Table 5.
Number of claims and total medical cost per 100,000 population and mean copayment per each visit in the Republic of Korea from 2012 to 2016
Service | Sex | Item | 2012 | 2013 | 2014 | 2015 | 2016 | Change ratec |
---|---|---|---|---|---|---|---|---|
Inpatient | Male | Number of claims | 990 | 1,086 | 1,260 | 1,217 | 1,266 | 27.9% |
Total cost of medical care servicea | $933,304 | $957,539 | $976,210 | $998,868 | $1,086,929 | 16.5% | ||
Mean copayment per visitb | $221.70 | $206.37 | $181.38 | $190.61 | $199.01 | -10.2% | ||
Female | Number of claims | 1,359 | 1,453 | 1,657 | 1,634 | 1,717 | 26.3% | |
Total cost of medical care servicea | $1,280,500 | $1,298,574 | $1,324,041 | $1,358,381 | $1,495,316 | 16.8% | ||
Mean copayment per visitb | $224.70 | $212.49 | $190.28 | $196.26 | $204.89 | -8.8% | ||
Both | Annual cost per one patient | $1,299.2 | $1,227.3 | $1,075.1 | $1,135.2 | $1,181.2 | -9.1% | |
Outpatient | Male | Number of claims | 77,779 | 79,041 | 81,247 | 80,584 | 83,251 | 7.0% |
Total cost of medical care servicea | $1,708,471 | $1,825,329 | $1,997,184 | $2,110,039 | $2,260,911 | 32.3% | ||
Mean copayment per visitb | $6.48 | $6.80 | $7.17 | $7.72 | $8.05 | 24.2% | ||
Female | Number of claims | 136,559 | 134,958 | 137,961 | 133,566 | 137,206 | 0.5% | |
Total cost of medical care servicea | $2,681,180 | $2,775,211 | 3,007,798 | $3,101,778 | $3,309,188 | 23.4% | ||
Mean copayment per visitb | $5.66 | $5.91 | $6.22 | $6.75 | $7.08 | 25.1% | ||
Both | Annual cost per one patient | $145.2 | $150.9 | $159.5 | $166.2 | $171.7 | 18.3% | |
Total | Number of claims | 108,240 | 108,190 | 110,981 | 108,419 | 111,645 | 3.1% | |
Total cost of medical care servicea | $3,299,428 | $3,426,512 | $3,650,696 | $3,782,456 | $4,074,150 | 23.5% | ||
Mean copayment per visitb | $8.32 | $8.63 | $8.94 | $9.57 | $10.05 | 20.9% |
The standard unit of cost is United States dollars, and the table in terms of Korean won (₩) is in the appendix Table 1.
Sum of payment by both insurer and beneficiary excluding unpaid items designated by insurer and pharmacy preparation costs by pharmaceutical prescriptions.
Copayment, a payment made by a beneficiary at each visit in addition to that made by an insurer.
Change rate, a rate over 5 years from 2012 to 2016.