Reflections On The 20th Anniversary Of Taiwan’s Single-Payer National Health Insurance System

2015 ◽  
Vol 34 (3) ◽  
pp. 502-510 ◽  
Author(s):  
Tsung-Mei Cheng
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Insurance System ◽  
National Health Insurance System ◽  
Insurance System ◽  
Single Payer ◽  
20Th Anniversary

scholarly journals Precision Oncology and the Universal Health Coverage System in Japan

2019 ◽  
pp. 1-12 ◽  
Author(s):  
Hiromichi Ebi ◽  
Hideaki Bando
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Data Access ◽  
Full Potential ◽  
Precision Oncology ◽  
Genomic Profiling ◽  
Health Insurance System ◽  
National Health Insurance System ◽  
Insurance System

Although precision oncology is transforming clinical management of patients with cancer, many hospitals face challenges to effectively implement precision oncology. In addition, the cost and time exerted for genomic profiling needs to be balanced with expectations of benefit for each patient. This article summarizes the effort to implement precision oncology in Japan. The most promising development is that tests to profile the genomes of select cancers are now fully covered by the national health insurance system. In May 2019, two gene panels were approved with reimbursement: FoundationOne CDx Cancer Genomic Profile and OncoGuide NCC Oncopanel System, the latter of which was developed in Japan. To make better use of scarce resources, the reimbursement is restricted to patients with solid tumors that have progressed on standard chemotherapy, rare tumors, or tumors of unknown primary. To centralize Japanese precision oncology, the government designated approximately 170 hospitals and stratified them to three layers on the basis of their roles. In addition, Japan’s National Cancer Center launched a Center for Cancer Genomics and Advanced Therapeutics (C-CAT) that collects genomic information and clinical characteristics of patients who received genomic profiling tests. C-CAT is expected to be the central data repository, to match patients with clinical trials, and to assist translational research. The centralized system under the national health insurance system could be a double-edged sword. Although tight regulation may make it hard to keep up with the rapid development of precision oncology, a federated ecosystem for sharing clinical and genomic data will be a precious asset and allow for shared access to data. Access to unapproved drugs and administrative support from C-CAT will be keys for Japanese precision oncology to meet its full potential.

Why Do Informal Sector Workers Not Pay the Premium Regularly? Evidence from the National Health Insurance System in Indonesia

2019 ◽  
Vol 18 (1) ◽  
pp. 81-96 ◽  
Author(s):  
Teguh Dartanto ◽  
Alin Halimatussadiah ◽  
Jahen Fachrul Rezki ◽  
Renny Nurhasana ◽  
Chairina Hanum Siregar ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
Informal Sector ◽  
National Health ◽  
Health Insurance System ◽  
National Health Insurance System ◽  
Insurance System
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