Table 1
Estimate of Ratio of Patient group in new scheme.
| PATIENT GROUP | NUMBER OF PATIENT | RATIO (%) |
|---|---|---|
| Total | 438,563 | 100.0 |
| Top-level medical needs | 8,022 | 1.8 |
| High-level medical needs | 100,544 | 22.9 |
| Middle-level medical needs | 108,697 | 24.8 |
| Light-level medical needs | 47,596~99,848 | 11.2~22.8 |
| Social Admission | 121,452~173,704 | 27.7~39.4 |
Table 2
Eligibility levels for long-term Care.
| LEVEL | MENTAL AND PHYSICAL STATUS | LONG-TERM CARE APPROVAL SCORE |
|---|---|---|
| 1 | Requires help in all aspects of daily life | ≥95 |
| 2 | Requires help in most parts of daily life | ≥75 and <95 |
| 3 | Requires help in part of daily life | ≥60 and <75 |
| 4 | Requires some help for daily living because of functional disability | ≥51 and <60 |
| 5 (Special level of dementia) | Dementia with limited functional decline | ≥45 and <51, dementia |
| 6 (Cognition-supporting level) | Dementia with intact physical function | <45, dementia |
Table 3
Budget for senior care project by region in Korea (As of 2019, KRW 1 million).
| REGION (MAJOR CITY AND PROVINCE) | TOTAL BUDGET | POPULATION SHARE | NATIONAL BUDGET | NATIONAL BUDGET SHARE | MAJOR CITY AND PROVINCE BUDGET | MAJOR CITY AND PROVINCE BUDGET SHARE | COUNTY AND DISTRICT BUDGET | COUNTY AND DISTRICT BUDGET SHARE | SHARE OF THE ELDERLY POPULATION | LONG-TERM CARE INSURANCE APPLICATION SHARE |
|---|---|---|---|---|---|---|---|---|---|---|
| Gangwon | 35,711 | 5.2 | 25,121 | 70.3 | 2,773 | 7.8 | 7,817 | 21.9 | 3.8 | 4.1 |
| Gyeonggi | 93,606 | 13.5 | 64,462 | 68.9 | 3,676 | 3.9 | 25,276 | 27 | 20.6 | 19.9 |
| Gyeongnam | 65,381 | 9.4 | 46,172 | 70.6 | 8,149 | 12.5 | 11,060 | 16.9 | 6.8 | 7.4 |
| Gyeongbuk | 73,504 | 10.6 | 54,337 | 73.9 | 7,895 | 10.7 | 11,272 | 15.3 | 6.8 | 7.7 |
| Gwangju | 34,868 | 5 | 22,268 | 63.9 | 9,978 | 28.6 | 2,622 | 7.5 | 2.4 | 3 |
| Dae-gu | 36,342 | 5.3 | 23,781 | 65.4 | 10,378 | 28.6 | 2,183 | 6 | 4.7 | 4.3 |
| Daejeon | 15,939 | 2.3 | 10,752 | 67.5 | 4,630 | 29 | 557 | 3.5 | 2.5 | 2.8 |
| Busan | 62,115 | 9 | 37,664 | 60.6 | 16,895 | 27.2 | 5,706 | 9.2 | 7.7 | 6.3 |
| Seoul | 67,398 | 9.7 | 16,862 | 25 | 42,656 | 63.3 | 7,880 | 11.7 | 18.4 | 14.2 |
| Sejong | 1,604 | 0.2 | 878 | 54.8 | 725 | 45.2 | 0 | 0 | 0.4 | 0.4 |
| Ulsan | 9,402 | 1.4 | 6,679 | 71 | 1,681 | 17.9 | 1,043 | 11.1 | 1.6 | 1.4 |
| Incheon | 24,162 | 3.5 | 16,065 | 66.5 | 4,393 | 18.2 | 3,704 | 15.3 | 4.8 | 5 |
| Jeonnam | 47,903 | 6.9 | 34,113 | 71.2 | 4,747 | 9.9 | 9,043 | 18.9 | 5.3 | 6.8 |
| Jeonbuk | 60,512 | 8.7 | 44,072 | 72.8 | 7,710 | 12.7 | 8,730 | 14.4 | 4.6 | 6.2 |
| Jeju | 6,909 | 1 | 4,260 | 61.7 | 451 | 6.5 | 0 | 0 | 1.3 | 1.3 |
| Chungnam | 37,874 | 5.5 | 26,813 | 70.8 | 6,058 | 16 | 5,003 | 13.2 | 4.8 | 5.6 |
| Chungbuk | 18,997 | 2.7 | 12,193 | 64.2 | 1,778 | 9.4 | 5,026 | 26.5 | 3.4 | 3.6 |
| Total | 692,227 | 446,493 | 64.5 | 134,573 | 19.4 | 106,921 | 15.4 |
Table 4
Income, Subsidy and Expenditure of NHI and LTCI(KRW 100 million).
| 2017 | 2018 | 2019 | 2020 | ||
|---|---|---|---|---|---|
| National Health Insurance | Premium income | 495,138 | 533,168 | 581,010 | 634,901 |
| National Subsidy | 51,512 | 54,734 | 59,721 | 70,826 | |
| Proportion of National Subsidy | 10.4% | 10.3% | 10.3% | 11.2% | |
| Total Expenditure | 571,633 | 633,199 | 708,605 | 770,171 | |
| Long-Term Care Insurance | Premium income | 32,368 | 38,525 | 48,272 | 63,229 |
| National Subsidy | 5,822 | 7,107 | 8,912 | 12,414 | |
| Proportion of National Subsidy | 18.0% | 18.4% | 18.5% | 19.6% | |
| Total Expenditure | 54,839 | 70,103 | 82,486 | 96,759 | |
Table 5
Finance integration scenario for integrated care in Korea.
| SOURCE OF FUND | CATEGORY | (AS OF 2019, KRW 100 MILLION) |
|---|---|---|
| ESTIMATED SIZE OF FUND | ||
| 26,860–47,266 | ||
| Government Subsidy | 1,379–4,735 | |
| Conversion of insurance income | Level 5 and cognitive level of long-term care insurance | 6,837–9,387 |
| Elective hospitalization group of NHI | 4,800–19,300 | |
| Transfer of existing Project funded by budget | 6,922 | |
| Care Project by Central Government | 4,464 | |
| Care Project by Local Government | 2,458 |
Table 6
Fiscal Integration and Fiscal Savings Scenarios.
| NATIONAL BUDGET | LONG TERM CARE | SOCIAL ADMISSION COVERED BY NHI | TOTAL | REDUCTION SCALE | REDUCTION SCALE RATIO | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | (10) | (11) | (12) | (13) | (14) | (15) | |
| (UNIT: 100 MILLION, %) | EXISTING SCENARIO | MINIMUM ADJUSTMENT SCENARIO | MAXIMUM ADJUSTMENT SCENARIO | EXISTING SCENARIO | ADJUSTMENT SCENARIO | EXISTING SCENARIO | MINIMUM ADJUSTMENT SCENARIO | MAXIMUM ADJUSTMENT SCENARIO | EXISTING SCENARIO | MINIMUM ADJUSTMENT SCENARIO | MAXIMUM ADJUSTMENT SCENARIO | MINIMUM REDUCTION SCALE | MAXIMUM REDUCTION SCALE | MINIMUM REDUCTION RATE | MAXIMUM REDUCTION RATE |
| 2025 | 9,363 | 20,325 | 32,880 | 159,988 | 153,183 | 79,925 | 72,998 | 52,073 | 249,277 | 246,506 | 238,136 | –2,771 | –11,141 | –1.1 | –4.5 |
| 2030 | 13,510 | 29,704 | 47,100 | 250,491 | 240,056 | 110,742 | 101,144 | 72,151 | 374,743 | 370,904 | 359,307 | –3,839 | –15,437 | –1.0 | –4.1 |
| 2035 | 16,702 | 40,452 | 63,908 | 392,164 | 376,178 | 149,317 | 136,376 | 97,283 | 558,183 | 553,007 | 537,369 | –5,176 | –20,814 | –0.9 | –3.7 |
| 2040 | 19,842 | 54,659 | 84,918 | 617,352 | 592,552 | 192,626 | 175,931 | 125,499 | 829,819 | 823,142 | 802,969 | –6,678 | –26,851 | –0.8 | –3.2 |
| 2045 | 23,841 | 73,554 | 111,106 | 934,271 | 896,989 | 239,053 | 218,335 | 155,747 | 1,197,165 | 1,188,878 | 1,163,843 | –8,287 | –33,322 | –0.7 | –2.8 |
| 2050 | 28,258 | 95,098 | 139,867 | 1,315,697 | 1,263,677 | 284,992 | 260,292 | 185,678 | 1,628,947 | 1,619,067 | 1,589,221 | –9,880 | –39,726 | –0.6 | –2.4 |