This research is supported by Ministry of Education, Culture, Sports, Science and Technology (MEXT) grants #14530029 and #17330045 and funding through the New Research Initiatives for Humanities and Social Sciences from the Japan Society for the Promotion of Science (JSPS).
HOW DO JAPANESE HEALTH INSURANCE SOCIETIES FINANCE THEIR CONTRIBUTIONS TO THE HEALTH SERVICE SYSTEMS FOR THE ELDERLY?*
Article first published online: 6 JAN 2012
© 2012 Japanese Economic Association
Japanese Economic Review
Volume 64, Issue 1, pages 122–146, March 2013
How to Cite
YOSHIDA, A. and TSURUTA, Y. (2013), HOW DO JAPANESE HEALTH INSURANCE SOCIETIES FINANCE THEIR CONTRIBUTIONS TO THE HEALTH SERVICE SYSTEMS FOR THE ELDERLY?. Japanese Economic Review, 64: 122–146. doi: 10.1111/j.1468-5876.2011.00557.x
- Issue published online: 4 FEB 2013
- Article first published online: 6 JAN 2012
- Final version accepted 4 November 2011.
We examine how Japanese health insurance societies finance (or distribute) the costs (or cost savings) from an increase (or decrease) in contributions to the Health Service Systems for the Elderly. Three ways are possible: (i) adjusting the premiums of the employee or employer; (ii) providing an optional benefit; and (iii) adjusting reserves by the change in contribution. We find that more than six-sevenths of the changes are associated with changes in reserves, followed by premiums, and finally optional benefits. The increase in the premium mostly shifted to employees, while employees enjoyed a nearly 60% decrease in total premium.