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Digital Health Care in Taiwan : Innovations of National Health Insurance.

Bibliographic Details
Main Author: Lee, Po-Chang.
Other Authors: Wang, Joyce Tsung-Hsi., Chen, Tzu-Yu., Peng, Chia-hui.
Format: eBook
Language:English
Published: Cham : Springer International Publishing AG, 2022.
Edition:1st ed.
Subjects:
Electronic books.
Online Access:Click to View
Table of Contents:
  • Intro
  • Foreword
  • Investing in the National Health Insurance Is Investing in Health
  • Preface
  • Thoughts on Reforming the National Health Insurance
  • Acknowledgments
  • Contents
  • About the Contributors
  • About the Editors
  • Abbreviations
  • Chapter 1: Introduction to the National Health Insurance of Taiwan
  • The Core Concepts of Taiwan's National Health Insurance
  • The Organisational Structure and History of the National Health Insurance Administration
  • Characteristics of Taiwan's National Health Insurance
  • The Finance of the National Health Insurance in Taiwan
  • Medical Utilisation of the National Health Insurance
  • The Payment System of the National Health Insurance
  • The Healthcare Quality of the National Health Insurance
  • The Information System of the National Health Insurance
  • Achievement of the National Health Insurance
  • The Critical Blueprints of Taiwan's National Health Insurance
  • Chapter 2: Income Strategy
  • Introduction
  • Sources of National Health Insurance Income
  • Premium Income
  • Proportions of Various Sources of Income
  • Enrolment Eligibility and Premium Calculations
  • Classification of the Insured
  • Calculation of Premiums
  • Calculation of the Premium Rate
  • The Annual Premium Rate Review Process
  • The Financial Structure of National Health Insurance
  • Establishment of an Actuarial Model to Calculate the Premium Rate
  • Co-payments Under the National Health Insurance Act and How They Are Charged
  • Co-payments for Outpatient Visits
  • Co-payments for Emergency Care
  • Co-payment Rates for Inpatient Care
  • Fair Burden─Change Unnecessary Health Care [1]
  • The Value of National Health Insurance Manifests When Major Illnesses Occur
  • Provide the Best Drugs for Patients in Need
  • Avoid the Vicious Circle
  • Drug Co-payments May Increase Slightly
  • Conclusion
  • Reference.
  • Chapter 3: Payment Structure
  • Introduction
  • Different Payment Methods in the National Health Insurance System
  • A Simple Explanation of the Global Budget Payment System
  • Introduction to Each Payment Method
  • Implementation of Pay-for-Performance and Bundled Payment in Recent Years
  • Global Budget Payment System
  • Planning the Annual Global Budget
  • Global Budget Distribution and Management
  • Reducing the Provision of Unnecessary and Excessive Medical Services to Increase the Value of the Relative Value Unit
  • Relative Value Units and Relative Value Unit Values are the Overall Causes and Outcomes of Each Other
  • Adjusting Relative Value Units to Promote Balanced Development of Medical Specialties
  • Guaranteeing the Relative Value Unit Value to Encourage Investment in the Healthcare Workforce
  • Establishment and Revision of Fee Schedule
  • Fee Schedule Revision Procedure
  • Health Technology Assessment
  • Items Not Been Covered by the NHI
  • Self-Management Plan Under the Global Budget Payment System and Corresponding Measures of Insufficient Budgeting
  • Self-Management Plan
  • Subtracting Relative Value Units Directly
  • Sharing the Relative Value Unit Gap
  • Analysis and Reflections
  • Chapter 4: Comprehensive Policies
  • Introduction
  • Implementation of the Separation of Medicine and Pharmacy from a National Health Insurance Perspective
  • The Meaning of Separating Medicine and Pharmacy
  • The Effectiveness of Separating Medicine and Pharmacy
  • Ownership of Dispensing Rights from a Legal Perspective
  • The Person in Charge of Medical Services in the National Health Insurance System
  • The Strategy to Promote Separation of Medicine and Pharmacy-Discussion and Conclusions
  • Patient-Centered Integrated Care Plans
  • National Health Insurance Big Data Reflect the Ageing Population
  • The Family Doctor Integrated Care Program.
  • Providing a New Model of Integration and Interdisciplinary Services
  • Incorporating the Labor Power of Home Care into Integrated Care
  • Promoting the Vertical Integration of Hospitals and Clinics
  • Healthcare Digital Transformation Brings Win-Win-Win for Physicians, Patients, and National Health Insurance
  • Connection to Long-Term Care After Hospital Discharge
  • Covering the Discharge Planning and Follow-Up Management Fee Through National Health Insurance
  • Implementation of Long-Term Care 2.0
  • Connection Between National Health Insurance Discharge Planning and Long-Term Care 2.0
  • Tiered Medical Care System
  • Current Distribution of Hospital Levels
  • Encouraging Big Hospitals to Treat Acute, Severe, and Difficult Diseases
  • Small Hospitals Are the Leaders of Community Medical Care
  • Consolidate Small Hospitals in Remote Areas to Continuously Protect the Health of Residents
  • Co-Payment Adjustment
  • Current Situation Analysis
  • The Planning, Thinking, and Direction of Outpatient Co-Payments
  • Conclusion
  • References
  • Chapter 5: Pursuing Health Equity
  • Introduction
  • Removing Barriers to Health Care to Protect the Disadvantaged
  • Decoupling of the Payment of Premiums from the Right to Receive Medical Care
  • The National Health Insurance Premium Deferment Paying Measures of the COVID-19 Epidemic
  • Medical Services on Remote and Offshore Islands
  • The Integrated Delivery System
  • Improvement Plan for Medically Underserved Areas
  • Upgrading Medical Services in Underserved Areas
  • National Health Insurance Strives to Remove Barriers to Medical Treatment
  • Prospects
  • National Health Insurance Stands by Patients with Rare Diseases
  • Rare Diseases Are Categorized as Catastrophic Illnesses to Waive Patient Co-Payments
  • Strengthening Control Measures for Orphan Drugs
  • My Health Bank-Promoting Self-Health Management.
  • My Health Bank Guards Our Health
  • Rapid Cell Phone-Based Certification Allows Users to Manage Their Medical Information Easily
  • Family Member Management Function Added to Safeguard Family Health
  • Software Development Kit Connects Health Services Better
  • Supporting Name-Based Mask Distribution System to Assist the Country in Epidemic Prevention
  • The Significance of Including National Health Insurance in Elementary School Teaching Materials
  • Chapter 6: Infrastructure of the Medical Information System
  • Introduction
  • Cornerstone of the National Health Insurance Database-Introduction to the NHI Medical Information System
  • Highly Automated Process of Medical Claims
  • Establishing National Health Insurance MediCloud System to Implement a Tiered Medical Care System
  • The National Health Insurance MediCloud System
  • Building Patient-Centered "NHI PharmaCloud System"
  • Upgrading of the "NHI MediCloud System"
  • Design of Active Reminders in the NHI MediCloud System
  • Personal Privacy Protection and Information Security Management
  • Cloud-Based Healthcare Technology Is a Future Trend
  • Continuously Upgrading the NHI MediCloud System
  • Applying the Technology to Provide Reminders Proactively
  • Image Upload, Retrieval, and Sharing
  • Importing ISO Certification to Protect Personal Information
  • Integrating Information Across Organizations to Safeguard the Health of All Residents
  • Continuous NHI MediCloud System Upgrade Enables Smart Medical Care
  • The National Health Insurance Information Security Management System and Data Protection Mechanism
  • Continuous Improvement of the Information Security Management Mechanism
  • Defense-in-Depth Mechanism Implementation and Internal and External Network Isolation Policies
  • Regular Information Security Testing and Drills to Reduce the Potential Risks of Information Security.
  • Implement Database ID Entity Encryption Mechanism
  • Conclusion
  • Chapter 7: Innovative Applications of the Medical Information
  • Introduction
  • The Important Milestone: "2021-First Year of Telemedicine Being Covered"
  • The COVID-19 Pandemic Accelerates the Inclusion of Telemedicine into the Benefits Package of the National Health Insurance
  • Inclusion of Telemedicine in the Fee Schedule in 2021
  • Digital Technology Extends Medical Care
  • The Major Stride of Health Insurance Information Network and Far-Reaching Medical Services Made Possible by 5G
  • Brief Talk About the Health Insurance Information Network
  • Enter the 5G Era
  • Future Direction
  • Virtual NHI Card Users in the 5G Era
  • Planning for a New Generation NHI Card
  • The Virtual NHI Card Pilot Program
  • Continuous Function Progresses
  • Using the National Health Insurance Information System for COVID-19 Prevention
  • The Cross-Departmental Cooperation of the National Health Insurance Cloud System to Add a TOCC Reminder
  • Establish a Control System for Masks and Distribute Protective Materials Fairly
  • Enhance NHI Express APP and My Health Bank Functions for COVID-19 Prevention [1]
  • The Name-Based Medical Mask Distribution System Is a Successful Model Established by Government and Private Sector Partnerships to Fight the COVID-19 Pandemic [2]
  • Medical Masks Become Popular Anti-epidemic Materials
  • Government and Private Sectors Cooperate to Create the Mask Map
  • The Coverage Rate of Name-Based Medical Mask Distribution System Is Improving Continuously
  • The Resilience of the NHIA Organization Is a Blessing For All
  • References
  • Chapter 8: Drug and Medical Device Reimbursement
  • Introduction
  • How Are Drug Prices Determined?
  • Classification and Pricing of the Drugs Under the National Health Insurance
  • Adjustment of Drug Price.
  • How to Classify Medical Devices and Determine the Price?.

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