193555 Cost-benefit of TDC intervention on NHI outstanding balance in Taiwan

Monday, November 9, 2009

Shi Shen Huang , No.3 Underwriting, Bureau of National Health Insurance Kao-Ping Branch, Kaohsiung, Taiwan
Jui-Ya Huang, MSF , Depaul University, Chicago, IL
Sheng-Chih Huang , College of Science, National Kaohsiung Normal University, Kaohsiung, Taiwan
Objective: The aim of this study is to investigate the effect of telephone debt collection (TDC) intervention of NHI outstanding balance on the cost-benefit of NHI fee recovery in order to find methods to enhance NHI fee recovery rate and to reduce the cost of paper outstanding balance notice as a reference for government administration and management.

Methods: Based on the experimentation, the experimental group (EG) and control group (CG) one-group intervention evaluation design was applied and statistical analysis was conducted.

Results: The NHI fee recovery rates of the EG (with TDC intervention) and the CG (without TDC intervention) are 72.74% and 33.10% respectively; indicating the fee recovery rate with TDC intervention has increased by 39.64%.

Conclusions: TDC intervention not only enhances the NHI fee recovery rate but also increases NHI fee incomes to ensure healthcare quality. Therefore, TDC is an effective method for outstanding balance prevention.

Keywords: NHI (national health insurance), NHI fee recovery rate, telephone debt collection (TDC), effectiveness assessment

Learning Objectives:
The aims of this study are to: (1) compare the difference in NHI fee recovery rate of TDC intervention; (2) the difference in NHI fee recovery rate at different TDC frequency, business scale, business type and outstanding balance amount; (3) the unit satisfaction of TDC intervention; and (4) the cost-benefit of TDC as a reference for government agencies to reform the NHI scheme. Experimentation research method is adopted using the EG and CG single-group intervention assessment design.This principle can always give users a correct guidance. To find out the causes, pay attention to B/C>1, i.e. B-C>0, it is the condition equivalent to the current value principal.Based on the research results, the tangible benefit of TDC intervention in the medical and health system is the high effectiveness and gain in collecting debts. Therefore, it is worthy of implementation. Researchers interested in relevant topics are recommended to investigate all group and individual insurance applicants with an outstanding balance with stratified sampling and cross statistical validation to conduct through investigation on satisfaction in order to present the acceptance and response benefit of TDC in different groups as a reference for handling outstanding balance and optimizing relevant procedures in the future.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for Planners and Organizers.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.