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Managing health expenditures under national health insurance : the case of Korea (English)

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  • Managing health expenditures under national health insurance : the case of Korea (English)
  • de Geyndt, Willy
  • World Bank (WB)


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Title Managing health expenditures under national health insurance : the case of Korea (English)
Similar Titles
Material Type Reports
Author(English)

de Geyndt, Willy

Publisher

World Bank (WB)

Date 1991
ISBN 0-8213-1936-1
Language English
File Type Link
Subject Social Development < Health

Abstract

This paper analyzes the root causes underlying the rapid increase in health care costs: demand factors, supply factors, financial incentives, and administrative inefficiency. It argues that continuing cost escalation has an economic cost, a financial cost, and a social cost, and suggests a paradigm to analyze alternative strategies for controlling health care expenditures. Strategies are either: (i) micro or macro management in style, and (ii) supply side or demand side in emphasis. Finally, it examines the argument for regulating the private sector and for setting limits on freedom of choice for patients and providers in order to reach the objective of achieving an equitable, affordable and sustainable medical care system of acceptable quality.