Co-pay rate of advanced hospitals for cold patients to 80%

Minimization of mild patients in large hospitals, Improvement of medical delivery system,The Health Insurance Policy Deliberative Committee proposed in April

As soon as the plan to reorganize the medical delivery system, which has shown a lull in the event of COVID-19, is expected to be presented to the Health Insurance Policy Deliberative Committee during this month.

 

In particular, it is noteworthy that a plan to increase the outpatient co-payment rate of minor patients, such as simple colds using advanced hospitals, from 60% to at least 80%.

 

As a result of covering on the 1st at the Medical Times, it was confirmed that the Ministry of Health and Welfare is preparing to propose The Health Insurance Policy Deliberative Committee, which will be held in April to improve the short-term countermeasures of patients with minor illnesses, which is a short-term measure, among the plans to reorganize the medical delivery system.

 

The Ministry of Health and Welfare is considering a plan to increase the burden of co-pay for advanced hospitals for people with mild illnesses such as colds.

 

This is the briefing of the director of the health department, Hong-in Noh.

#Earlier, Noh Hong-in, head of the Ministry of Health and Welfare, announced the plan to improve the medical delivery system in September of last year.

 

In order to prevent the use of advanced hospitals for mild patients such as colds, a strong penalty was given only to medical institutions.

 

If so, what will happen to minor patients, such as colds, who are receiving outpatient treatment at an advanced hospital?

 

According to the Enforcement Decree of the National Health Insurance Act, the rate and amount of the burden of partial co-payment (separate table), the co-payment rate of outpatient care for general patients at advanced hospitals is 60%, 50% for general hospitals, 40% for hospitals, and 30% for clinics.

 

The Ministry of Health and Welfare is actively considering ways to increase the out-of-pocket rate of outpatient care for patients with mild illness from 60% to at least 80% in parallel with the penalty of senior general hospitals.

 

Outpatient out-of-pocket rates for general patients at senior general hospitals specified in the National Health Insurance Act

#The strategy is to increase the effectiveness of the plan to improve the medical delivery system only if the minor patient's burden is increased than the current situation.

 

Personnel from the Ministry of Health and Welfare said that there is no change in the policy to improve the health care delivery system by applying 0% of the classification rate of senior general hospitals as a short-term measure and excluding medical quality evaluation support funds.

 

He said that they are looking into ways to strengthen the current co-payment rate by more than 60% to minimize outpatient use of advanced hospitals for minor patients such as colds.

 

In this case, the question is how to judge a mild patient.

 

For first-time patients, the application of the classification rate and co-payment is the same as the present, and if the diagnosis is confirmed as a mild disease after examination, the method of applying the classification rate of 0% and the co-payment increase from the reign is predominant.

 

The Ministry of Health and Welfare is planning to propose a plan to improve the medical delivery system through the Health Insurance Policy Deliberative Committee in April.

 

#An official from the ruling party said that it was problematic to impose a penalty only on advanced hospitals when discussing plans to improve the medical delivery system between the administrations in September last year.

 

Although there were objections from patient groups, he agreed that increasing the burden of minor patients such as colds would contribute to re-establishing the medical delivery system and improving consumer behavior.

 

The plan to change the name of the senior general hospital to 'severe general hospital' will be promoted through a bill in the second half of the 21st National Assembly standing committee after the general election in April in that it is necessary to revise the medical law.

 

Another official from the Ministry of Health and Welfare said that the importance of infection management has increased as a result of the COVID-19 incident, and that they are considering a medical delivery system and a separate infection management delivery system.

 

He said that it could take some time for both the quarantine, infection and medical policies to be discussed.