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[Japanese health care insurance system and its reform]
1Nihon University, School of Medicine, Tokyo, Japan.
Nihon Geka Gakkai Zasshi
|January 10, 1998
Abstract:
Japanese people are covered with comprehensive national health-care insurance system since 1960's. Recently, elderly people have increased rapidly and healthcare cost for them has reached to share 30% in national health care expenditure. Several innovative reforms in healthcare system are now carried out. Legal price of drugs which has been fixed in social insurance, shall be floated in market mechanism, and payment system will be changed from "fee for services" to "per case system" like DRG/PPS. New health insurance scheme for the elderly is to be introduced in near future.