National Health Insurance 結果共23筆

Explore the initiative by Taiwan’s CDC and the Federation of Taiwan Pharmacists Associations to distribute 10 million free COVID-19 home test kits across over 4,500 pharmacies. Starting May 6, with full availability by May 8, each visitor can receive a test kit, aiming to maintain vigilance against COVID-19 amidst ongoing cases and deaths. This measure follows the WHO’s classification of COVID-19 as a persistent health issue and extends the support previously given to international travelers. The initiative encourages responsible collection and use of these crucial health tools.

President-elect Lai Ching-te’s cabinet announcement sparks interest in the Ministry of Health and Welfare selection. Current Minister Hsueh Jui-yuan has not received retention notice. Chen Jyh-hong, convener of the ＂Healthy Taiwan＂ forum, is a potential candidate. Hsueh may announce health insurance premium increase before stepping down. Ministry proposes plan to address insufficient pediatric resident doctors.

This news story covers the escalating issue of obesity in Taiwan, highlighting the misconceptions surrounding childhood obesity, its long-term consequences, and the economic and health burdens it poses. Urgent actions for a healthier future are discussed.

Premier Chen Chien-jen addresses potential cash payments to the public in response to economic conditions for 2025 and 2026 during a Legislative Yuan hearing. Discussions highlight the government’s focus on National Health Insurance, labor insurance, and subsidies for Taiwan Power Company, with implications for Taiwan’s social policy and fiscal decisions in the future.

The National Health Insurance (NHI) Administration in Taiwan has announced the approval of new applications for Spinal Muscular Atrophy (SMA) treatment coverage. This decision comes after the passing of lawyer Chen Chun-han, a prominent advocate for wider medication coverage for SMA. SMA is a progressive neuro-muscular degenerative disease caused by a mutation in the SMN1 gene, impacting muscle functionality and activities such as sitting, walking, speaking, breathing, and eating. The NHI Administration has included the gene therapy drug Zolgensma, which carries a price tag of NT＄49 million, in its benefits since the second half of 2023. The criteria for medication eligibility include an upper limb motor function index (RULM) score of at least 15. There are over 400 SMA patients in Taiwan, and by the end of 2023, 158 people applied for medication, with 145 approvals. The NHI Administration plans to hold an expert meeting in March to discuss expanding access to the drugs for all SMA patients, with a potential approval in the first half of 2024.

Health costs are set to rise at three newly designated medical centers in Taiwan from March 1, with an increase of NT$180 in outpatient fees and NT$350 for emergency services, according to the National Health Insurance Administration (NHIA). The Ministry of Health and Welfare (MOHW) announced on February 6 the elevation of three hospitals in northern Taiwan to medical center status: The Taipei Tzu Chi Hospital, Taipei Medical University Shuang-Ho Hospital, and the National Taiwan University Hospital Hsinchu Branch were upgraded following the 2023 medical center hospital evaluation. NHIA Deputy Director General Parng I-ming expressed concern that the increase in basic outpatient and emergency care charges resulting from the upgrade may impact patients’ willingness to seek treatment. He vowed continuous monitoring and evaluation of the impact on the national health insurance scheme. Following the elevation of these three hospitals, it is estimated that outpatient visits will reach around 10,000 per day, and 500 emergency visits. The MOHW will closely observe potential changes in patients’ willingness to seek care and the impact on health insurance resources.

Taipei’s Executive Yuan Spokesperson, Lin Tze-luen, announced a budget surplus for the 2023 fiscal year, attributing the achievement to the combined efforts of civil society and the government. The surplus will be allocated responsibly to maintain fiscal discipline, primarily focusing on debt reduction and infrastructure investment. Taiwan’s economy has experienced consistent growth, resulting in a budget surplus for seven consecutive years. In 2022, the surplus reached an impressive NT$500 billion, leading to a proposed special budget of NT$380 billion. This special budget aims to enhance economic and social resilience, with provisions such as a cash payment of NT$6,000 per citizen, support for labor and health insurance programs, and assistance for Taiwan Power Company. Additionally, the special budget includes programs to aid residential loan holders from the middle class and below. Lin emphasized the government’s commitment to considering public opinion and promoting national affairs to facilitate Taiwan’s sustainable development.

Taiwanese conscripts have expressed concerns that their monthly earnings still fall short of the country’s basic labor wage despite a recent salary increase. Privates, the lowest military rank, now receive a monthly salary of NT$26,307, including insurance and meal expenses. However, this amount is still lower than the standard basic labor wage of NT$27,470. Last year, President Tsai Ing-wen extended the mandatory conscription period to one year, and the wage adjustment for privates gained significant attention. Under the new system, privates can earn up to NT$20,320, consisting of a base wage of NT$10,130 and an additional NT$10,190 for specialized skills. In addition to their salary, they also receive military insurance (NT$1,240), national health insurance (NT$1,839), and a meal allowance (NT$908), bringing the total payment to NT$26,307. The first batch of 670 army conscripts for the one-year service started their eight-week entry training on January 25. Taipei City Mayor Chiang Wan-an encouraged the privates to form sincere friendships, develop disciplined habits, and cultivate a sense of responsibility during their military life.

Taiwan’s National Health Insurance (NHI) has achieved a satisfaction rate of 91.2% in 2023, according to the Ministry of Health and Welfare (MOHW). This is the first time the satisfaction rate has not decreased despite an increase in insurance costs. Previous reductions in satisfaction were observed in 2002 and 2006 due to premium increases, and in 2013 following the implementation of the second-generation NHI. The highest-rated aspects of the NHI were accessibility to medical treatment and the quality of medical care, with increased insurance costs ranking third. The satisfaction rate reached its peak during times of pandemic, likely due to the introduction of home-based medical care services and improved medical accessibility. Since 2021, the satisfaction rate has consistently remained above 90% and even reached a new all-time high during the pandemic. Taiwan has been ranked number one in the global healthcare index published by NUMBEO for the past five years. The NHI budget has also seen significant growth, increasing by over 48% from NT$590.5 billion in 2015 to NT$875.5 billion in 2024. The survey involved 3,257 participants aged 18 in Taiwan, and while public satisfaction with the NHI is high, physicians generally express lower levels of satisfaction.

Taiwan’s health ministry has announced the establishment of the Center for Health Policy and Technology Assessment (CHPTA) with an investment of nearly NT＄200 million from the National Health Insurance Administration (NHIA). The CHPTA aims to expedite the review process for newly insured drugs by implementing parallel reviews. Starting from New Year’s Day in 2024, the new system is expected to significantly shorten the time required for reviewing newly insured drugs from an average of 13 months to 6 months. Health Minister Hsueh Jui-yuan emphasized that national health insurance plays a stabilizing role in Taiwanese society and disapproved of major amendments, ruling out the possibility of a ＂third generation health insurance.＂ He also expressed the belief that drug pricing policies under the health insurance system need reform, making the launch of CHPTA a significant reform effort.

The Ministry of Health and Welfare (MOHW) in Taiwan is planning to promote digitalization in healthcare, with a focus on incorporating digital development into healthcare quality metrics. This initiative aligns with national policy directives and aims to support the national plan for digital policy. The successful pilot of virtual National Health Insurance (NHI) cards during the COVID-19 pandemic was highlighted as part of the broader commitment to digitalization. The MOHW, with support from the Ministry of Digital Affairs (MODA), is providing technological budget support for the cloud-based transition of health insurance systems at grassroots clinics. The goals of Taiwan’s digitalization healthcare system include reducing manpower on the medical end, improving healthcare quality, and increasing convenience for patients. The future strategy of the MOHW will combine financial subsidies with policy mandates, starting with medical centers. The plan is to encourage the integration of digital development into healthcare quality assessment, with the aim of fostering innovation, reducing labor costs, and enhancing healthcare quality.

Taiwan’s Social Protection Expenditure (SPE) for 2022 has reached a new high of NT$2.5342 trillion, according to the Directorate-General of Budget, Accounting and Statistics (DGBAS). This represents a 4.9% growth rate and an increase of NT$118.1 billion compared to the previous year. The DGBAS attributes the significant growth to factors such as increased costs related to COVID-19 vaccine procurement and vaccination efforts, higher National Health Insurance payments, and increased funding for childcare allowances and educational subsidies. Social security spending in Taiwan aims to mitigate risks or burdens associated with aging, disabilities, survivors, sickness and healthcare, childbirth, family and children, unemployment, occupational injuries, and housing, following the standards of the International Labor Organization (ILO).

Taipei Show Chwan Hospital Director Cheng Cheng-chieh incurred a substantial medical bill and received minimal compensation from Taiwan’s National Health Insurance (NHI) after suffering two broken ribs in a skiing accident in the US. Despite being treated at the largest emergency room in Anchorage for over six hours, Cheng only had a six-minute conversation with doctors. The most significant charge on his bill, which totaled approximately NTD＄500,000, was NTD＄280,000 for computed tomography (CT) scans. Upon returning to Taiwan, Cheng applied for overseas medical coverage from the NHI and was only reimbursed NTD $3,704, a stark contrast to the estimated cost of emergency care in Taiwan. Cheng’s experience highlights the financial risks of high medical costs abroad that are not fully covered by Taiwan’s health insurance system.

Taiwan Premier Chen Chien-jen has announced that mainland Chinese students who have completed their academic registration for six months will be included in Taiwan’s National Health Insurance (NHI) program, similar to foreign and overseas Taiwanese students. The new policy is set to take effect on Feb. 1, 2024. Chen emphasized the universal value and fundamental human right of health, and highlighted that the new policy will aid in epidemic prevention efforts. The Ministry of Health and Welfare (MOHW) will announce the new regulations in accordance with the Enforcement Rules of the National Health Insurance Act. Chen also urged related government bodies to prepare administrative procedures and effectively communicate with mainland students. Currently, overseas Taiwanese and foreign students who have resided in Taiwan for more than six months with a residence certificate can apply for NHI coverage through their schools. Foreign students are required to pay NT$826 per person per month for their NHI package.

The National Health Insurance Committee will discuss using non-anticipated risk funds and the insurance reserve fund in Taiwan on November 15, according to the National Health Insurance Administration Director-General. The insurance premium rate is expected to remain unchanged in 2024. The COVID-19 pandemic has had a significant impact on all sectors, including traditional Chinese medicine, which reported increased medical expenses in the first two quarters of 2023. Western medicine also experienced a drop in the second quarter. The insurance reserve fund is projected to reach 1.97 months by the end of 2023, higher than the previous estimate of 1.5 months, largely due to a government budget allocation of NT＄24 billion.

DPP chairman and presidential candidate Lai Ching-te has proposed including mainland Chinese students in Taiwan’s healthcare system, citing medical human rights and the strengthening of the epidemic prevention system. Lai’s plan, which treats mainland Chinese students as international students and includes them in the National Health Insurance (NHI) system, has faced objections from some party legislators. However, Lai has stated that after providing necessary clarification, fellow party members have generally accepted the idea. Lai has emphasized the human rights perspective of his proposal and distinguished it from criticism of the Taiwan People’s Party (TPP) for nominating a legislator connected with China. Lai believes that including mainland Chinese students in the NHI system will make the healthcare network more comprehensive, especially after three years of pandemic prevention efforts.

The Taiwanese government plans to allocate at least NT＄20 billion next year to raise the salaries of healthcare workers in response to recent protests by medical professionals. Premier Chen Chien-jen advocates for increased respect, appreciation, and compensation for frontline staff, stating that a health insurance system should not be built on the ＂sweat and tears＂ of healthcare professionals. Discussions are underway with President Tsai Ing-wen, National Health Insurance Administration Director-General Shih Chung-liang, and Health Minister Hsueh Jui-yuan on methods to enhance salaries through health insurance and public budget funds. The financial assistance will be directed at healthcare personnel excluding doctors, with specific details of the plan still under discussion. The Ministry of Health and Welfare has highlighted the global shortage of healthcare workers as a significant concern, and with COVID-19 still a threat, the government aims to increase healthcare investment and address the welfare of those on the medical frontline.

The Taiwanese government plans to allocate at least NT$20 billion in 2024 to subsidize healthcare workers’ salaries, according to Premier Chen Chien-jen. The aim is to ensure that the health insurance system is not built on the sweat and tears of medical staff. Chen emphasized the need for healthcare workers to be respected, appreciated, and adequately compensated within the healthcare system. President Tsai Ing-wen, Minister of Health and Welfare Hsueh Jui-yuan, and National Health Insurance Administration Director Shi Chong-liang have held discussions on enhancing medical personnel’s salaries through health insurance and public budget. The proposed funds will be budgeted from public expenditures, although the details are still being planned. The budget for fiscal year 2024 has been submitted to the Legislative Yuan, and if approved, the new subsidies will officially roll out the following year. The specific manner and target of the subsidies are still being formulated.

Amidst a severe salary gap and high workloads, Taiwan’s hospital pharmacists are facing a critical shortage. With a surplus of pharmacists but insufficient compensation, experts call for a re-evaluation of the National Health Insurance to prevent a looming healthcare crisis.

Taiwan’s national health insurance program will expand its coverage to include the cost of duodenal stents for patients with gastric, biliary, pancreatic, and duodenal cancers starting from Dec. 2023. This change is expected to benefit 242 patients annually, according to the National Health Insurance Administration (NHIA). Previously, patients had to pay out-of-pocket for duodenal stents, which cost between NT＄60,000 to NT＄80,000. With the national health insurance now covering the entire cost, the timing for duodenal stents replacement will be determined on a case-by-case basis. Duodenal stents are crucial for patients diagnosed with stage 3 and stage 4 gastric, biliary, pancreatic, and duodenal cancers as they help unblock obstructed areas and allow patients to consume food orally, ensuring necessary nourishment.

Taiwan’s Health and Welfare Minister, Hsueh Jui-yuan, has announced the launch of a telemedicine project next week to meet the growing demand for virtual diagnosis and long-distance clinical services. The telehealth initiative, set to debut in April next year, will not only cover acute and long-term care but also extend to chronic treatments, serious accidents, infectious cases, and care for people with disabilities. The National Health Insurance Administration estimates that over seven million people will benefit from these telehealth reforms. However, concerns have been raised by Legislator Lai Hui-yuan regarding the overdue project and the NHIA’s plans to boost digital health in Taiwan. The NHIA Department of Medical Affairs Director, Liu Lin-yi, responded by stating that telemedicine services became accessible to general patients during the COVID-19 pandemic, with 460 thousand patients receiving diagnoses through video calls. To ensure a smooth digital transition, MOHW Health Division Chief Liu Yueh-Ping emphasized the need for standards and the completion of necessary setups within six months.

Taiwan’s highly praised healthcare system is facing financial challenges due to inflation and an aging population. The increase in medical expenses and the rising global budget of the National Health Insurance (NHI) has led experts to fear a potential rise in the premium rate next year. 

Taiwan announced on Monday (Dec. 5) that it will stop paying for COVID-related medical fees of foreign nationals who don’t have national health insurance starting on Jan. 1, 2023.