI image, there has been an uplift in deciphering the MRI scan of the external hospital. It implies that more hospitals chose to use the MRI scan taken by other clinics or hospitals, rather than the MRI scan taken at their own facilities. Conclusion: The research results imply that a policy that facilitates the exchange of the medical image data between the hospitals is needed in order to establish an efficient management system of the healthcare resources. Such improvement is expected to reduce the social cost and contribute to the stability in the finance of national health insurance.