Presenting a review of the nursing care insurance system Ministry of Health, Labor and Welfare December 16, 18:42

In response to the rapidly aging population, the Ministry of Health, Labor and Welfare considered raising the self-pay for long-term care insurance services and presented a review plan on the 16th. The policy is to increase the maximum amount of self-pay according to the annual income, while noting the increase in coverage of 20% and paying for care plans in response to indications such as “the impact on users is large”.

As the cost of nursing care continues to increase, the Ministry of Health, Labor and Welfare considered raising the user burden by reforming the nursing care insurance system once every three years, and presented a review plan at the expert group meeting held on the 16th.

Of these, we have been discussing whether to increase the number of people who pay 20% or 30% according to their income, but the Ministry of Health, Labor and Welfare has a large impact on users. In response to this pointed out, the policy was to postpone the expansion as “Consideration still needed”.

In addition, there are policies to forego paying for the creation of care plans necessary for receiving care services at home, and moving the life support services received by people in need of care 1 and 2 from the country to businesses in municipalities. It was.

On the other hand, as reforms to be implemented, the upper limit of self-payment, which is 44,400 yen a month in principle, is raised according to the annual income, and housing expenses and food expenses are reduced when low-income people use nursing care facilities. A policy to increase the amount of burden on some people was shown in the subsidy system.

The Ministry of Health, Labor and Welfare wants to introduce it from the next fiscal year after summarizing the conclusion within the year.

Major reform plans for the long-term care insurance system

This is the main reform plan for the long-term care insurance system, which was announced by the expert group of the Ministry of Health, Labor and Welfare on the 16th.

First of all, I will introduce the items that lead to raising the self-pay.

About the maximum amount of self-pay per month. Currently, it is 44,400 yen per household, and any excess will be refunded. It was said that this upper limit should be raised according to the annual income.

Specifically, plans are underway to increase the monthly income to ¥ 93,000 for those with an annual income of ¥ 7.7 million or more and ¥ 14,100 for those with an annual income of ¥ 11.6 million or more.

In addition, there is a system for subsidizing housing expenses and food expenses when low-income people use nursing homes such as nursing homes, but a policy was also shown to increase the burden on some people.

Specifically, a plan to add 22,000 yen per month to the current burden for people with annual income exceeding 1.2 million yen and less than 1.55 million yen is being considered.

On the other hand, this time, we will introduce the items that have a policy to postpone the introduction.

Increase the number of people who will pay 20% or 30% according to their income for self-pay when receiving nursing care, which is 10% in principle.

When you receive care at home, you need to pay for “Care Plan Creation”, which asks the Care Manager to make a plan to use the service.

Shift life support services such as shopping, cooking, and laundry that are required for care recipients 1 and 2 from the country to the municipal business.

These were all the main focus of the discussion, but are expected to be postponed due to the indication that “the impact on elderly people is great and this could lead to a refusal to use the service”.

While the experts who attended the policy of the country expressed their understanding, “In order to maintain the long-term care insurance system, it is necessary to raise the self-pay. Was also raised.