건강보험 재원조달체계 변화에 대한 대안 모색: 사회보험 운영국가(프랑스, 벨기에) 사례를 중심으로

Abstract

The purpose of this study is to investigate Korea health insurance financing system in countries operating under a social insurance structure and to identify recent improvements in their financing structures. To this end, we will examine the health insurance financing structure from the perspective of France and Belgium, which have strengthened government support. The research findings are as follows. First, changes in the subscriber population were evident in terms of subscribers and premiums. Proposals included raising premiums and adjusting the contribution ratio. Second, in the area of separate contributions and government subsidies, the expansion of tax support was proposed, including the establishment of social security contributions and earmarked taxes. Third, in the area of expenditure and financial management, proposals were made to manage health insurance expenditures, including payment systems and fee reform. Fourth, it was proposed to manage health insurance financial expenditures by investing the budget in preventive policies. Based on the above research findings, policy implications for potential changes in the financing structure of Korea’s national health insurance were presented.