Page 10 - 中華民國109年版 全民健康保險會年報

Abstract

As one of the nation’s most critical social safety nets, the National Health Insurance (NHI) program
has protected the health and wellbeing of Taiwan citizens for over 25 years. In 2020, the NHI was

created considerable challenges for healthcare systems. Despite the formidable challenges ahead, the

positions and opinions, the Committee members strove to form a consensus on key undertakings, such

as negotiated the 2021global budget, reviewed premium rate, etc. They also actively reviewed NHI

operations to ensure sustainable practices are in place, so as to ensure a bright outlook for both the NHI
and citizens of Taiwan.

8 The foremost task of the NHIC in 2020 was to set the annual budget cap and its allocation for

2021. While discussed budgetary matters, the Committee members always took medical needs of the
insured as well as long-term financial stability of NHI into consideration. After preparations and an

11-hour negotiation meeting on September 24, the budget caps for the sectors of dental care, Chinese

Medicine and other budgets were set. As for the sectors of hospitals and clinics, due to disputes on some
items, consensus was not reached among stakeholders. Therefore, both sides submitted their respective

proposals to the Ministry of Health and Welfare (MOHW) for final decision. After consideration, the
MOHW set the total growth rate of medical expenses in the year 2021 at 4.107%, with the overall global

budget reaching NT$783.554 billion. The increases to the 2021 global budget are used to introduce new

medical technology, to strengthen the referral system, and to protect the healthcare resources of rural and
disadvantaged groups, thus improving the overall quality and delivery of medical services. In addition, the

NHIC also completed the regional budget allocation of each of the six regional divisions on schedule, and

to reinforce health services delivery for rural and disadvantaged groups.

In accordance with the total negotiated budget for medical expenditures stipulated in the
aforementioned agreement, the NHIC reviewed the 2021 fiscal year premium rate proposed by the

National Health Insurance Administration (NHIA) on November 20. In light of the strong correlation

stability, the Committee needed more financial analysis. Therefore, an ad hoc meeting was convened