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KMID : 0387319970070020065
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Korean Journal of Health Policy and Administration
1997 Volume.7 No. 2 p.65 ~ p.88
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Development of a Payment System for Telemedicine
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Yeom Yong-Kwon
Myoung Hee-Bong
Lee Yoon-Tae
Kim Dong-Wook
Suh Won-Sik
Lee Kwan-Ik
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Abstract
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In Korea, telemedicine is still under the beginning stage, but we expect that the developing ´Information Highway´ will make this technology more common place and more easily used in coming soon. Currently, three hospitals are providing telemedicine services with their subsidiary hospitals which are far away from their remote place. However, the fee schedule of telemedicine services are not well-settled down, of course not reimbursed through current health insurance system. This study aims to develop new payment system for medical services provided through telemedicine system.
To design appropriate fee schedule for telemedicine services, we, first, review the current insurance payment system and telemedicine system both in domestic and foreign countries focusing on its payment system. A framework of telemedicine payment system is proposed in following steps based on information we acquired from this stage.
Second, We decide the span of cost items which should be covered by telemedicine payment scheme. In here, we suggest payment method for telemedicine services should be designed as dual structure which are telemedicine fee that should be reimbursed through payment scheme and any costs related to capital investment that should not be covered by payment system. Which is, payment system for telemedicine services should cover only service-related costs and any costs related to capital investment should be generated through third party such as government, health insurance association, etc.
Finally, we suggest new fee schedules for telemedicine services. The key issues on developing telemedicine fee schedules are related with the determination of appropriate additional rate(α). The reasonable additional rate(α) must determine through careful evaluation of any additional efforts(e.g. : additional work hours which are related to providing telemedicine services). This study shows the process of how to determine appropriate additional fate(α).
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KEYWORD
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telemedicine, fee schedule, payment system, additional rate(α)
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