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題名:臺灣長期照顧保險的費率預測與調整規劃
書刊名:社會政策與社會工作學刊
作者:鄭清霞 引用關係
作者(外文):Cheng, Ching-hsia
出版日期:2016
卷期:20:1
頁次:頁49-84
主題關鍵詞:長期照護社會保險部分提存準備費率規劃Long-term careSocial insurancePartial fundingProjecting and adjusting of premium rates
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:28
  • 點閱點閱:30
社會保險的財務處理方式基本上分為三種,隨收隨付、完全提存準備、部分提存準備。相對於商業保險,社會保險因其永續經營特性,通常不需要完全提存準備。本文以臺灣規劃中的長期照顧保險為例,實際進行長期費率規劃的模擬設算,並評估各方案的可行性。本研究以臺灣規劃中的長期照顧保險為例,採取模擬分析方法,討論費率規劃的原則,並實際進行費率規劃的模擬設算。本研究根據財務處理方式、平衡期間、費率上升幅度、準備金額度、人口成長率等條件,設計七種費率規劃方案進行費率規劃、費率調升幅度、保險費水準、累積準備金等模擬分析。本研究結論:根據(一)部分提存準備、(二)費率調整頻率、(三)費率調整幅度、(四)世代公平性、(五)基金累積規模等指標評估,比較合適的費率規劃為C與F方案。C方案的主要費率規劃條件是:(一)10年平衡;(二)3年調整一次費率。F方案主要條件為(一)10年平衡;(二)3年精算一次費率;(三)精算費率與現行費率差距5%即調整費率;(四)第3年起,準備金不低於3個月。
The financial scheme of the social insurance involves three models: pay as you go, full funding and partial funding. In contrast with the commercial insurance, the social insurance seldom takes the financial model of full funding because of its sustainable operation. This study took the 'Long-term Care Insurance' plan in Taiwan as the example, and applied the simulation analysis method to make simulative calculation programs of the premium rates in order to explore the principles underlying such these programs. Base on the dimensions of the financial model, the duration for financial balance, the premium rate growth, the funding amount, and the population growth rate, this study designed 7 simulative programs of the premium rate. Tables 1-4 showed the outcomes of programs A-G, including: the premium rate, the growth of the premium rate, the level of premium fee and the accumulated amount of funding. According to the financial model of partial funding, the frequency of premium rate adjustment, the growth of premium rate adjustment, intergenerational justice, and the accumulation of funding amount, program C and F were the more appropriate ones. The conditions of the premium rate in program C included: (1) 10 year-long duration for financial balance; (2) premium rate adjusted every 3 years. The conditions in program F included: (1) 10 year-long duration of financial balance; (2) premium rate adjusted every 3 years; (3) premium rate adjusted depending on the gap more than 5% between the calculated one and the existing one; (4) after the 3rd year, the funding amount should be able to pay more than the expenditure of 3 months.
期刊論文
1.鄭清霞、呂朝賢、王篤強(19950900)。「福利私有化」及其對臺灣福利政策的意涵。人文及社會科學集刊,7(2),147-174。new window  延伸查詢new window
2.Barr, N.、Diamond, P.(2009)。Reforming Pensions: Principles, Analytical Errors and Policy Directions。International Social Security Review,62(2),3-29。  new window
3.Colombo, F.、Mercier, J.(2012)。Help Wanted? Fair and Sustainable Financing of Long-term Care Services。Applied Economic Perspectives and Policy,34(2),316-332。  new window
4.Fcldstcin, M.(1999)。Prefunding Medicare。The American Economic Review,89(2),222-227。  new window
5.Iwamoto, Y.、Fukui, T.(2009)。Prefunding Health and Long-temi Care Insutrance。Public Policy Review,5(2),255-286。  new window
6.鄭清霞、王靜怡(20141200)。社會性長期照護保險的財務處理。臺灣社會福利學刊,12(1),65-119。new window  延伸查詢new window
7.Rothgang, H.(2010)。Social Insurance for Long-Term Care: An Evaluation of the German Model。Social Policy & Administration,44(4),436-460。  new window
8.Barr, N.(2010)。Long-Term Care: A Suitable Case for Social Insurance。Social Policy and Administration,44(4),359-374。  new window
9.Holdenrieder, J.(2006)。Equity and Efficiency in Funding Long-term Care from an EU Perspective。Journal of Public Health,14(3),139-147。  new window
10.鄭清霞、鄭文輝(20071000)。我國長期照顧制度的費用估算與財務處理。臺大社會工作學刊,15,167-218。new window  延伸查詢new window
11.Lassila, Jukka、Valkonen, Tarmo(2004)。Pre-funding Expenditure on Health and Long-term Care under Demographic Uncertainty。The Geneva Papers on Risk and Insurance--Issues and Practice,29(4),620-639。  new window
會議論文
1.Arnold, R.、Rothgang, H.(2009)。Financing Long-term Care Insurance: Reconciling a Pay-As-You-Go System with a Partly Funded System。The 7th ESP Anet Conference,(會議日期: 2009/09)。Urbino。  new window
2.鄭清霞(2011)。長期照護保險的財務規劃。首屆海峽兩岸農村社會保險理論與實踐研討會,中國社會保險學會農村社會保險委員會(主辦) (會議日期: 2011/09/08-09/09)。杭州:浙江大學。  延伸查詢new window
研究報告
1.鄭清霞、王靜怡、李光廷、陳明芳、陳正芬(2012)。建構我國長期照護保險精算模型。臺北:衛生福利部。  延伸查詢new window
2.鄭清霞、鄭文輝、林志鴻、林昭吟、陳正芬、周台龍、韓幸紋、洪明皇(2009)。長期照護保險體制與收入面執行方案研議。臺北:中央健康保険局。  延伸查詢new window
3.鄭清霞、陳正芬、王靜怡、陳明芳(2011)。長期照護保險費用估算,費率精算及調整機制之探討。  延伸查詢new window
4.行政院衛生署中央健保局(20120901)。民國100年核定全民健康保險費率精算報告。  延伸查詢new window
5.行政院衛生署(2011)。國民長期照護需要調査(第一階段)初步統計結果報告。臺北。  延伸查詢new window
6.行政院經濟建設委員會(2012)。中華民國2012年至2060年人口推計。  延伸查詢new window
7.鄭文輝、朱澤民、鄭清霞、朱僑麗、周臺龍(2009)。長期照護保險法制財務機制及財源籌措之評估。臺北:行政院經濟建設委員會。  延伸查詢new window
學位論文
1.楊靜利(1997)。我國國民年金制度之設計理念與財務均衡(博士論文)。國立中正大學。new window  延伸查詢new window
圖書
1.衛生福利部社會保險司(2015)。長期照顧保險制度規劃簡介。臺北。  延伸查詢new window
2.Fernández, J. L.、Forder, J.、Trukeschitz, B.、Rokosová, M.、McDaid, D.(2009)。How Can European States Design Efficient, Equitable and Sustainable Funding Systems for Long-term Care for Older People?。Copenhagen:World Health Organization。  new window
3.Heinicke, K.、Thomsen, S. L.(2010)。The Social Long-term Care Insurance in Germany: Origin, Situation, Threats and Perspective。Mannheim:Zentrumfur Europaische Wirtschaftsforschung。  new window
4.Lassila, J.、Valkonen, T.(2008)。Population Ageing and Fiscal Sustainability of Finland: A Stochastic Analysis。Finland:Bank of Finland Research。  new window
5.Colombo, Francesca、Llena-Nozal, Ana、Mercier, Jérôme、Tjadens, Frits(2011)。Help Wanted? Providing and Paying for Long-Term Care。OECD Publishing。  new window
其他
1.衛生福利部社會保險司(2015)。行政院院會通過「長期照顧保險法」草案,http://www.mohw.gov.tw/CHT/DOSI/DMl_P.aspx?f_list_no=213&fod_list_no=297&doc_no=49650。  延伸查詢new window
2.鄭清霞,陳正芬(20150524)。長照財源:確保滿足基本需求。  延伸查詢new window
圖書論文
1.Andersen, T. M.、Jensen, S. H.、Pedersen, L. H.(2008)。The Welfare State and Strategies towards Fiscal Sustainability in Denmark。Suslctmahilily of Public Debt。Cambridge:Massachusetts Institute of Technology。  new window
2.Fukni, T.、Iwaraoto, Y.(2007)。Policy Options for Financing the Future Health and Long-term Care Costs in Japan。Fiscal Policy and Management in East Asia。Chicago:University of Chicago Press。  new window
 
 
 
 
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