The Long Term Care Insurance [Kaigo Hoken] and its Impact on Society and Health Care System in Japan

1
The Long Term Care Insurance Kaigo Hoken and
its Impact on Society and Health Care System in
Japan

• AtoZ OKAMOTO, MD, MPH
• National Institute of Public Health

2

• Background
• Development
• Implementation
• Outcome
• Conclusions

3
Why was the LTCI developed?

• Rapidly aging population and growing need for LTC
• Elderly population gt65 will be 25 of the
  population
• Structural overhaul of the fragmented health
  insurance system
• Effective integration of medical and non-medical
  services

4
Structural flaws of Japan痴 health insurance
system
5
Age distribution and health insurance status
6
Financial Redistribution Mechanism by the Elderly
Health Care System EHCS since 1983
7
Medical vs. Non-medical Services before the LTCI

• Medical---health insurance and EHCS financed by
  premium
• Not restricted by budget -gt cost inflation
• Dictated by doctors