健康與長期照護保險制度

a.Introduction b.The historical and social base of social health insurance (SHI) c.Overview of the National Health Insurance in Taiwan

a.System, governance and (self-)regulation in SHI and SHI system reform: competition and solidarity b.Sytem reform: 2G-NHI reform(二代健保改革) c.Overview and system design of Long-term Care Insurance (LTCI) and Ten-Year Long-term Care Plan (LTC 2.0)

a.Public financing (財源籌措) and reform of NHI in Taiwan: (補充保費) b.Financing Long-term care Insurance (LTCI):Taxation (LTC 2.0 ) vs. social insurance system

a.Benefit Design (給付), priority setting and health technology assessment (HTA,醫療科技評估):international experience and 2G-NHI reform

a.Benefit design and need assessment of LTCI and LTC 2.0 in Taiwan &international experience

a.Patients’ cost sharing (users’ charge) and reform:NHI, LTCI, LTC 2.0 and International experience b.Payment system of NHI : overview and international reform experience

a.Global budget payment system: international experience b.Global budget payment system of NHI(1)

a.Global budget payment system of NHI(2)

a.Research on Resources-Based Relative Value Scales (RBRVS) b.Research and reform of Taiwan-Relative Value Scales (T-RVS).

a.Case-mix system overview b.Prospective Payment System (PPS) based on DRGs: international experience NHI Case Payment Initiatives and Tw-DRGs-based payment reform

a.Prospective payment reform for ambulatory care (APGs..) b.Prospective payment reform for post-acute care and other setting (Long-term care hospital, inpatient rehabilitation, mental care)

a.Payment system design of LTCI, LTC 2.0, RUGs, HHRGs b.Setting fee schedules for LTC

a.Capitation and risk adjustment: International and NHI Initiatives b.Cost containment and strategies to reduce inefficiency (二代健保檢討報告)

a.Pay for Performance(P4P), Value-based purchasing: International and NHI experience(論質計酬)。Family Physician Initiatives, Physician Quality Responsibility System(2G-NHI reform醫師品質責任制度) b.Care integration, Accountable Care Organizations(ACOs), Medical Homes

a.Pharmaceutical benefit and payment reform:international experience. b.Pharmaceutical benefit and payment design of NHI c.Price regulation and pharmaceuticals payment system reform of NHI (三同政策,二代健保檢討報告,差額負擔)

Health and long-term care system reform in OECD countries: country case study: United Kingdoms, China, Sweden, Canada, Australia, Netherlan

Health and long-term care system reform in OECD countries: country case study: Austria, Swiss, Korea, Germany, France, Japan, and United States (另擇期授課,於6/19前結束課程)

台灣輔具暨長照專門展(南港展覽館一館一樓10-18:00)(4月23-26日)