Page 21 - 2018-19全民健康保險年報

scope of insurance payments. It is responsible for negotiating, determining, and allocating total annual medical payment expenses. It is hoped that the income/expenditure linkage mechanism will ensure long-term financial stability.
The NHI system’s financial situation improved significantly following implementation of the 2nd-generation NHI, due to the collection of supplemental premiums on an expanded revenue base and the increase in the government’s overall contribution rate. The NHI’s greater sources of funding allowed collection of premiums to comply more closely with the ability to pay, and the insurance system’s financial situation improved
全民有保 財務永續
Universal Coverage and Financial Sustainability
significantly (Chart 2-1). As a consequence, in accordance with the “NHI financial balance and revenue-expenditure linkage mechanism,” starting on January 1, 2016, the regular insurance premium rate was reduced from 4.91% to 4.69%, and the supplementary premium rate was lowered from 2% to 1.91%. In addition, in accordance with public sentiment, starting in 2016, the threshold for collecting supplementary premium for one-time professional service income, stock dividend income, interest income, and rental income payments, was adjusted upwards from NT$5,000 to NT$20,000. Furthermore, the NHIA has strengthened the auditing and monitoring of supplementary premiums
圖2-1 二代健保實施前後財務收支累計餘絀情形
Chart 2-1 Cumulative Balance before and after the 2nd Generation NHI
億元 NT$100 million 3,000
2,474
2,289
2,500 2,000
2,376
截至2017年12月底，歷年保險收支結餘2,376億元。
目前財務穩定，安全準備充裕。
1,500 • By the end of December 2017, the cumulative 1,260 balance of the NHI was NT$ 237.6 billion.
1,000 • Currently, NHI is financially stable, and the Safety746 500 Reserve fund is plentiful. 210
-
-500 -265 -1,000
-55
2010 2011
-397
2008
2009
-582
2012 2013 2014 2015 2016 2017
年底
Year end
財務改革 措施
• Financial
reform policies
2010年4月 費率由4.55% 調整至5.17%
• April 2010
Premium rate adjusted from 4.55% to 5.17%
2013年1月二代健保實施 2016年1月 一般保險費率由5.17%調整至4.91%開始收繳 一般保險費率由4.91%調整至
補充保險費(費率2%)
2nd generation NHI implemented on January 2013
• Standard premium rate was adjusted from
5.17% to 4.91%
• Start of supplementary premium collection
(premium rate 2%)
4.69% 補充保險費率由2%調整至1.91% January 2016
• Standard premium rate was
adjusted from 4.91% to 4.69% • Supplementary premium rate was adjusted from 2% to
1.91%.
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Chapter