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KMID : 1146320150030020090
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Journal of Health Technology Assessment
2015 Volume.3 No. 2 p.90 ~ p.98
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Appraising the Value of Medical Device Innovation in South Korea: Multi-Criteria Decision Analysis Application for Reimbursement Coverage Decision-Making
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Lee Sang-Soo
Choi Hyun-Sook
Strachan Liesl
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Abstract
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Since the year 2000, the reimbursement coverage and pricing rule for medical devices in South Korea has been evolving gradually with the introduction of the ‘Value Appraisal Standard (VAS)’ system in March 2006 to recognize the premium value of innovative medical devices. Nevertheless, the VAS system has been criticized due to the lack of objectivity and its insufficient operability. Over the last decade, the quest for a more comprehensive, structured and transparent reimbursement coverage decision-making process has prompted research into alternative decision-making frameworks. In this regard, multi-criteria decision analysis (MCDA) arose and has gained more attention as an approach to support healthcare decision-making involving multiple and conflicting criteria. In 2014 the task force initiated by both Ministry of Health and Welfare and Health Insurance Review and Assessment Service and composed of various stakeholder representatives was formed to improve the reimbursement coverage and pricing rule by leveraging international practices from foreign countries and to develop the most feasible pricing rule in the current healthcare policy environment. The task force studied the principles, processes and practices for reimbursement coverage and pricing of medical devices in other countries and also deliberated MCDA for improved and fair recognition of the value of innovative medical devices. The consensus for the improved reimbursement coverage and pricing rule with MCDA was reached among the stakeholders and placed into official regulation effective in January 2015. The MCDA application is expected to contribute to better innovation value recognition and also transparent and reasonable operation in the decision-making process.
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KEYWORD
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Medical device, Reimbursement coverage, Pricing, Multi-criteria decision analysis
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