Health Policy Manag.  2018 Sep;28(3):210-216. 10.4332/KJHPA.2018.28.3.210.

The Roles of the National Health Insurance Service in the Public Health Security

• Kim YI

• KMID: 2422526
• DOI: http://doi.org/10.4332/KJHPA.2018.28.3.210

Abstract

National Health Insurance Service (NHIS) has put a great effort on extending life expectancy, for last 40 years. The system has also made remarkable outcomes in achieving universal health coverage. However, it is facing challenges of low health insurance benefits and sustainability risk due to low birth rate and aging society at the same time. To overcome the difficulties and build a lifelong health security system for the nation, it is required for NHIS to make multilateral changes in its roles. Based on the quantitative growth achieved so far, NHIS needs to strive for the growth in quality by not only increasing coverage and reforming contribution imposition system, but also reorganizing the relevant systems such as lifelong health management support, rational adjustment to the medical fee, and benefit costs monitoring. In addition, it's important for NHIS to restructure the organizational culture by having specialty and communicating with people for high quality of administration and health insurance sustainability.

Keyword

National Health Insurance Service; Health insurance coverage; Low birth rate; Aging society; Qualitative growth; Changes in roles

MeSH Terms

Aging
Birth Rate
Fees, Medical
Insurance, Health
Life Expectancy
National Health Programs*
Organizational Culture
Public Health*