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Japan - Health Care Financing and Expenditure
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last edited
by Cain Farmer 14 years, 3 months ago
Return to Japan
Total Health Care Spending (Per Capita US$) & Year
- Overall = 259,300 yen = 2,677 USD
- Under 65 yrs
- 0-14 =129,500 yen = 1,337 USD
- 15-44 = 103,500 yen = 1,069 USD
- 45-64 = 250,900 yen = 2,591 USD
- Over 65 yrs = 655,700 yen = 6,771 USD
Total Health Care Spending as (% of GDP) & Year
Health Care Funders (Percentage of total costs)
- 25% National Government
- 8% Local Government
- 22% Employer premium
- 30% Employee/Insured premium
- 15% out of pocket
(1999)
Health Care Administrators or Payers
- Numerous, depending on place of employment
- But all administered and regulated by Ministry of Health, Labor and Welfare
Secondary Insurance Providers
- Provides defined cash benefits only upon occurrence of event
- Major private insurers include: Nippon Life Insurance, MeijiYasuda Life Insurance, Tokio Marine, Sompo Japan, etc.
Provider Payment Methods
- Primarily FFS
- Limited introduction of new declining per diem payment for inpatient admissions (DPC) to incentivize shorter stays
- Hospital physicians are salaried
- Solo clinic physicians are dependent on insurance receipts and copayments for services rendered
- Local or national budgets for services to manage health care spending?
- Both, but moving towards more local management
Key Financing & Expenditure Trends
Return to Japan
Japan - Health Care Financing and Expenditure
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