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The Effect of a Redistribution System for Health Care for the Elderly on the Financial Performance of Health Insurance Societies in Japan

Published online by Cambridge University Press:  10 March 2009

Akira Babazono ,
Janet Weiner ,
Toshihide Tsuda ,
Yoshio Mino  and
Alan L. Hillman
Akira Babazono
Affiliation:
Kyushu University and University of Pennsylvania
Janet Weiner
Affiliation:
University of Pennsylvania
Toshihide Tsuda
Affiliation:
Okayama University
Yoshio Mino
Affiliation:
Okayama University
Alan L. Hillman
Affiliation:
University of Pennsylvania
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Abstract

Health care for the elderly in Japan is financed through a pool to which all insurers contribute. We analyzed insurers' financial data to evaluate this redistribution system. Cost sharing affected financial performance substantially. The current formula for cost-sharing redistributes elderly health care costs unequally and should be changed.

Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 14 , Issue 3 , Summer 1998 , pp. 458 - 466
Copyright
Copyright © Cambridge University Press 1998

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References

REFERENCES

1.Babazono, A., Ogawa, T., & Babazono, T.The effect of a cost sharing provision in Japan. Family Practice, 1991, 8, 247–52.CrossRefGoogle ScholarPubMed
2.Babazono, A., Ogawa, T., Babazono, T. et al. The effect of sharing medical costs for the aged 70 or more on the financial balance of the health insurance society. Japanese Journal of Hygiene, 1991, 46, 890–97 (in Japanese).Google ScholarPubMed
3.Babazono, A., Ogawa, T., Tsuda, T., et al. The number of insured people in a health insurance association and their share of medical costs for the elderly. Igaku No Ayumi, 1991, 159, 527–28 (in Japanese).Google Scholar
4.Iglehart, J. K.Japan’s medical care system. New England Journal of Medicine, 1988, 319, 807–12.CrossRefGoogle ScholarPubMed
5.Ikegami, N.Japanese health care: Low cost through regulating fees. Health Affairs, 1991, 10, 87–109.CrossRefGoogle ScholarPubMed
6.Ikegami, N., & Campbell, J. C.Medical care in Japan. New England Journal of Medicine, 1995, 333, 1295–99.CrossRefGoogle ScholarPubMed
7.King, G.Health care reform and the Medicare program. Health Affairs, 1994, 13, 39–45.CrossRefGoogle ScholarPubMed
8.Kobayashi, Y.Health care expenditures for the elderly and reforms in the health care system in Japan. Health Policy, 1994, 29, 197–208.CrossRefGoogle ScholarPubMed
9.Kobayashi, Y.Health care financing for the elderly in Japan. Social Science of Medicine, 1993, 37, 343-53.CrossRefGoogle ScholarPubMed
10.Kobayashi, Y.Economic analysis of home care and hospital care for terminally ill patients. Japanese Journal of Public Health, 1988, 35, 11–18.Google Scholar
11.Kobayashi, Y., & Yano, E.Structure, process, effectiveness and efficiency of the check and review system in Japan's health insurance. Health Policy, 1991, 19, 229–44.CrossRefGoogle ScholarPubMed
12.Kokumin Eisei no Doko (Health State of the Nation, Annual Report). Tokya: Kosei Tokei Kyokai, 1993 (in Japanese).Google Scholar
13.Kramer, A. M.Health care for elderly persons—Myths and realities. New England Journal of Medicine, 1995, 15, 1027–29.CrossRefGoogle Scholar
14.Levit, K. R., Cowan, A., Lazenby, H. C., et al. National health spending trends, 1960–1993. Health Affairs, 1994, 13, 14–31.CrossRefGoogle ScholarPubMed
15.Ministry of Health and Welfare (MHW), Japan. Health and welfare statistics in Japan. Tokyo: Kosei Tokei Kyokai, 1988 (in Japanese).Google Scholar
16.Niki, R.Illustration of the regional differences in medical expenditures in Japan. Byoin, 1989, 48, 446–49.Google Scholar
17.Nishigaki, C., & Tatara, K.Comparison of medical care of inpatients aged 70 or more with different medical insurance. Japanese Journal of Hygiene, 1988, 43, 741–48.Google ScholarPubMed
18.Okamoto, E.Effects of financial redistribution mechanism for the elderly health care. lryo To Syakai, 1993, 3, 26–40.Google Scholar
19.Okimoto, D., & Yoshikawa, A.Japan's health system. Washington, DC: Faulkner & Gray, 1993.Google Scholar
20.Vladeck, B. C., & King, K. M.Medicare at 30: Preparing for the future. JAMA, 1995, 274, 259–62.CrossRefGoogle ScholarPubMed
21.Wilensky, G.Incremental health system reform: Where Medicare fits in. Health Affairs, 1995, 14, 173–81.CrossRefGoogle ScholarPubMed