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The govt has announced a plan to absolutely overhaul the so-named “Moon Jae-in Care”, which aims to significantly improve health and fitness insurance coverage added benefits.
There is also the risk that the threshold for wellbeing insurance coverage for ultrasound or MRI will raise.
Reporter Jo Hee received studies.
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A report on the operate of the President of the Ministry of Health and Welfare in the existence of two deputy ministers devoid of a vacant minister.
The Ministry of Wellness and Welfare contained the material of the “adjustment of health and fitness insurance expending to broaden crucial medical coverage”.
Specially, he mentioned: “We will conduct a comprehensive reassessment of reimbursed things this sort of as ultrasound and MRI that bring about abnormal health care use.”
[이기일/보건복지부 2차관]
“We will intensively manage excessive filming (ultrasound, MRI, and so forth.).”
It is a very clear intention to reorganize the so-identified as ‘Moon Jae-in Care’, implemented in 2018 to lessen the burden of health care costs.
When this method was executed, wellbeing insurance plan was utilized sequentially from brain and cerebrovascular MRI to stomach ultrasound.
In addition, 3,800 uninsured solutions were being reimbursed, of which people had to fork out the complete expense, to drastically cut down health care fees for women, the aged and low-money family members.
Even so, considering that then, the use of ultrasound and MRI has significantly improved by about 10% per 12 months, and the controversy around overtreatment has not ceased.
It was also pointed out that the well being insurance price range was overspent.
As worries amplified, the Board of Audit and Inspection has executed audits of the Ministry of Health and fitness and Welfare and the Nationwide Health and fitness Coverage Company because May well final calendar year, and Moon Jae-in Treatment in fact went to the functioning table.
Final thirty day period the Board of Audit and Inspection introduced it experienced brought about “economic losses” and the new governing administration determined to carry out a significant critique of its health and fitness coverage coverage to extend essential healthcare coverage.
Initial, MRI reimbursement is expected to be reviewed for musculoskeletal diseases this sort of as shoulder, knee, and neck, which is currently Moon Jae-in Care’s most recent system.
As a outcome, health coverage coverage criteria for some ultrasound and MRI tests can grow to be stricter or boost the load on the person.
President Yoon Seok-yeol has identified as for a concentrate on strengthening the critical professional medical foundation and extreme therapy, but there is also an objection that there is a issue with denying the fundamental function of “strengthening clinical protection” of Moon Jae-in Care with some economic calculations flaws.
This is Jo Hee-gained by MBC Information.
Video Editing: Yeeun Jang
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