Using Balance Billing to help to solve the lacking of internal medicine, surgery, obstetrics/gynaecology, and pediatrics physicians

• Main Authors: Wan-Chung Hu, 胡萬炯
• Other Authors: 連賢明
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/86605470366207731799

碩士 === 國立臺灣大學 === 經濟學研究所 === 105 === The purpose of this study is to investigate our national health insurance system and to investigate the health effects on citizens of current health policy and health environment. Taiwan’s medicine is famous worldwide, but the medical lawsuit with worse health environment, the unfairness of health insurance payment, and the unsymmetry of physicians’ rewards and his risk on duty cause the current dangerous situation of lacking internal medicine, surgery, obstetrics/gynaecology, and pediatrics physicians in Taiwan. This article analyzes the unreasonable payment and excessive medical lawsuits of internal medicine, surgery, obstetrics/gynaecology, and pediatrics physicians in current Taiwan medical environment, and investigate and learn the balance billing system of foreign developed counties. We introduce the economic theories of price discrimination and risk premium to explain the reasoning of balance billing. In practical, we use PPF and VIP OPD systems to mimic balance billing to explain the feasibility of balance billing. We suggest to let the four major medical department to accept balance billing system, and to solve the lacking of the four major department physician problem by the reasonable balance billing system.