Risks from long-term care and medical insurance systems and reimbursement revisions
First written in FY2022. 3 of 6 entries say "Worsened", first in 2026-05-12. Latest entry: 2026-08-12.
Sunwels moved to the "Worse" side of this theme in 2024, 2 years before the typical company in this theme (2026).
The whole theme swung hardest in 2026: 7 of 16 companies on the "Worse" side.
6 other companies' latest entry also says "Materialised".
- 2026-08-12MaterialisedFinancial Results Presentation
「Decline in medical-insurance revenue from June 2026 onward due to the introduction of the bundled home-nursing medical-fee system」
診療報酬改定による制度変更が、医療保険売上の低下として第１四半期に実際に表れた。 - FY2026WorsenedAnnual report
「Under the medical-fee revision effective June 2026, a new “bundled visiting nursing medical fee” was introduced to optimize frequent visiting-nursing services within the same building for severely ill patients. The reimbursement system shifted from fee-for-service calculation based on “each visit” to a “daily bundled assessment” based on the number of residents in a single building and total visiting time per day. More granular deductions for multiple residents in the same building and reductions based on the number of monthly visits at large facilities were also introduced. We are changing our structure from the previous earnings model based on frequent visits, which creates a risk of lower revenue and profit margins.」
The medical-fee revision changed reimbursement from fee-for-service based on frequent visits to a daily bundled assessment, creating a specific risk of lower revenue and profit margins. - FY2024SoftenedAnnual report
「Nevertheless, based on the revisions made to date, we believe that the likelihood of our business being materially affected immediately by the revision is low.」
While retaining the system and reimbursement-revision risk, the company added that the likelihood of an immediate material impact is low based on past revisions. - FY2022First statedAnnual report
「If regular system reviews or other changes result in revisions unfavorable to the company, our operating performance and financial condition could be affected.」
The company discloses its exposure to revisions of the long-term care insurance and care-fee systems every 3 years and simultaneous medical and long-term care revisions every 6 years.