Page 72 - 2024 Taiwan Health and Welfare Report

2024 Taiwan Health and Welfare Report

Section 2 Long-term Care Benefits and such as evenings or nights. This aims to encourage
the strengthening of care for difficult cases and the
Payments System
provision of services during special time periods in
1. From 2018 onwards, the promotion of a new system line with the policy.
for long-term care benefits and payments has been
initiated to meet the diverse needs of individuals. Chapter 2 The Long-Term Care
The goal is to encourage service providers to Resource Development
enhance their capacity and quality of services by
defining the items, content, and payment prices Section 1 Service System and Resource
for long-term care services. In alignment with the Integrated Development
amendment to Article 8-1, paragraph 4 of the Long-
Term Care Services Act, promulgated on June 9, 1. Community care service networks
2021, the new system for long-term care benefits To develop a community-based integrated care
and payments has been elevated in legal status. service model, Long-term Care 2.0 promotes the
The "Regulations on Application and Payment for community overall care system with cultivating
Long-Term Care Services" and the "Regulations on community integrated services centers (A)
Long-Term Care Contracted Management" were expanding combined service center (B) and widely
established, effective from February 1, 2022, and establishing LTC stations around the blocks (C)as
October 6, 2023, respectively. the principle. City / county governments have been
2. Individuals who meet the eligibility criteria for encouraged to work with long-term care, medical
long-term care benefits and payments, and are care, nursing and social welfare units. The MOHW
assessed by care managers as falling within Long- plans to establish 469 integrated service centers,
Term Care Case-Mix System(CMS) Levels 2 to 8, 829 combined service centers and 2,529 LTC
are entitled to have a care plan developed by case stations around the blocks in four years (between
managers at Community Integrated Service Centers 2017- 2020) (469A-829B-2,529C). As of the end
(A-level institutions). These centers coordinate of 2023, the progress thus far was (720A-8,552B-
with contracted long-term care providers to deliver 4,144C), with the following deployment in various
services such as care and professional services, municipalities as shown in Figure 5-1.
transportation services, assistive devices services, 2. Development and Deployment of Service
home barrier-free environment improvement Resources:
services, and respite care. (1) Increase in Long-Term Care Service Usage: By
3. Once the contracted long-term care providers the end of 2023, Long-Term Care benefits and
have fully provided the services, they can apply payments have subsidized 505,020 people. The
to the local government for cost reimbursement. most used service item was care services, which
Considering the limited service resources and increased by approximately 14.68% compared
transportation difficulties in indigenous areas and to 2022, as shown in Table 5-1.
offshore islands, a payment price that is 20% higher (2) Speeding up deployment of long-term care: In
than that in general areas is provided. However, the 2023, the number of specially engaged service
payment is still calculated based on the prices in units for various of Long-Term Care 2.0 reached
general areas, and the additional payment amount 8,858. This represents a 1.22-fold increase
is borne by the government. To prevent cases with compared to 2022. Among these services,
challenging care needs or special service time transportation services showed the most
requirements from being rejected, an additional significant growth, as seen in Table 5-2.
payment amount is provided for difficult care cases
or services provided during special time periods,

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