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최근 10년 보건의료법 환경 및 건강보험법정책의 변화

원문정보

The Changes in the Public Health Laws and in the Legal Policies of the National Health Insurance over the Past Decade

김운묵

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초록

영어

Korea has gained the much more performances in the fields of pubic health laws and related policies on the basis of the substantial economic achievements. In 1977, the social medical insurance was established for companies with more than 500 employees, and in 1989, Korea successfully achieved the national medical insurance system covering the total population within only 12 years beginning with multiple insurers. There remained some problems, however, to be improved such as both the low level of contribution rates and benefit packages due to the inefficiency in utilizing limited medical resources. In 2000, all insurers were unified into a single insurer(National Health Insurance Corporation), and special independent Health Insurance Review & Assessment Service(HIRA) was also established. From the origin of medical insurance system in 1977, the Korean reimbursement system has been fee-for-service system, and after the establishment of HIRA, it has been providing objective and expert medical cost review services and health quality assessment services.

목차

I. 들어가며
 II. 보건의료법과 환경변화
  1. 보건의료법 환경의 변화
  2. 보건의료법정책과 관련 법률
 III. 건강보험법정책의 변화
  1. 국민건강보험법의 성립
  2. 건강보험과 건강증진
  3. 통합 보험자의 구성
  4. 요양기관제도의 변화
  5. 독립 심사평가기관의 성립
  6. 보험급여 수준의 개선
 참고문헌
 ABSTRACT

저자정보

  • 김운묵 Un-Mook Kim. 건강보험심사평가원 심사평가정책연구소 심사평가연구실장, 보건학박사

참고문헌

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