The 2nd HPD report - Health Policy Monitor

Public Visibility
Impact
Transferability
Entire health
insurance system
under review
Public consultations
as approved
policy tool
after the introduction of a social health insurance system (as in
continental Europe), Korean health politicians concluded that a
single-payer system could do the job just as well. The merger of
350 health insurance societies into a monopsony system (with
just one entity purchasing products and services from multiple
providers) is expected to spread risks more evenly, avoid insolvencies
of smaller insurers and increase equity and efficiency—although
at the expense of leaving no choice for the insured.
Financing
France: Health insurance reform
The current French health insurance reimbursement scheme is
regarded as inefficient (high expenditures) and inequitable
(higher burden for low-income people). As a result, France is now
discussing comprehensive health insurance reform.
The Ministry of Health (MoH) commissioned Jean-Francois
Chadelat, an expert on social security issues, to compile a report
on reform proposals. The “Chadelat Report” recommended a
three-tier structure, starting with basic insurance coverage for a
minimum benefits “basket” of services to be partly reimbursed
(from zero to 100 percent, depending on the service). At the next
level, a highly regulated public co-insurance system would cover
standardized services. The third level, neither regulated nor
standardized, would allow individuals and families to take out
totally optional insurance to cover additional services, according
to individual preferences.
Idea
Pilot
Policy Paper
Legislation
Adoption
Evaluation
Change
The “Chadelat Report” recommendations triggered such controversy
that the MoH shelved them and in October 2003 appointed
another commission, the Steering Committee on Health Insur-
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