CHAPTER 1 Development of National Health Insurance Socioeconomic development and conditions for the introduction of NHI Previous stage of NHI Implementation of NHI Implementation of regional health insurance and universal Health insurance integration and evaluation The pathway to integration Change of medical aid program (MAP)
CHAPTER 2 Financing and Risk Pooling Classification and management of financial bearers Public financing for health Health insurance financing in Korea NHI Financial management in Korea Financing by voluntary health insurance (VHI)
CHAPTER 3 Purchasing and Benefit Package Purchasing theory Insurance benefits Non-covered services Insurance benefits and payment system Pharmaceutical pricing and reimbursement system
CHAPTER 4 Health Care Delivery System Development of health resources Hospital development Lack of health planning and expansion of hospital bed supply Vulnerability of primary care and unbalanced distribution of medical resources between regions Provision of public health services Separation of the prescribing and the dispensing of drugs
CHAPTER 5 Future Policy Agendas Establishing the ideology of NHI Adoption of a need approach Establishment of health planning and patient referral system Establishment of purchaser’s role Enhancement of responsiveness Preventing the commerciality of health care institutions Establishment of the concept of so-called ‘public health care’ Introduction of contract system for health care institutions Management system and stewardship Reform of premium imposition Management of health care quality Improvement of drug management Reform of health care delivery system