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J Korean Med Assoc. 2014 Nov;57(11):927-933. Korean. Original Article. https://doi.org/10.5124/jkma.2014.57.11.927
Kim YJ , Lee WP .
Healthcare Center, Kyobo Life, Korea. kyj650@paran.com
Dr. Lee's Clinic of Internal Medicine, Seoul, Korea.
Abstract

Whether or not insurance covers new health technology has a great effect on the extent of its acceptance and diffusion. Thus many stakeholders vie to participate in determining insurance reimbursement regulations. This paper explains the process by which new health care technology is added to the coverage list in the Republic of Korea,with each checkpoint explained. Our paper also argues that the implication of the listing process of Korean insurance coverage should be modified in the area such as what is the principle of insurance coverage and who will decide the acceptance criteria of health technology, safety, effectiveness, economic feasibility, and relative value.

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