◀ Again ▶
The government has published a comprehensive national health insurance plan that will apply for five years from this year.
We have decided to provide intensive support for essential medical care and to put an end to uncovered overtreatment.
If you use the hospital too much you will increase your load, if you use it too little you will receive a medical voucher.
The concern that health insurance funds could run out within a few years due to the aging population was responded to by saying that the situation is still stable.
This is reporter Ji Yun-soo.
◀ Report ▶
The government has decided to end hospitals’ practice of including non-covered items in their salary categories.
The goal is to ban mixed-treatment practices that prescribe physical therapy covered by health insurance, require patients to receive manual therapy at their own expense, or induce unreimbursed multifocal lens surgery during cataract surgery.
This is due to concerns that overtreatment of non-critically ill patients could erode health insurance finances as out-of-pocket expenses for non-coverage exceed 30 trillion won per year.
Incentives for patients have also been established to ensure financial stability.
If you go to the hospital more than once a day, i.e. 365 times a year, you will have to pay 90% of the hospital costs, but if you go less often you will receive a voucher to use at the pharmacy up to 120,000 won.
Instead, to invest 10 trillion won over five years in essential medical care, we decided to drastically overhaul how health insurance calculates fees paid to medical institutions.
Just as the cost of natural birth at local OB/GYN clinics has been nearly doubled, difficulty, urgency and regional disparities will be taken into account.
[박민수/보건복지부 제2차관]
″We will focus the increase on essential sectors such as essential medical care. We will establish a permanent fee adjustment system to quickly correct imbalances in each medical field.”
The problem is that there is fear of financial deterioration due to aging and low birth rates.
Recently, the National Assembly’s Budget Office warned that health insurance reserves would run out in four years, but the Ministry of Health and Welfare countered that its finances are stable, with a surplus expected this year. year based on your own estimates.
However, he added, discussion on revising the current law, which imposes health insurance premiums of up to 8% of income, is inevitable.
This is Ji Yun-su from MBC News.
Video reportage: Kyung-bae Kim / Video editor: Ji-eun Kwon
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