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The National Hospital Insurance Fund was established in 1966 as a department within the ministry of health, by an Act of parliament. This has been reviewed over the years and it is now governed by ACT NO. 9 of 1998 - National Hospital Insurance Fund Act. [ 4 ]
The fund finances primary care largely by capitation payments, with some fees for service and performance related pay. Ambulatory care is mostly paid on a case basis with additional fees for diagnostic tests. [1] Patients can choose a hospital or a specialist.
On July 9, 2012, the alien registration system was abolished and foreigners are now able to apply as part of the Basic Resident Registration System. Foreigners who reside in Japan for more than three months need to register for national health insurance. [2] It is defined by the National Health Care Act of 1958. [3]
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The healthcare system is managed by the National Health Insurance Fund (NHIF), which covers all citizens and permanent residents. All employees, self-employed persons, and pensioners must pay contributions to it. Contributions are based on a sliding scale, with wealthier members of society paying higher percentages of their income. [7]
In 15 digit IDs, III is an identification number created through certain mathematical methods (the last digit might be an English letter, such as X). The ID card is used for residential registration, army enrollment registration, registration of marriage/divorce, going abroad, taking part in national exams, and other social or civil matters.
Most private clinics in the community are run by nurses. In 2011 there were 65,000 nurses on their council's register. A smaller number of private clinics, mostly in the urban areas, are run by clinical officers and doctors who numbered 8,600 and 7,100 respectively in 2011.
The "Lyft Pass for Healthcare" service is designed to streamline the process of arranging a trip to the doctors via a health plan or social services organization, such as Medicaid and Medicare.