THE IMPACT OF HEALTH TRANSFORMATION PLAN ONHEALTH SERVICES FEES: BRIEF REPORT

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MOSADEGHRAD ALI MOHAMMAD; MIRZAEE NEGAR; AFSHARI MAHNAZ; DARRUDI ALIREZA

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Journal: Tehran University Medical Journal Year:2018 | Volume:76 | Issue:4 Page(s): 277-282

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Title

THE IMPACT OF HEALTH TRANSFORMATION PLAN ONHEALTH SERVICES FEES: BRIEF REPORT

Author(s)

MOSADEGHRAD ALI MOHAMMAD | MIRZAEE NEGAR | AFSHARI MAHNAZ | DARRUDI ALIREZA | Issue Writer Certificate

Keywords

HEALTH SERVICESQ1

IRANQ2

MEDICAL FEESQ1

RELATIVE VALUE SCALEQ1

Abstract

Background: Tariff setting in healthcare is an important control knob affecting thequality, access and cost of services. As part of IRAN Health Transformation Plan (HTP)in 2014, the relative value of health care and services was increased to motivatehealthcare providers to deliver high quality services. This study aimed to examine theimpact of HTP on HEALTH SERVICES tariffs. Methods: This descriptive and cross-sectional study used the data from CaliforniaTariff Book (2013 edition) and the new relative value book (2016 edition). Theweighted average of the relative value of the anesthetic and surgical services in bothbooks was calculated and compared. Results: The California book and the new relative value book had 5281 and 3448service codes respectively in 13 major medical specialties (34. 7 percent reduction ofservice codes in the new tariff book). Overall, 64985. 9 K and 125133. 6 K wereconsidered in the California book and the new relative value book (92. 6% growth). TheCalifornia book and the new relative value book considered 25, 976 K and 22, 307 K foranesthesia services, respectively in those 13 medical specialties (14. 1% reduction). TheHTP has increased the relative value of healthcare services tariff by 1. 9 times inaverage. Conclusion: The HTP has doubled the tariff of healthcare services. A rise in therelative value of healthcare services has incurred financial burden on IRANian publichealth insurance companies and made it difficult to finance health system of thecountry. A sustainable health financing system should be developed as well a changeshould be applied in provider payment system to control the cost and increase the healthsystem efficiency.

Cites

References

Health managers' perspective on the challenges and injuries caused by incorrect medical service tariff, A qualitative study

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APA: Copy

MOSADEGHRAD, ALI MOHAMMAD, MIRZAEE, NEGAR, AFSHARI, MAHNAZ, & DARRUDI, ALIREZA. (2018). THE IMPACT OF HEALTH TRANSFORMATION PLAN ONHEALTH SERVICES FEES: BRIEF REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 76(4 ), 277-282. SID. https://sid.ir/paper/39625/en

Vancouver: Copy

MOSADEGHRAD ALI MOHAMMAD, MIRZAEE NEGAR, AFSHARI MAHNAZ, DARRUDI ALIREZA. THE IMPACT OF HEALTH TRANSFORMATION PLAN ONHEALTH SERVICES FEES: BRIEF REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2018;76(4 ):277-282. Available from: https://sid.ir/paper/39625/en

IEEE: Copy

ALI MOHAMMAD MOSADEGHRAD, NEGAR MIRZAEE, MAHNAZ AFSHARI, and ALIREZA DARRUDI, “THE IMPACT OF HEALTH TRANSFORMATION PLAN ONHEALTH SERVICES FEES: BRIEF REPORT,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 76, no. 4 , pp. 277–282, 2018, [Online]. Available: https://sid.ir/paper/39625/en

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