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Starting next year, you can know in advance how much a patient will have to pay for medical treatments that are not covered by health insurance. As a result, information on non-payment prices is released in some 70,000 hospitals and clinics across the country.
The Ministry of Health and Social Welfare announced on the 31st that it has established a ‘comprehensive measure to strengthen the management of health insurance defaults’ that includes the above contents and confirmed by the Health Insurance Policy Review Committee held by written from 28 to 30.
Non-payment refers to medical treatment in which the patient pays all expenses because he is excluded from health insurance benefits under the National Health Insurance Act. There are positive aspects, such as guaranteeing autonomy in the medical field, choosing the patient and promoting the introduction of new medical technologies. However, there has been constant criticism that the price and standards of delivery are set by the healthcare provider, and the price and standard are set by the healthcare provider.
Therefore, beginning in January next year, the Ministry of Health and Social Welfare will expand the target for disclosure of non-income price information from the existing hospital level or higher (3,925 locations) to the clinic level (65,464 locations ) or higher than all medical institutions. The number of disclosure items will be adjusted from 564 today to 615 next year.
In addition, the medical staff or workers of the medical institution must explain before treatment so that the patient can recognize and select the content and prices of non-indemnifying items necessary for treatment. We will improve the details of the receipts so that patients can verify the details related to the non-payment even after the treatment.
It was decided to review the need to convert non-payment into benefits when the elements of non-payment are directly or indirectly necessary for medical reasons for the treatment of the disease. In addition, it plans to reclassify non-payment care into ‘medical default’ and ‘selective default’, and to periodically evaluate the effectiveness of medical default.
Kim Hyun-joon, Medical Safety Examiner at the Ministry of Health and Welfare, said: “It is necessary to protect patients and increase trust in medical services by solving some irrational problems while respecting the judgment of medical personnel regarding default and choice of the patient “.
Last year, of the total medical expenses of 100.3 trillion won on health insurance, the default was 16.6 trillion won, showing an average annual increase of 7.6% over the past three years.
Lim So-hyung reporter [email protected]
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