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

Masayoshi Hayashi

Public Policy Review, 2013, vol. 9, issue 1, 33-50

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.

Date: 2013
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