Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Oct;123(10):912-916.
doi: 10.1016/j.healthpol.2019.08.004. Epub 2019 Aug 20.

LTC 2.0: The 2017 reform of home- and community-based long-term care in Taiwan

Hui-Chuan Hsu  1 , Chen-Fen Chen  2
Affiliations
Free article

LTC 2.0: The 2017 reform of home- and community-based long-term care in Taiwan

Hui-Chuan Hsu et al. Health Policy. 2019 Oct.
Free article

Abstract

Taiwan planned to establish a social insurance-based long-term care system in 2016. However, due to the change in political parties that year, it was decided that Taiwan's long-term care policy would remain a tax-based financing scheme. The new policy focuses on providing home- and community-based service (HCBS); a three-layer HCBS service network within towns and districts was set to provide the 17 types of services in the HCBS spectrum, including preventive care. The reform was criticized as being too restrictive and lacking flexibility. However, the HCBS service spectrum has been widened, the target group has been enlarged, and thus HCBS utilization has increased. A rolling amendment has continued into 2018: the HCBS system requirement has been eased, and a new capitalized fee-for-service payment system has been launched. This paper discusses the analysis of the policy reform.

Keywords: Home- and community-based services (HCBS); Long-term care policy; Payment system; Policy reform.

PubMed Disclaimer

Publication types