Dement Neurocogn Disord.  2017 Mar;16(1):1-6. 10.12779/dnd.2017.16.1.1.

New Proposal of Private Insurance Program for Dementia Patients: Design of Sustainable Private Insurance Program in Korea

• Park KW
• Kim JY

• KMID: 2442828
• DOI: http://doi.org/10.12779/dnd.2017.16.1.1

Abstract

The purpose of this study is to examine interventions and supporting systems by dementia stage, take a look at dementia insurance policies in Korea and the United States, and present Korean private insurance programs for dementia patients. According to the study, our suggestions of a design of private insurance products for Korean dementia patients are as follows. First, the products should support people aged 80 and older. Second, new products should include the mild stage dementia in the insurance coverage. Third, non-pharmacological treatments, such as the cognitive stimulation, the cognitive training, and exercises need to be covered through the new private insurance. Fourth, the private insurance should be contained home health care services in its coverage. These suggestions can reduce the dependence of the public insurance, help people choose appropriate treatments for themselves, and give people a good opportunity to improve the effect of dementia treatment and to increase the satisfaction of patients and their families.

Keyword

private insurance; long-term care insurance; Korea; the United States; dementia patients

MeSH Terms

Delivery of Health Care
Dementia*
Exercise
Humans
Insurance Coverage
Insurance*
Insurance, Long-Term Care
Korea*
United States

Figure

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  Fig. 1 2013 LTSS spending by payer in U.S. Adapted from Congressional Research Service.13 LTSS: long-term service and supports.

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  Fig. 2 Medicaid expenditures of LTSS, FY 1997 and FY 2011. Adapted from National Health Policy Forum.14 LTSS: long-term service and supports.

Reference

1. National Institute of Dementia. 2015 National Institute of Dementia Annual Report. cited 2016 Nov 2. Available from: http://www.nid.or.kr/info/dataroom_view.aspx?BID=137#.

2. Ministry of Health and Welfare. 2013 dementia prevalence rate research. cited 2016 Nov 2. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=286138.

3. National Institute of Dementia. Dementia treatment. cited 2016 Nov 7. Available from: http://www.nid.or.kr/info/diction_list7.aspx?gubun=0701.

4. National Institute of Dementia. Dementia non-medication treatment. cited 2016 Nov 7. Available from: http://www.nid.or.kr/info/diction_list7.aspx?gubun=0704.

5. Park KW. Non-pharmacological approach to BPSD. Dement Neurocognitive Disord. 2004; 3:24–28.

6. Korea Insurance Research Institute. Introduction of insurance company's dementia trust for the protection of mild dementia. cited 2016 Nov 7. Available from: http://www.kiri.or.kr/pdf/전문자료/KIRI_20150317_18399.pdf.

7. Korean Association for Geriatric Psychiatry. Geriatric psychiatry information. cited 2016 Nov 7. Available from: http://www.kagp.or.kr/caller/intro.html.

8. National Health Insurance. What is long-term care insurance? cited 2016 Nov 7. Available from: http://www.longtermcare.or.kr/npbs/e/b/101/npeb101m01.web?menuId=npe0000000030.

9. National Health Insurance. FAQ: service for fifth grade. cited 2016 Nov 7. Available from: http://www.longtermcare.or.kr/npbs/d/m/000/moveBoardView?menuId=npe0000000440&bKey=B0055&search_boardId=962.

10. Korea Consumer Agency. Problems and improvement of dementia insurance for elderly consumers. Available from: http://www.kca.go.kr/brd/m_46/view.do?seq=1985&itm_seq_1=4.

11. The Affairs Committee. Insurance business act revision (request number: 15621). cited 2016 Nov 11. Available from: file:///C:/Users/Administrator/Downloads/151014c_보험업법_일부개정법률안(정부_15621호)_의%20(1).pdf.

12. The George Washington University. The Basics national spending for long-term services and supports (LTSS). 2012. cited 2016 Nov 11. Available from: https://www.nhpf.org/library/the-basics/Basics_LTSS_03-27-14.pdf.

13. Congressional Research Service. Who pays for long-term services and supports? A fact sheet. cited 2016 Nov 11. Available from: https://fas.org/sgp/crs/misc/R43483.pdf.

14. National Health Policy Forum. National spending for long-term services and supports (LTSS). 2012. cited 2016 Nov 11. Available from: http://www.nhpf.org/library/the-basics/Basics_LTSS_03-27-14.pdf.

15. Korea Insurance Research Institute. Status of insurance market for elderly people and overseas cases. cited 2016 Nov 11. Available from: http://www.kiri.or.kr/pdf/%C0%FC%B9%AE%C0%DA%B7%E1/KIRI_20150216_14557.pdf.

16. Bayada Home Health Care. Home health care. cited 2016 Nov 14. Available from: https://www.bayada.com/homehealthcare/services/home-health-care.asp.

17. Bayada Home Health Care. How to pay. cited 2016 Nov 14. Available from: https://www.bayada.com/homehealthcare/how-to-pay/index.asp.

18. Seo YJ. World dementia patients' number will be 100 million in 2050. The Joongang Ilbo;2015. 01. 27. cited 2016 Nov 14. Available from: http://news.joins.com/article/17027521.