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HOME > POLICIES > Enhancing Real World Impact of Customized Welfare > Improving the Substance of Customized Welfare Institutions

Improving the Substance of Customized Welfare Institutions

1. Establishment of Customized Basic Livelihood Security System

  • Improving the Substance of Basic Livelihood Security
    • Enhancing security for the various benefit types while seeking ways to monitor results and improve substance of policies following restructuring into customized benefits system
      • - (Minimum guarantees) Year on year raises of 7.7% in livelihood benefits, 2.3% in housing benefits, and 1.4% in education benefits

        * Minimum guaranteed livelihood benefits: (’15)1.18 Mil. → (’16)1.27 Mil KRW(4-person household)

        * Cash allowance: (’15) KRW 456K/month → (’16) KRW 517K (13.4% rise)

    • Improvement of education benefits and education support system- transition to year-round application and payout system, recipient of education benefits to receive support for education fees simultaneously (Ministry of Education)
  • Enhancing Support for Achieving Independence
    • Expansion of support for assets formation for participants in self-support projects - Additional government grants (Naeil work incentive*) for NaeilKium Accountholders to induce employment/entrepreneurship. (Formerly only supported through self-support work revenue)

      * Matching KRW 50K∼350K/month contributions accumulated for up to 3 years (Max. KRW 100K additional support from government)

      Additional Grants for NaeilKium   Accounts

    • Expansion of target groups following relaxation of criteria for participation in assets formation support projects
      • - (Hope Kium Accounts Ⅰ·Ⅱ)Relaxed income criteria for ordinary labor market participants applying for Hope Kium accounts

        * Target households: (’15) 37,000 → (’16) 43,000 households

      • - (NaeilKium Account)Expansion of target to include self-support work project participants who do not generate revenue (interns, helpers, etc.)

        * Additional targets for government grants: 7,000 households

2. Continued Healthcare Guarantee for the Four Major Severe Diseases, etc.

  • Enhanced healthcare guarantee for high cost and severe diseases
    • Guarantees for four major severe diseases to be rolled out within the year to reduce medical costs for individuals

      * (’13) 25 items (KRW 217.6B), (’14) 100 items (Cumulative KRW 434.4B), (’15) 258 items (Cumulative KRW 614.7B)
      (’16) 200++ items, aim to reduce burden by cumulative amount of KRW 834.6B

    • Enhanced healthcare guarantee by stages in the lifecycle (‘14~’18), implementation without delay

      * Prenatal ultrasound (480,000 people), tuberculosis (70,000 people), dentures/implants (700,000 people)

      <Guarantee Enhancement Projects for 2016>

      Guarantee Enhancement Projects for 2016
      Total
      Pregnancy/
      Childbirth
      Medical fees support for vulnerable pregnancies Raised allowances for Go-un Mom Card and lowered medical costs for childbirth Jul
      Improving pregnancy and childbirth insurance Reduced out-of-pocket payment rates for c-section hospitalization(20→5%) Jul
      Application of higher grade ward payouts for childbirth Sep
      Application of payouts for ultrasounds Oct
      Reduced medical costs for newborns Non-admissibility of neonatal intensive care costs reduced Sep
      Seniors Dentures and implants Expansion of target age (70→65) Jul
      Patient safety Eradicating tuberculosis Elimination of out-of-pocket payments for tuberculosis treatment Jul
      Enhanced guarantee for treatment materials Appropriate (additional) payouts for single use and safety purpose treatment materials Dec
      Vulnerable groups Expanded support for assisting devices Expanded scope and standard amount of benefits Jul/Oct
      Financial support for repairs to assisting devices Oct
      Support for at-home treatments Expansion of financial support for portable oxygen therapy Oct
      Severe diseases Enhanced guarantees for organ transplants Application of healthcare insurance to indirect costs, expansion of criteria for donor suitability test Dec
    • (Vaccines and health consultations for youths experiencing menarche)For 230,000 female youths aged 12, out-of-pocket payments subsidized for cervical cancer vaccination and 1 to 1 health consultation with a doctor (Jun ’16~)
  • Doctor Designation · Comprehensive Nursing
    • Continued reduction of patient burden for costly and non-admissible doctor designation, nursing services, etc.
      • - Reduction of ratio of designated doctors (67% →33%, KRW 430B/year reduced),Early (’18→’16)expansion (100→400 wards) of integratednursing and caregiving (comprehensive nursing) services free fromadditional caregiver costs

        * 51% drop in out-of-pocket designated doctor fees (Pre-restructuring KRW1652.4B → (’15) KRW 806.4B)

        * To minimize the concentration of professional nurses in Seoul and large hospitals, begin early expansion starting with large hospitals with sufficient nurses in 1-2 high contamination risk wards.

    • (Health Insurance) ContinuedRationalization of National Health Insurance Fees System
      • - Continue detailed analysis and establish rational insurance fee standards to reduce burden on localsubscribers from low income and vulnerable groups

        * Upper limit of income outside of wages for workplace subscribers, appropriate level of minimum insurance fee for local and workplace subscribers, etc.

3. Restructuring to Implement Customized Childcare Services

  • Restructuring to Customized Childcare Services Based on Demand
    • Restructuring into customized childcare services offering a wide range of services according to the needs of children and parents (implementation in Jul)
      • -Restructuring the current system focused on all-day childcare to a diversified system allowing the options of all-day childcare (12 hours) andcustomized childcare (7 hours) depending on needs.

        * △All-day childcare (12hours,07:30∼19:30): Dual-income, multiple children, jobseeking, pregnancy, disabilities, single-parent, low income, etc.

        △Customized childcare (7hours,09:00∼15:00 + Emergency childcare voucher 15hrs/month): Needs outside of all-day childcare

        △Time extended childcare (Nighttime 19:30∼24:00, 24 hrs 7:30∼ next day 7:30): Households working in 2∼3 shift systems and night shifts

      • -Seeksoft landingfor restructured system by recognizing 80% of children aged 0-2 (650,000) as eligible for all-day childcare, and raising all-day childcare costs by 6% (8% for disabled children)

        * Schedule for implementation: Collecting opinions from the field (Jan-Feb) → Restructuring of childcare information system (Feb-Apr) → Education/Promotion (Apr) → Application by parents and classroom organizations (May-Jun)

      • Expansion of part-time childcareand other services to allow at-home children to use childcare services if necessary. (`15. 230 services →`16. 380 services)
  • Enhancing the Quality of Childcare Services
    • Continued expansion of childcare centers that parents prefer, such as government operated, public, and workplace childcare centers (Government and public childcare 150 centers each, workplace childcare 80 centers)
      • - Strengthen compliance to duty to establish workplace childcare centers withimplementation of charges for compelling compliance*

        * Charge imposed twice a year, up to KRW 0.1B per charge in case of failure to carry out duty. (Infant Care Act)

    • Focused monitoring of regulation implementation to establish foundations for preventing child abuse in childcare centers such as the compulsory installation of CCTVs (compulsory as of `15), protection of parental right to view CCTV recordings, etc.
    • Expansion of financial support for hiring teacher assistants and substitute teachers, improving working environments for nursery teachers*to create a conducive environment for focusing on the children’s needs

      * △Teacher assistants (Ages 0-2)·substitute teachers (’15)13,165 → (’16)13,399

      **△Financial support for improving working environment for nursery teachers for children aged 0-2 (’15) 170K/month → (’16) 200K/month

4. Expansion of Basic Pension and Support for Long-Term Convalescence

  • Enhanced Guarantee for Basic Pension
    • (Relaxed criteria for eligibility) Raised eligible income standardsfor basic pension recipients in ‘16, reflecting income distribution within entire senior population, land price, and inflation (Jan ’16)

      * (’15) KRW 930K for individual, 1.488M for married couples → (’16) KRW 1.0M for individual, 1.6M for married couples

    • (Uncovering blind spots)Implementation of basic pension‘history management for applicants’system (Jan ’16), enhancing efforts to identify eligible recipients for basic pension and providing assistance for application such as helping seniors about to turn 65 pre-register (Seniors born in ‘51, approx. 410,000) (year-round)
  • Improving Substance of Long-Term Convalescence Insurance
    • (Diversification of convalescence services) Implementation of special Alzheimer’s wards*within facilities and development of models for professional nurse-focused specialized convalescence facilities (2H ’16), developing a model for integrated visiting care and nursing services catering to the comprehensive needs of at-home seniors and conducting its demonstration (2H ’16)

      * Small groups (12 people), deployment of additional caretakers (trained in Alzheimer’s care), provision of shared living facilities

      • - Provide customized servicesthat help reduce the burden of families and consider the condition of the individual living with Alzheimer’s, such as seeking measures to expand the‘family consultation support service’currently in demonstration (‘16)

      *Visiting consultations for a total of eight weeks, training for care givers, emotional support services such as group therapy and self-help meetings

    • (Expanded services for seniors with Alzheimer’s) Expanded service hours (52→63hrs/month) Cognitive Activity Type Visit Care Service that supports patients in their daily lives (2H ‘16), Implementation of 24 hour Visit Care Service for severe cases (6 days/year)(2H ’16)

Last Update : 2016.4.19

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