Objective: To conduct stakeholder identification and problem analysis of inclusive health insurance participation in rare disease coverage based on the stakeholder perspective. Methods: A literature review and a Mitchell scale were used to identify, categorize, and analyze the relationship among the stakeholders, and qualitative interviews were conducted with identified stakeholders to explore their demands, positioning, and barriers to participation in inclusive health insurance. Results: The Healthcare Security Ad- ministration, Banking and Insurance Regulatory Commission, and the primary insurer were the most influential “identified stakehold- ers” in the development of inclusive health insurance. A total of 63 concepts were coded, and the stakeholders were analyzed and de- scribed in categories of claims, roles, strengths, difficulties, and behavioral strategies. Conclusion: There were differences in the de- mands of the stakeholders, lack of clarity of roles, and lack of effective synergy.