| Summary: | 碩士 === 國立政治大學 === 財政學系 === 106 === Since Taiwan’s national healthcare insurance (NHI) is pay-as-you-go, technological development and changes in the demographic structure due to the aging population, have led to a rapid increase in healthcare expenditure. However, national health insurance revenue has shrunk as baby boomers approach retirement age. On June 27 2017, Taiwan’s Legislative Yuan passed the pension reform bill, aimed at increasing the pension fund by deferred retirement. This study uses the NHI research database, to determine the impact of deferred retirement on national health insurance revenue under different factors such as age, years of retirement, and number of dependents. The results suggest that under a steady estimation, the impact of deferred retirement on national health insurance revenue is NTD 17.0-24.45 billion a year, which is about 3.04-4.35% of the total national health insurance revenue of NTD 561.8 billion in 2016, indicating an increase thereof. Nevertheless, the impact of deferred retirement on national health insurance revenue is moderate. On the other hand, the healthcare policy changed in 2013. When insured public servants retire, they should be insured under their spouse, son, or daughter on priority rather under the district office. The results of the policy changed indicate a 40% reduction in people insured under district offices and an increase of NTD 62.84 million in national health insurance revenue. Since insurers can choose their insurance status, national health insurance revenue is eroded because people can receive different treatments under different statuses. Consequently, the retirement policy should take the impact on national health insurance revenue into consideration.
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