health insurance system 結果共10筆

Taiwan’s DGBAS reports a 4.47% year-on-year increase in medical costs for March, the highest in 18 years, due to the New Health Insurance Co-payment System. The March CPI showed a 2.14% year-on-year increase, with dining-out costs and essential commodity prices decreasing slightly. However, inflationary pressures persist in services like medical costs and rent.

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 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.

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.

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.

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 experienced a negative population growth for three consecutive years and has one of the lowest total fertility rate in the world in 2022.