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 d. System, governance and (self-)regulation in SHI and SHI system reform: competition and solidarity

a. Public financing (財源籌措) and reform of NHI in Taiwan: (補 充保費) b. Overview, system design and financing of Long-term Care (LTC) c. LTC Insurance and Ten-Year Long-term Care Plan (LTC 2.0) in Taiwan

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)

民族掃墓節

Mid-Term Reports (期中分組報告)

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 c. NHI Case Payment Initiatives and Tw-DRGs-based payment reform

a. Prospective payment reform for ambulatory care (APGs.) , longterm care (RUGs & HHRGs) and other setting (Long-term care hospital, inpatient rehabilitation, mental care) b. Payment system design of LTCI and LTC 2.0 c. Setting fee schedules for LTC

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

a. Pay for Performance(P4P), Value-based purchasing: International and NHI experience (論質計酬)。 b. Care integration: for people with multi-comorbidities and among health, medical long-term and community care c. NHI mid-& long-term reform: cross-sectors integration and collaboration

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, Netherland(期末報告)

Health and long-term care system reform in OECD countries: country case study: Austria, Swiss, Korea, Germany, France, Japan, and United States(期末報告)

補充教學