Home » Health » Boosting Surgical Compensation for Aneurysms: Up to 2.7x Increase Proposed

Boosting Surgical Compensation for Aneurysms: Up to 2.7x Increase Proposed

Support for first medical expenses when a national medical examination reveals a mental health risk group

Boosting Surgical Compensation for Aneurysms: Up to 2.7x Increase Proposed

Ministry of Health and Welfare Sejong Complex

[보건복지부 제공]

(Seoul = Yonhap News) Reporter Kim Jan-di = In order to strengthen compensation for essential medical care, the government will increase the fee for cerebrovascular surgery to open the skull of patients with cerebral hemorrhage or brain tumor and surgery to remove abnormally enlarged abdominal aneurysms by up to 2.7 times.

The fee refers to the price paid by the National Health Insurance Corporation to medical institutions for medical services.

The Ministry of Health and Welfare held a Health Insurance Policy Review Committee on the 28th to discuss and decide on ways to improve the cost of cerebrovascular and abdominal aneurysm surgery.

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The Ministry of Health and Welfare decided to classify the surgery by the surgical site and whether the blood vessel was ruptured, and then raise the fee by up to 2.7 times depending on the level of difficulty. The increased price will take effect from January next year.

The Ministry of Health and Welfare expected that by strengthening compensation for high-risk and difficult medical procedures, it would be possible to maintain infrastructure such as essential medical personnel and eliminate blind spots in treatment.

On this day, the committee also discussed supporting first medical expenses for mental health risk groups in the national health checkup, applying health insurance benefits to new drugs for cardiomyopathy and neuroblastoma, and expanding rare diseases subject to special calculations.

Starting from January next year, if a person is found to be at risk for depression or early psychosis in a national health checkup mental health test and visits a medical institution, the government will support out-of-pocket expenses for the first treatment.

The purpose is to lower the burden of medical expenses for mental health risk groups and encourage them to receive accurate diagnosis and prompt treatment.

Currently, health check-ups include a depression test, but only 17.8% of people at risk for mental health receive treatment.

Starting next month, health insurance will be applied to ‘Camgios’ (ingredient name: Mavacamten), a treatment for improving motor function and symptoms in patients with obstructive hypertrophic cardiomyopathy. When people who are subject to special treatment for rare diseases use Kamzios, they only need to pay 10% of the medication cost.

Health insurance is also applied to the neuroblastoma treatment drug ‘Kwazibazu’ (ingredient name: dinutuximab beta), reducing the annual medication cost from 350 million won to 10.5 million won.

In addition, from January next year, it was decided to expand and apply 66 newly designated rare diseases subject to national management, such as achalasia, as special subjects for health insurance calculation.

The special calculation system is a system that lowers the out-of-pocket burden for patients with serious diseases, such as cancer, and rare and severe incurable diseases that have a large medical cost burden. The out-of-pocket rate for hospitalization and outpatient treatment for those subject to special calculations is approximately 0-10%.

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2024/11/28 18:00 Sent

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