Building Systems for Universal Health Coverage in South Korea

This paper broadly examines the development process of Korea’s health care system toward the achievement of Universal Health Coverage. Korea implemented a series of health care reforms after a rapid expansion of population coverage to improve efficiency and equity in financing and delivery of health...

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Bibliographic Details
Main Authors:	Na, Sanggon, Kwon, Soonman
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2015
Subjects:	HEALTH CARE PROVIDERS HEALTH INFORMATION SYSTEM HEALTH INSURANCE COVERAGE ACCESS TO HEALTH CARE EMPLOYMENT RISKS FEE- FOR-SERVICE HEALTH PLANNING HEALTH INSURANCE SYSTEM PHYSICIAN STROKE FINANCING INFORMAL SECTOR PHARMACISTS INFORMATION SYSTEM HEALTH REFORMS INCOME QUALITY OF HEALTH CARE FEE FOR SERVICE HEALTH CARE UTILIZATION FEE-FOR-SERVICE DOCTORS FEE-FOR- SERVICE SYSTEM HEALTH CARE REFORM HEALTH ECONOMICS HOSPITAL SECTOR PRIMARY CARE POCKET PAYMENT MONITORING COST SHARING HEALTH INSURANCE HEALTH CARE FINANCIAL PROTECTION HEALTH INSURANCE EXPENDITURE SOCIAL INSURANCE CONTRIBUTIONS HEALTH CARE FACILITIES INCENTIVES NATIONAL HEALTH INSURANCE HEALTH HEALTH CARE REFORMS PROVISION OF SERVICES POCKET PAYMENTS CONTRIBUTION RATES INFORMATION SYSTEMS PUBLIC HEALTH LIFE EXPECTANCY QUALITY OF HEALTH KNOWLEDGE HEALTH SECTOR INSURANCE FUNDS HEALTH INFORMATION SYSTEMS CHOICE DEMAND FOR HEALTH CARE COST EFFECTIVENESS MULTIPLE INSURERS PRIVATE HOSPITALS HEALTH INSTITUTIONS COSTS PHARMACEUTICAL SPENDING COST CONTROL PATIENTS PATIENT PUBLIC LONG- TERM CARE INSURANCE AGING SOCIAL INSURANCE HEALTH INSURANCE SCHEME MARKETING MEDICAL CARE INSURERS HEALTH CARE QUALITY SOCIAL SECURITY RISK SHARING HEALTH CARE COVERAGE SOCIAL DEVELOPMENT INSURANCE COVERAGE PUBLIC INSURANCE MORTALITY FINANCIAL INCENTIVE HEALTH CARE SYSTEM HEALTH PROMOTION ADMINISTRATIVE COSTS HEALTH INFORMATION HEALTH SPENDING REIMBURSEMENT RATES SOCIAL MARKETING UNEMPLOYMENT EQUITY HEALTH SPECIALIST WORKERS SOCIAL HEALTH INSURANCE FEE SCHEDULE SURGERY PUBLIC LONG-TERM CARE HEALTH CARE PROVISION INCENTIVES FOR PROVIDERS HEALTH-CARE FEE SCHEDULES CARE CONTRIBUTION RATE HEALTH POLICY MEDICAL SERVICES SOCIAL POLICY DEMAND HEALTH OUTCOMES HEALTH-CARE PROVIDERS INSURANCE CONTRIBUTIONS PUBLIC PROVIDERS INCOME COUNTRIES HEALTH CARE FINANCING DECISION MAKING MEASUREMENT NUTRITION BEDS HEALTH COVERAGE SOCIAL WELFARE INSURANCE SYSTEM FEE-FOR-SERVICE PAYMENT INTERNET NATIONAL HEALTH HEALTH SYSTEM INSURANCE DELIVERY OF HEALTH CARE PHYSICIANS HEALTH CARE DELIVERY CANCER PATIENT CLINICS EVALUATION RISK INPATIENT CARE HEALTH PROVIDERS FEE-FOR- SERVICE DEMAND FOR HEALTH HEALTH INSURANCE CONTRIBUTIONS INTEGRATION HEALTH EXPENDITURE ABILITY TO PAY HOSPITAL ADMISSION HEALTH CARE EXPENDITURE HEALTH INSURANCE FUNDS SUSTAINABLE HEALTH CARE POPULATION HOSPITAL BEDS HEALTH INSURANCE PROGRAM PUBLIC LONG- TERM CARE STRATEGY FEES MEDICINES MEDICAID HOSPITALS IMPLEMENTATION PREGNANCY CAPITA HEALTH EXPENDITURE PROVIDER PAYMENT MEDICAL FEES FINANCIAL INCENTIVES HEALTH REFORM ACCESS TO DRUGS
Online Access:	http://documents.worldbank.org/curated/en/2015/07/24819486/building-systems-universal-health-coverage-south-korea http://hdl.handle.net/10986/22395

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Summary:	This paper broadly examines the development process of Korea’s health care system toward the achievement of Universal Health Coverage. Korea implemented a series of health care reforms after a rapid expansion of population coverage to improve efficiency and equity in financing and delivery of health care. The authors also investigate changes in the governance structure of Korea’s national health Insurance, which is now represented by two agencies: National Health Insurance Service (NHIS) and Health Insurance Review and Assessment Service (HIRA). Health insurance agencies have improved the accountability and transparency of the health insurance system, thanks to the ICT-based centralized claim review and assessment. Lessons and challenges from Korea’s experiences and achievements on the road to UHC could provide valuable policy implications to low- and middle-income countries.

Building Systems for Universal Health Coverage in South Korea

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