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Regional Equalization and Stabilization in the Japanese System of National Health Insurance

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  • Masayoshi Hayashi

    (Associate Professor, Graduate School of Economics, The University of Tokyo)

Abstract

In this study, after introducing the Japanese system of the National Health Insurance (NHI), I quantify the effects of transfers within the NHI system on the nexus between NHI medical benefits (which reflect aggregate health care demand within a municipality) and NHI premiums (which reflect the fiscal burden on the insured in a municipality). In particular, I examine (i) how transfers equalize revenue requirements on the insured among municipalities, and (ii) how they tame volatility in regional medical demand.

Suggested Citation

  • Masayoshi Hayashi, 2013. "Regional Equalization and Stabilization in the Japanese System of National Health Insurance," Public Policy Review, Policy Research Institute, Ministry of Finance Japan, vol. 9(1), pages 33-50, January.
    • Handle: RePEc:mof:journl:ppr020b
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    File URL: http://warp.da.ndl.go.jp/info:ndljp/pid/11217434/www.mof.go.jp/english/pri/publication/pp_review/ppr020/ppr020b.pdf
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    References listed on IDEAS

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    5. Melitz, Jacques & Zumer, Frederic, 2002. "Regional redistribution and stabilization by the center in Canada, France, the UK and the US:: A reassessment and new tests," Journal of Public Economics, Elsevier, vol. 86(2), pages 263-286, November.
    6. Hussey, P. & Anderson, G. F., 2003. "A comparison of single- and multi-payer health insurance systems and options for reform," Health Policy, Elsevier, vol. 66(3), pages 215-228, December.
    7. Hyoung‐Sun Jeong & Ryu Niki, 2012. "Divergence in the development of public health insurance in Japan and the Republic of Korea: A multiple‐payer versus a single‐payer system," International Social Security Review, John Wiley & Sons, vol. 65(2), pages 51-73, April.
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    Cited by:

    1. Kurono, Ruka, 2022. "What drives the regional disparities in municipal national health insurance premiums?," Japan and the World Economy, Elsevier, vol. 61(C).

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