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의료보험 수가수준의 조정을 위한 의료보험경제지수(Medical Insurance Economic Index: MIEI)의 개발

Other Titles
 The Development of the Korean Medical Insurance Economic Index(MIEI) 
 김한중  ;  손명세  ;  박은철  ;  최귀선  ;  박웅섭  ;  임종건  ;  지영건 
 Korean Journal of Health Policy and Administration (보건행정학회지), Vol.9(1) : 156-177, 1999 
Journal Title
Korean Journal of Health Policy and Administration(보건행정학회지)
Issue Date
Medical Insurance Economic index ; Rate adjustment for inflation ; RBRVS ; Fee schedules
The current method of rate adjustment for inflation is based on the evaluation of the financial performance of hospitals. The method has the disadvantage such as too complicated, expensive process as well as low reliability. This study, therefore, develops the "Korean Medical Insurance Economic Index(MIEI)" as a new model for the rate adjustment with the use of the macro economic indices. In addition, we calculate the 1992∼1998 rate adjustment with the MIEI, and examines the validity of the MIEI by comparing with the conventional method. Medical costs are classified into nine categories : physician salaries, nurse·pharmacist·medical technician salaries, assistants & others salaries, material cost(by imports), material cost(by domestics), depreciation & rent paid(by imports), depreciation & rent paid(by domestics), power utilities, other administrative costs. Then the category weight which is the ratio of category in the total cost is calculated. Macro economic indices are selected for each cost category in order to reflect the concept of the each cost category and inflation during the year of 1992∼1998. Finally MIEI which integrate all category according to the category weight and selected macro indices is calculated. The mean of hospital MIEI which weighting by amount paid by insurers was cacluated. The result from the application of empirical data to the MIEI model is very similar to that of the current method. Furthermore, this method is very simple and also easy to get social consensus. This MIEI model can be replaced the current method based on the analysis of the financial performance for the adjustment of medical fees.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Han Joong(김한중)
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Sohn, Myong Sei(손명세) ORCID logo https://orcid.org/0000-0002-4817-0127
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