In Taiwan, each sectoral global budget is allocated among the six BNHI administrative regions.
Anticipating unnecessary service provision by clinics seeking to increase their respective market shares, the BNHI introduced concurrent policies to monitor provider volumes and audit providers who exceed historic service volumes.
Under this compulsory NHI's single-payer system, individuals with incommensurable conceptions of the good about what kinds of integrated bodily functions they prefer to obtain or to regain are forced to accept the universal standardized medical coverage determined by the BNHI. (281) More specifically, under the NHI's single-payer system, whether or not a medical intervention is included in the NHI's medical coverage is decided by the BNHI on the basis of a shared common basis to distribute health care without respecting individuals' moral, religious, and philosophical values.
Therefore, even if an individual regards treatment [X.sub.2] as a good treatment based upon his or her own conception of the good (which is different from the BNHI's), and is willing to pay extra for private insurance package with this treatment, the Financial Ministry's ban would prevent the individual from doing so.
To prevent up-coding, the BNHI has exercised close oversight and imposed a severe financial penalty on transgressions.
Disclaimers: This study is based in part on data from the NHIRD provided by the BNHI, Department of Health, and managed by the National Health Research Institutes (NHRI).
In response to the rising health spending, BNHI adopted several new reforms on reimbursement schemes (11,12) and raised the insurance premium rate for the first time since its inception in 2003.
To reflect differences in admitted severity mix and supplied quality of care, BNHI pays better accredited hospitals higher rates for the same service.
In a DRG system, the BNHI will set a fixed payment level for each disease requiring in-hospital care.
The BNHI has stated that the DRG system will not apply to treatments for AIDS, rare diseases, cancer, hemophilia and mental illnesses.
Disclaimer: This study is based in part on data from the NHIRD provided by the BNHI
, Department of Health, and managed by NHRI.
In response, the Bureau of NHI (BNHI
) introduced case payment in a phased manner, beginning with three diagnoses in 1996, and extending it to 50 diagnoses by 1999.