Na, SanggonKwon, Soonman2015-08-132015-08-132015-03https://hdl.handle.net/10986/22395This paper broadly examines the development process of Korea’s health care system toward the achievement of Universal Health Coverage. Korea implemented a series of health care reforms after a rapid expansion of population coverage to improve efficiency and equity in financing and delivery of health care. The authors also investigate changes in the governance structure of Korea’s national health Insurance, which is now represented by two agencies: National Health Insurance Service (NHIS) and Health Insurance Review and Assessment Service (HIRA). Health insurance agencies have improved the accountability and transparency of the health insurance system, thanks to the ICT-based centralized claim review and assessment. Lessons and challenges from Korea’s experiences and achievements on the road to UHC could provide valuable policy implications to low- and middle-income countries.en-USCC BY 3.0 IGOHEALTH CARE PROVIDERSHEALTH INFORMATION SYSTEMHEALTH INSURANCE COVERAGEACCESS TO HEALTH CAREEMPLOYMENTRISKSFEE- FOR-SERVICEHEALTH PLANNINGHEALTH INSURANCE SYSTEMPHYSICIANSTROKEFINANCINGINFORMAL SECTORPHARMACISTSINFORMATION SYSTEMHEALTH REFORMSINCOMEQUALITY OF HEALTH CAREFEE FOR SERVICEHEALTH CARE UTILIZATIONFEE-FOR-SERVICEDOCTORSFEE-FOR- SERVICE SYSTEMHEALTH CARE REFORMHEALTH ECONOMICSHOSPITAL SECTORPRIMARY CAREPOCKET PAYMENTMONITORINGCOST SHARINGHEALTH INSURANCEHEALTH CAREFINANCIAL PROTECTIONHEALTH INSURANCE EXPENDITURESOCIAL INSURANCE CONTRIBUTIONSHEALTH CARE FACILITIESINCENTIVESNATIONAL HEALTH INSURANCEHEALTHHEALTH CARE REFORMSPROVISION OF SERVICESPOCKET PAYMENTSCONTRIBUTION RATESINFORMATION SYSTEMSPUBLIC HEALTHLIFE EXPECTANCYQUALITY OF HEALTHKNOWLEDGEHEALTH SECTORINSURANCE FUNDSHEALTH INFORMATION SYSTEMSCHOICEDEMAND FOR HEALTH CARECOST EFFECTIVENESSMULTIPLE INSURERSPRIVATE HOSPITALSHEALTH INSTITUTIONSCOSTSPHARMACEUTICAL SPENDINGCOST CONTROLPATIENTSPATIENTPUBLIC LONG- TERM CARE INSURANCEAGINGSOCIAL INSURANCEHEALTH INSURANCE SCHEMEMARKETINGMEDICAL CAREINSURERSHEALTH CARE QUALITYSOCIAL SECURITYRISK SHARINGHEALTH CARE COVERAGESOCIAL DEVELOPMENTINSURANCE COVERAGEPUBLIC INSURANCEMORTALITYFINANCIAL INCENTIVEHEALTH CARE SYSTEMHEALTH PROMOTIONADMINISTRATIVE COSTSHEALTH INFORMATIONHEALTH SPENDINGREIMBURSEMENT RATESSOCIAL MARKETINGUNEMPLOYMENTEQUITYHEALTH SPECIALISTWORKERSSOCIAL HEALTH INSURANCEFEE SCHEDULESURGERYPUBLIC LONG-TERM CAREHEALTH CARE PROVISIONINCENTIVES FOR PROVIDERSHEALTH-CAREFEE SCHEDULESCARECONTRIBUTION RATEHEALTH POLICYMEDICAL SERVICESSOCIAL POLICYDEMANDHEALTH OUTCOMESHEALTH-CARE PROVIDERSINSURANCE CONTRIBUTIONSPUBLIC PROVIDERSINCOME COUNTRIESHEALTH CARE FINANCINGDECISION MAKINGMEASUREMENTNUTRITIONBEDSHEALTH COVERAGESOCIAL WELFAREINSURANCE SYSTEMFEE-FOR-SERVICE PAYMENTINTERNETNATIONAL HEALTHHEALTH SYSTEMINSURANCEDELIVERY OF HEALTH CAREPHYSICIANSHEALTH CARE DELIVERYCANCER PATIENTCLINICSEVALUATIONRISKINPATIENT CAREHEALTH PROVIDERSFEE-FOR- SERVICEDEMAND FOR HEALTHHEALTH INSURANCE CONTRIBUTIONSINTEGRATIONHEALTH EXPENDITUREABILITY TO PAYHOSPITAL ADMISSIONHEALTH CARE EXPENDITUREHEALTH INSURANCE FUNDSSUSTAINABLE HEALTH CAREPOPULATIONHOSPITAL BEDSHEALTH INSURANCE PROGRAMPUBLIC LONG- TERM CARESTRATEGYFEESMEDICINESMEDICAIDHOSPITALSIMPLEMENTATIONPREGNANCYCAPITA HEALTH EXPENDITUREPROVIDER PAYMENTMEDICAL FEESFINANCIAL INCENTIVESHEALTH REFORMACCESS TO DRUGSWorking PaperWorld Bank10.1596/22395