Recent Health Care Reforms in Germany: An End to Permanent Crisis Management?

Knappe, Eckhard; Funk, Lothar; Optendrenk, Sonja

doi:10.1080/12294659.2000.10804952

Cited by 2 publications

(2 citation statements)

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“…However, recent reforms in Korea and Germany have resulted in divergences between health insurance approaches in the three countries. Germany has adopted a competitive approach and encouraged consumer choice of sickness funds as a way to contain healthcare costs (Hinrichs, 1995;Knappe, Funk and Optendrenk, 2000). In Korea, however, the recent reform merged all health insurance societies into one, resulting in a single payer.…”

Section: Organizational Structure Of Social Insurancementioning

confidence: 98%

Healthcare financing reform and the new single payer system in the Republic of Korea: Social solidarity or efficiency?

Kwon

2003

Int Social Security Review

127

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In July 2000, national health insurance in the Republic of Korea was transformed into a single insurer system. This major reform in healthcare financing resulted from the merger of more than 350 health insurance societies. Inequity in healthcare financing and the chronic financial situation of the health insurance societies for self-employed workers in rural areas have been the driving forces leading to the unified health insurance system. The unique institutional context together with political change opened the window of policy change, and various stakeholders such as politicians, rural self-employed workers, trade unions and civic groups were involved in the healthcare reform process. Fair income assessment of the self-employed and the role of the single insurer as a prudent purchaser of medical care will be vital for the new system to achieve its intended goal and improve social solidarity and efficiency of healthcare.

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Section: Organizational Structure Of Social Insurancementioning

confidence: 98%

Healthcare financing reform and the new single payer system in the Republic of Korea: Social solidarity or efficiency?

Kwon

2003

Int Social Security Review

127

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“…Health insurance societies were also subject to heavy regulation by the government, and there was little avenue for members to participate in the major decision making of their insurance societies. Both Korean and Japanese national health insurance were initially modelled after the German social insurance system with multiple sickness funds, but the three systems have taken divergent paths of development: the Korean system transformed into a nationwide single insurance scheme; the German system introduced consumer choice and competition among sickness funds (Knappe et al, 2000), and only Japan keeps the original form of multiple insurance societies without competition.…”

Section: Context Of Health Care Reformmentioning

confidence: 99%

Globalization and Health Policy in Korea

Kwon

2002

Global Social Policy

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Globalization provides both opportunities and challenges to health policy in Korea. Through the diffusion of policy innovations, other countries' experience provides important lessons for health care reform in Korea. However, when globalization provides an external pressure toward more competition and market mechanisms without taking into account the unique institutional context of Korea, it becomes a challenge. Recent economic crisis and its impacts on health and health care in Korea is a good example of global pressures. More markets or privatization in the health care system, which vested interest groups strongly support, is likely to result in deteriorating solidarity in Korea, for the role of the public sector is very limitedthe public share of health care financing is less than 50% and the proportion of public hospitals is less than 10%.keywords globalization, health care reform, health policy, Korea, public-private mix A RT I C L E 279Global Social Policy

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Recent Health Care Reforms in Germany: An End to Permanent Crisis Management?

Cited by 2 publications

References 1 publication

Healthcare financing reform and the new single payer system in the Republic of Korea: Social solidarity or efficiency?

Healthcare financing reform and the new single payer system in the Republic of Korea: Social solidarity or efficiency?

Globalization and Health Policy in Korea

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