Page 111 - 2024 Taiwan Health and Welfare Report

08 ｜ National Health Insurance and National Pension

Figure 8-3 Reserve Fund, Before and After Implementation of the Second-Generation NHI

100 million
3,000
2,474
2,500 2,289 2,376
2,109
2,000 1,767
1,388
1,500 1,260 1,091
936 1,049
1,000 746
500
210
-55
-
-265 -397
-582
-500
-1,000 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 Year
The adjustment of premium rate
April 2010 The implementation of the January 2016 January 2021
Second-Generation NHI in
●The general ●The general premium ●The general premium rate
January 2013.
premium rate was rate was decreased from was increased from 4.69%
increased from ●The general premium rate was 4.91% to 4.69% to 5.17%.
4.55% to 5.17%. decreased from 5.17% to 4.91%. ●The supplementary ●The supplementary
●NHI began to collect the premium rate was premium rate was increased
supplementary premium, and decreased from 2% to from 1.91% to 2.11%.
the rate was 2%.
1.91%.
Source: National Health Insurance Administration, MOHW (NHIA)

Ministry of Health and Welfare for reporting to the Executive The "NHI High-utilization Patient Counseling Program"
Yuan for approval. For the 2024 fiscal year, based on the provided counseling to people that made more than 90
review process, the general insurance premium rate was outpatient visits in the preceding year. If there was no
maintained at 5.17%, and the supplementary premium significant improvement after one year of counseling and the
rate was 2.11%. The current financial situation remains user was determined by a review physician to be engaging
manageable, but long-term financial pressures will in abnormal seeking of medical care, no payments will be
persist due to factors such as an aging population and made unless they seek treatment at designated institutions
advancements in medical technology. The Ministry will (except in the case of emergency). After receiving guidance
continue to review and propose a more robust financial throughout 2023, high-utilization cases from 2022 (year of
system to ensure long-term financial sustainability. medical visits) experienced an average decrease of 16.01%
in healthcare visits. This reduction resulted in a cost savings
Section 4 Diverse Payment Methods and
of approximately NTD 386 million.
Rational Management The Integrated Home Care Plan had 226 teams at
The main payment method for NHI medical services the end of 2023 including 3,315 medical institutions. A
has been "Fee-for-Service (FFS)." To effectively control the total of 85,000 people were provided with care services
growth in medical expenses, the Global Budget Payment during the course of 2023. Post-Acute Care (PAC) program
System was introduced in 2002 and this has kept the established "PAC Teams" at medical centers (only for heart
annual growth in medical expenditure at approximately 5%. failure), regional and district hospitals for the treatment of
In addition, the payment strategies, such as case payment stroke, burn, traumatic nerve injury, fragility fracture, heart
and pay for performance (P4P) were implemented to change failure and frail senior patients. PAC Teams provide such
medical practice and enhance the quality of medical services. patients with integrated care during the golden treatment
In 2010, the Taiwan Diagnosis Related Groups (Tw-DRGs) period such as intensive and regular physiotherapy,
were first implemented, with phase 2 continuing in 2014. occupational therapy, and language therapy as well as

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