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건강 보험료 개편에 따른 보험료 조정 계수의 적합성: 취업성공패키지 대상자 선정을 중심으로

The adjustment coefficient of health insurance in the successful employment package by the health insurance reform

병원경영학회지 2019년 24권 4호 p.33 ~ 42
신영석 ( Shin Young-Suk ) - 한국보건사회연구원

김은아 ( Kim Ein-A ) - 서울대학교 보건대학원
이진형 ( Lee Jin-Hyung ) - 성균관대학교

Abstract


Purpose: many domestic welfare programs use the amount of health insurance premiums as a way of measuring individuals? income levels for administrative convenience. As health insurance reform has been made, we examines the income level is still appropriately measured by the health insurance premiums for the employment success package as one of domestic welfare program.

Methodology/Approach: we investigate whether the upper limit of the premiums of the self-employed health insured is appropriate or not after healthcare reform, which currently calculated by multiplying the insurance premium of the employee based insured by the adjustment factor (1.2).

Findings: we examined appropriateness of the adjustment factors by comparing the premiums before and after the healthcare reform by utilizing the national health insurance data as well as Korea Welfare panel data. We found that the new value of adjustment factor (1.0~1.1) is smaller than the current one (1.2).

Practical Implications: to improve the equity between the employee and the self-employed insured after the health insurance reform, the adjustment factor should be lower.

키워드

Health Insurance Reform; Successful Employment Package; Equity
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