Taiwan's 1995 health care reform.

Evolution of Taiwan's health care system.

This study aims to present an overview of the evolutionary policy process in reforming the health care system in Taiwan, through dissecting the forces of knowledge, social-cultural context, economic resources and political system. We further identify factors, which had a significant impact on health care reform policies in Taiwan through illustrative policy examples. One of the most illuminatin...

State Health Reform and the Role of 1115 Waivers

This article summarizes the status of State health reform and includes a table of major initiatives undertaken by each State. The Health Care Financing Administration's (HCFA's) role in reviewing State waiver proposals is analyzed, and the author examines why States are likely to continue to seek section 1115 waivers, absent Federal health care reform. The often conflicting roles and responsibi...

Ii. General Information about State Health Care Reform Initiatives

All 50 states, plus the District of Columbia, responded to the survey, with the vast majority of states (98%) reporting engagement in health care reform activity as of late 1997 early 1998, when the data were collected. Table 1 shows that a 12% larger majority of states reported involvement in health care reform activity of some kind in 1997-98 than in 1995. Fifty states (98%) reported health c...

Great expectations: the limits of state health care reform.

Does universal health insurance make health care unaffordable? Lessons from Taiwan.

This paper examines the performance of Taiwan's National Health Insurance (NHI), a universal health insurance program, implemented in 1995, that covers comprehensive services. The authors address two key questions: Did the NHI cause Taiwanese health spending to escalate to an "unaffordable" level? What are the benefits of the NHI? They find that Taiwan's single-payer NHI system enabled Taiwan t...