Advancing Universal Health Coverage : What Developing Countries Can Learn from the Korean Experience?

The Republic of Korea achieved universal health coverage in 1989, twelve years after the introduction of mandatory health insurance for employees in large corporations. Political legitimization of the authoritarian regime and rapid economic growth...

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Bibliographic Details
Main Author: Kwon, Soonman
Format: Working Paper
Language:English
Published: World Bank, Washington, DC 2018
Subjects:
Online Access:http://documents.worldbank.org/curated/en/418791516185685994/Advancing-universal-health-coverage-what-developing-countries-can-learn-from-the-Korean-experience
http://hdl.handle.net/10986/29179
id okr-10986-29179
recordtype oai_dc
spelling okr-10986-291792021-05-25T09:10:09Z Advancing Universal Health Coverage : What Developing Countries Can Learn from the Korean Experience? Kwon, Soonman HEALTH UNIVERSAL HEALTH COVERAGE HEALTH FINANCE GOVERNANCE ACCOUNTABILITY DEMOGRAPHICS HEALTH INSURANCE HEALTH EXPENDITURE UNICO UHC The Republic of Korea achieved universal health coverage in 1989, twelve years after the introduction of mandatory health insurance for employees in large corporations. Political legitimization of the authoritarian regime and rapid economic growth contributed to the rapid extension of health coverage. Most health care providers are private. In 2000, all insurance funds were merged into a single insurer, which improved the efficiency of risk pooling and equity in contribution payments. The single insurer system also provided the national health insurance system with the opportunity to strengthen its purchasing function. Nevertheless, the Korean health system faces challenges. Policy priority was given to population coverage, with low contributions and a limited benefits package, which resulted in insufficient financial protection of the insured. The rapid increase in private-sector providers has helped the supply readiness for universal health care, but has also engendered challenges to financial sustainability due to profit-seeking behavior and the overprovision of care, which was further exacerbated by fee-for-service payments. Korea’s health system also needs to be further reoriented to respond to the rapid aging of the population, and to the introduction in 2008 of a new public insurance scheme for long-term care. 2018-01-18T20:03:54Z 2018-01-18T20:03:54Z 2018-01 Working Paper http://documents.worldbank.org/curated/en/418791516185685994/Advancing-universal-health-coverage-what-developing-countries-can-learn-from-the-Korean-experience http://hdl.handle.net/10986/29179 English Universal Health Coverage Studies Series;No. 33 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper East Asia and Pacific Korea, Republic of
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic HEALTH
UNIVERSAL HEALTH COVERAGE
HEALTH FINANCE
GOVERNANCE
ACCOUNTABILITY
DEMOGRAPHICS
HEALTH INSURANCE
HEALTH EXPENDITURE
UNICO
UHC
spellingShingle HEALTH
UNIVERSAL HEALTH COVERAGE
HEALTH FINANCE
GOVERNANCE
ACCOUNTABILITY
DEMOGRAPHICS
HEALTH INSURANCE
HEALTH EXPENDITURE
UNICO
UHC
Kwon, Soonman
Advancing Universal Health Coverage : What Developing Countries Can Learn from the Korean Experience?
geographic_facet East Asia and Pacific
Korea, Republic of
relation Universal Health Coverage Studies Series;No. 33
description The Republic of Korea achieved universal health coverage in 1989, twelve years after the introduction of mandatory health insurance for employees in large corporations. Political legitimization of the authoritarian regime and rapid economic growth contributed to the rapid extension of health coverage. Most health care providers are private. In 2000, all insurance funds were merged into a single insurer, which improved the efficiency of risk pooling and equity in contribution payments. The single insurer system also provided the national health insurance system with the opportunity to strengthen its purchasing function. Nevertheless, the Korean health system faces challenges. Policy priority was given to population coverage, with low contributions and a limited benefits package, which resulted in insufficient financial protection of the insured. The rapid increase in private-sector providers has helped the supply readiness for universal health care, but has also engendered challenges to financial sustainability due to profit-seeking behavior and the overprovision of care, which was further exacerbated by fee-for-service payments. Korea’s health system also needs to be further reoriented to respond to the rapid aging of the population, and to the introduction in 2008 of a new public insurance scheme for long-term care.
format Working Paper
author Kwon, Soonman
author_facet Kwon, Soonman
author_sort Kwon, Soonman
title Advancing Universal Health Coverage : What Developing Countries Can Learn from the Korean Experience?
title_short Advancing Universal Health Coverage : What Developing Countries Can Learn from the Korean Experience?
title_full Advancing Universal Health Coverage : What Developing Countries Can Learn from the Korean Experience?
title_fullStr Advancing Universal Health Coverage : What Developing Countries Can Learn from the Korean Experience?
title_full_unstemmed Advancing Universal Health Coverage : What Developing Countries Can Learn from the Korean Experience?
title_sort advancing universal health coverage : what developing countries can learn from the korean experience?
publisher World Bank, Washington, DC
publishDate 2018
url http://documents.worldbank.org/curated/en/418791516185685994/Advancing-universal-health-coverage-what-developing-countries-can-learn-from-the-Korean-experience
http://hdl.handle.net/10986/29179
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