For each prefecture, Insurers and Association of Medical Care Systems for the Elderly Aged 75 and older are to jointly establish a Council of Insurers in order to promote necessary projects for the maintenance of the health of subscribers in old age and the optimization of medical expenses as well as to ensure the smooth operation of the medical care system for the elderly and cooperation in the operation.
保険者及び後期高齢者医療広域連合は、共同して、加入者の高齢期における健康の保持及び医療費適正化のために必要な事業の推進並びに高齢者医療制度の円滑な運営及び当該運営への協力のため、都道府県ごとに、保険者協議会を組織する。
The insurer council referred to in the preceding paragraph performs the following services:
前項の保険者協議会は、次に掲げる業務を行う。
liaison and coordination among insurers and other relevant persons concerning the implementation of Special health examinations, etc., the operation of the medical care system for the elderly, and other matters;
necessary advice or assistance to the insurer;
保険者に対する必要な助言又は援助
investigating and analyzing information on the expenses required for medical services and other particulars specified by Order of the Ministry of Health, Labour and Welfare;
医療に要する費用その他の厚生労働省令で定める事項に関する情報についての調査及び分析
investigation and analysis concerning the evaluation of the performance of the prefectural plan for regulating medical expenses.
都道府県医療費適正化計画の実績の評価に関する調査及び分析
The Minister of Health, Labour and Welfare is to provide necessary support to ensure that the Council of Insurers smoothly carries out the services set forth in the items of the preceding paragraph.
厚生労働大臣は、保険者協議会が前項各号に掲げる業務を円滑に行うため必要な支援を行うものとする。
(Insurer Council)
For each prefecture, Insurers and Association of Medical Care Systems for the Elderly Aged 75 and older are to jointly establish a Council of Insurers in order to promote necessary projects for the…
保険者及び後期高齢者医療広域連合は、共同して、加入者の高齢期における健康の保持及び医療費適正化のために必要な事業の推進並びに高齢者医療制度の円滑な運営及び当該運営への協力のため、都道府県ごとに、保険者協議会を組織する。
Open this provision(Insurer Council)
The insurer council referred to in the preceding paragraph performs the following services:
前項の保険者協議会は、次に掲げる業務を行う。
Open this provisionmedical insurance system for the elderlymachine translation
「高齢者医療制度」
The adjustment among insurers of the sharing of costs for the young-old (前期高齢者) under Chapter III, together with the medical insurance system for the old-old (後期高齢者医療制度) under Chapter IV.
Defined inArticle 3, paragraph (1)
Insurers
「保険者」
In this Act, the bodies that provide medical care benefits under the Medical Insurance Acts (医療保険各法): the Japan Health Insurance Association (全国健康保険協会), health insurance societies (健康保険組合), prefectures (都道府県) and municipalities (市町村), National Health Insurance Societies (国民健康保険組合), mutual aid associations (共済組合) and the Promotion and Mutual Aid Corporation for Private Schools of Japan (日本私立学校振興・共済事業団).
Defined inArticle 7, paragraph (2)· applies throughout the law
optimization of medical expenses
「医療費適正化」
The optimization of medical expenses: keeping the expenses required for medical care (医療に要する費用) appropriate, which, to secure appropriate medical care for people in their old age, the Minister of Health, Labour and Welfare promotes comprehensively and systematically through the basic policies for the optimization of medical expenses (医療費適正化基本方針) and the national plan for the optimization of medical expenses (全国医療費適正化計画).
Short name set inArticle 8, paragraph (1)
prefectural plan for the optimization of medical expenses
「都道府県医療費適正化計画」
The plan each prefecture draws up every six years, for a six-year period, in line with the basic policies for the optimization of medical expenses (医療費適正化基本方針), to promote the optimization of medical expenses (医療費適正化) in the prefecture (Article 9, paragraph (1)).
Short name set inArticle 9, paragraph (1)
Special health examinations, etc.
「特定健康診査等」
Special health examinations (特定健康診査) and specified health guidance (特定保健指導) together.
Short name set inArticle 18, paragraph (2), item (i)
participant
「加入者」
Here a participant as defined in Article 7, paragraph (4), used in defining a young-old participant (前期高齢者である加入者): a participant from the month after the month in which they reach age 65 (or from that month, where that day is the first of the month) up to the month in which they reach age 75, and others a Ministry of Health, Labour and Welfare Order (厚生労働省令) names.
Defined inArticle 32, paragraph (1)
Association of Medical Care Systems for the Elderly Aged 75 and oldermachine translation
「後期高齢者医療広域連合」
The wide-area union (広域連合) that, under Article 48, all the municipalities (市町村) in each prefecture's area join to handle the work of late-stage elderly medical care (後期高齢者医療), other than collecting insurance premiums and the work a Cabinet Order (政令) names as serving insured persons' convenience.
Short name set inArticle 48, paragraph (1)