• Title/Summary/Keyword: Social Insurance Costs

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A study on the Direction of Start-up SME's Social Insurance Costs based on the Study Abroad (해외 현황 고찰을 통한 우리나라 창업 중소기업 4대 보험 방향성에 관한 연구)

  • Kim, Jumi
    • Journal of Information Technology and Architecture
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    • v.10 no.3
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    • pp.379-386
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    • 2013
  • This study is about the suggestion of reduction method for social insurance cost of startup SMEs based on the study abroad. We suggest several methods (direct and indirect support, exemption, deferment or loan) based on the pros and cons, government's financial situation, the ease of implementation and effectiveness of mitigation methods, creating conditions for the implementation of social insurance mitigation.

Improving Automobile Insurance Repair Claims Prediction Using Gradient Decent and Location-based Association Rules

  • Seongsu Jeong;Jong Woo Kim
    • Asia pacific journal of information systems
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    • v.34 no.2
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    • pp.565-584
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    • 2024
  • More than 1 million automobile insurance repairs occur per year globally, and the related repair costs add up to astronomical amounts. Insurance companies and repair shops are spending a great deal of money on manpower every year to claim reasonable insurance repair costs. For this reason, promptly predicting insurance claims for vehicles in accidents can help reduce social costs related to auto insurance. Several recent studies have been conducted in auto insurance repair prediction using variables such as photos of vehicle damage. We propose a new model that reflects auto insurance repair characteristics to predict auto insurance repair claims through an association rule method that combines gradient descent and location information. This method searches for the appropriate number of rules by applying the gradient descent method to results generated by association rules and eventually extracting main rules with a distance filter that reflects automobile part location information to find items suitable for insurance repair claims. According to our results, predictive performance could be improved by applying the rule set extracted by the proposed method. Therefore, a model combining the gradient descent method and a location-based association rule method is suitable for predicting auto insurance repair claims.

Unit Costs of Care Services in Long-Term Care Insurance in Korea - Its Characteristics and Evaluation - (노인장기요양보험 수가 개발의 특성과 평가)

  • Seok, Jae-eun
    • Korean Journal of Social Welfare Studies
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    • no.39
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    • pp.253-286
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    • 2008
  • The care market has a unique characteristic that cannot be understood only by pure consumerism. It is not simply constituted by the relationship between consumers and providers at a uni-dimensional level of consumerism logic; rather, it operates in the tripartite-dimensional relationship between the state, consumers and providers through the design and regulation of policies by the state(Evers 1994). The unit costs of long-term care insurance has a meaning as the signal of state for policy direction. This paper consists three contents. The first, it provides to examine the developing process and method of the unit costs of long-term care and to define the characteristics of the developing method of unit costs of the Korean Long term care Insurance. The second, it tried to evaluate the adequacy, validity, and equity of unit costs of care. The third, it proposed the policy direction and measures focused on state's role as price determinator and regulator of care market in that unit costs of care is very important factors for formation and operating of care market.

An Improvement Plan of Ex-post Settling up System on the Social Insurance of Construction Project - Focused on the National Pension and National Health Insurance - (건설공사 사회보험료 사후정산제도의 문제점 및 개선방안 - 국민연금 및 국민건강보험을 중심으로 -)

  • Oh, Chi-Don
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.1
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    • pp.29-36
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    • 2019
  • In the past, social insurance premiums, such as national pension and national health insurance, is contained within the costs of construction projects, have been lowered due to price competition of companies participating in the bidding. The government is implementing the "Ex-post settlement system" to improve the problem. Therefore, the purpose of this study is to examine the concept of an Ex-post settlement system and background of its introduction and to identify problems in the management of the system. The problems of the Ex-post settlement system are: 1) avoiding the participation of construction workers, 2) the rigidity of the insurance premium settlement method in construction field, and 3) the cause of direct construction cost reduction. The ways to improve these problems are: 1) excluding social insurance premiums from construction project cost, 2) securing flexibility of the settlement method of insurance premiums in construction field, and 3) expanding the scope of persons eligible to participate in social insurance.

An Analysis of the Trends of Korean National Health Insurance Administrative Cost (건강보험 관리운영비 추이 분석)

  • Park, Chong Yon;Suh, Nam Kyu;Um, Eui Hyeon
    • Health Policy and Management
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    • v.15 no.3
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    • pp.17-39
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    • 2005
  • Social solidarity, equity in financing, and efficiency in administration have been core issues in the development of Korean health insurance reformation since 1988. This study is to investigate the trend of administrative cost in Korean National Health Insurance from various aspects. For the analysis of administrative cost, the expenditures of each insurance society and the National Health Insurance Corporation are divided into 4 items of (1) insurance benefit, (2) administrative cost, (3) an agency provision accounts, (4) other expenses, and then they are reorganized. The analyses based on 5 types of the health insurance administrative cost showed that efficiency in administration has been improved generally. We, however, should consider qualitative aspects such as customer's satisfaction with health insurance administration, prompt service, control of unjust expenditure (unjust claims), and provision of medical service including health consultation in assessing efficiency of administration. And, in order to connect the administrative costs of health insurance with efficiency, we need to give a fundamentally new definition, which can contain elaborateness of expenditure in details including the structure and evaluation method of administrative costs. It may be necessary to develop new indicators or analyzing methods hereafter.

A study on the Economic Effects of Start-up SME's Social Insurance Costs Reduction (창업 중소기업 4대 보험 경감에 따른 경제적 효과에 관한 연구)

  • Kim, Jumi;Lim, Sungmook;Lee, Jaehoon
    • Journal of Information Technology and Architecture
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    • v.11 no.1
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    • pp.81-88
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    • 2014
  • This study is about the suggestion of reduction method for social insurance cost of startup SMEs Based on the study abroad and the current status of Korea we suggest several methods such as direct and indirect support, exemption, deferment/loan. For the economic effect analysis, we derived benefits and costs. Employment, value added, and revenue increasing effects are considered as benefits. Costs are analyzed by each method. In case of exemption, the analysis is impossible. Analysis results show that direct and deferment/loan case have an effect of 563,469 jobs creation, added value of 26.82 trillion wons, and increase in tax revenues about 82.4 billion wons. In case of exemption, There are 105,368 jobs creation, 5.02 trillion wons of added value, and 15.4 billion wons of increase in tax revenues. And for each case, there are costs 9.58 trillion won, 5.42 trillion won, 1.79 trillion won.

Determinants of Intention to Use Electronic Channel of Automobile Insurance: Applying the UTAUT Model (자동차 보험 거래에 있어서 전자적 채널 이용 의도의 영향 요인: UTAUT 모델의 응용)

  • Lee, Min-Hwa
    • The Journal of Information Systems
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    • v.22 no.1
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    • pp.181-200
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    • 2013
  • Electronic channel of automobile insurance has emerged as an attractive way of lowering costs and saving time to do the transaction for customers. Electronic channel refers to using web sites to find useful information on insurance products, buy automobile insurance, and ask for services related to the insurance. This study suggests a modified model of the UTAUT and examines the factors influencing intention to use electronic channel in the transaction of automobile insurance. Based on 203 responses from potential automobile insurance buyers, the results showed that performance expectancy, effort expectancy, social influence, service expectancy, and security risk are significantly related to intention to use electronic channel. The results also showed that age as a moderator influences the effects of performance expectancy and effort expectancy on intention to use electronic channel. The study results would improve the understanding of the factors to which managers of insurance companies should pay attention in order to increase their sales through electronic channel.

The Socioeconomic Cost of Injuries in South Korea (우리나라 손상의 사회경제적 비용)

  • Park, Kun-Hee;Lee, Jin-Seok;Kim, Yoon;Kim, Yong-Ik;Kim, Jai-Yong
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.1
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    • pp.5-11
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    • 2009
  • Objectives : This study was conducted to estimate the socioeconomic cost of injuries in South Korea. Methods : We matched claims data from national health insurance, automobile insurance and industrial accident compensation insurance(IACI), and mortality data obtained from the national statistical office from 2001 to 2003 by patients unique identifier. Socioeconomic cost included both direct cost and indirect cost: the direct cost was injury-related medical expenditure and the indirect cost included loss of productivity due to healthcare utilization and premature death. Results : The socioeconomic cost of injuries in Korea was approximately 1.9% of the GDP from 2001 to 2003. That is, 12.1 trillion KRW(Korean Won) in 2001, 12.3 trillion KRW in 2002, and 13.7 trillion KRW in 2003. In 2003, direct medical costs were 24.6%(3.4 trillion KRW), the costs for loss of productivity by healthcare utilization were 13.0%(1.8 trillion KRW), and the costs for loss of productivity by premature death were 62.4%(8.6 trillion KRW). Conclusions : In this study, the socioeconomic cost of injuries in Korea between 2001 and 2003 was estimated by using not only health insurance claims data, but also automobile insurance, IACI claims and mortality data. We conclude that social efforts are required to reduce the socioeconomic cost of injuries in Korea, which represented approximately 1.9% of the GDP for the time period specified.

Socioeconomic Costs of Food-Borne Disease Using the Cost-of-Illness Model: Applying the QALY Method (식중독의 사회경제적 비용추정: 삶의 질 개념을 적용한 질병비용추정법을 이용하여)

  • Shin, Ho-Sung;Lee, Sue-Hyung;Kim, Jong-Soo;Kim, Jin-Suk;Han, Kyu-Hong
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.4
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    • pp.352-361
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    • 2010
  • Objectives: This study estimated the annual socioeconomic costs of food-borne disease in 2008 from a societal perspective and using a cost-of-illness method. Methods: Our model employed a comprehensive set of diagnostic disease codes to define food-borne diseases with using the Korea National Health Insurance (KNHI) reimbursement data. This study classified the food borne illness as three types of symptoms according to the severity of the illness: mild, moderate, severe. In addition to the traditional method of assessing the cost-of-illness, the study included measures to account for the lost quality of life. We estimated the cost of the lost quality of life using quality-adjusted life years and a visual analog scale. The direct cost included medical and medication costs, and the non-medical costs included transportation costs, caregiver's cost and administration costs. The lost productivity costs included lost workdays due to illness and lost earnings due to premature death. Results: The study found the estimated annual socioeconomic costs of food-borne disease in 2008 were 954.9 billion won (735.3 billion won-996.9 billion won). The medical cost was 73.4 -76.8% of the cost, the lost productivity cost was 22.6% and the cost of the lost quality of life was 26.0%. Conclusions: Most of the cost-of-illness studies are known to have underestimated the actual socioeconomic costs of the subjects, and these studies excluded many important social costs, such as the value of pain, suffering and functional disability. The study addressed the uncertainty related to estimating the socioeconomic costs of food-borne disease as well as the updated cost estimates. Our estimates could contribute to develop and evaluate policies for food-borne disease.

Comparison of Severe Disease Incidence among Eligible Insureds to Expand Coverage for Substandard Risks (유병자 보험의 보장성 확대를 위한 유병자들의 중증질환 발생률 비교)

  • Baek, Hyeyoun;Son, Jihoon;Shin, Jimin
    • Journal of health informatics and statistics
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    • v.43 no.4
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    • pp.318-328
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    • 2018
  • Objectives: People are living longer, but often with diseases or chronic conditions. As a consequence, interest in resolving insurance blind spots is growing. This study provides substandard risk-relevant statistics to help substandard risks who are likely to fall in insurance blind spots obtain insurance coverage, such as the reimbursement of medical costs, as well as to stimulate insurance product development. Methods: This study uses National Health Insurance Service (NHIS) cohort data to determine the relevant statistics. The incidence rates of severe diseases are derived and compared against standard risks to establish a set of relative risk factors. These incidence rates of standard and substandard risks are then compared. Results: Currently, an individual's cancer history is used in the underwriting process for simplified issue insurance. However, underwriting focusing on hospitalization and procedures related to serious illnesses could lower premiums for substandard risks. Moreover, the statistical results could be used to expand the coverage of health insurance products. Conclusions: This study's relative risk factors can be used to derive simplified issue premium rates for substandard risks. They can also be used to implement discount and loading schemes for medical reimbursement insurance and help insurance companies implement proactive risk management.