Ch. 1. Introduction 1
Ch. 2. Overview and Changes of the Catastropic Health Expenditure(CHE) Assistance Program 11
A.. Implementation Process of and Changes in the CHE Assistance Program 13
B. The Database of the 2018 Pilot Project of the CHE Assistance Program 20
Ch. 3. Analysis of Alternatives for Screening Potential Beneficiaries of the Assistance 29
A.. The Limits of the Means-Test Using Health Insurance Premiums 31
B. Analysis of Alternative Screening Schemes: (1) Recognized Amount of Income 37
C. Analysis of Alternative Screening Schemes: (2) Evaluated Amount of Income and Asset Cutoff 67
Ch. 4. Revising Eligibility Criferia and the Individual Screening Scheme for CHE Asistance Beneficiaries 111
A.. Areas Needing Improvement in the CHE Assistance Program 113
B. Suggestions on Improving the CHE Assistance Program 117
Ch. 5. Linking the Medical Spending Support Program and Ways to Spread the Use of the CHE Assistance Program 127
A.. The Present State of Medical Spending Support Program 129
B. Linking the Medical Spending Support Program and Managing the Linkage 158
References 169
Appendices 171