Ultrasonography is a simple and safe medical tool for diagnosing thyroid nodules evaluating malignancy. National Health Insurance coverage ultrasonography was implemented in Korea, has been effect since 2016. In 2022, with expanded coverage, imaging standards reimbursement were recommended. The diagnosis of will be discussed this article based on updated criteria recommended standard imaging.

The following Protocol contains medical necessity criteria that apply for this service. It is applicable to Medicare Advantage products unless separate Medicare Advantage criteria are indicated. If the criteria are not met, reimbursement will be denied and the patient cannot be billed. Preauthorization is not required except for the treatment of cancers of the prostate, breast, lung, colon and ...

The analysis can help to understand the most important criteria in local price and reimbursement decision making process. The success rate for inclusion of new drugs is relatively high in Slovakia, but the majority of drugs included to the Reimbursement List do not require higher public expenditures. The most frequent reasons for non-inclusion of a drug to the Reimbursement List were different ...

Cyclooxygenase (COX)-2-specific inhibitors were developed to circumvent the gastrointestinal toxicity of non-specific non-steroidal anti-inflammatory drugs while maintaining efficacy. However, the higher acquisition cost of COX-2-specific inhibitors has resulted in the implementation of a programme for cost containment in the Ontario public drug program. This programme consists of limited use (...

This article reviews the change in the reimbursement and pricing system in South Korea, which was the precursor to the eventual implementation of evidence-based decision-making. There has been pressure on Korea’s National Health Insurance system to control its skyrocketing expenditures on drugs. As a result, a series of cost-containment policies have been implemented. The idea of economic evide...

OBJECTIVES We design and develop an electronic claim system based on an integrated electronic health record (EHR) platform. This system is designed to be used for ambulatory care by office-based physicians in the United States. This is achieved by integrating various medical standard technologies for interoperability between heterogeneous information systems. METHODS The developed system serv...

OBJECTIVES The aim of this study was to get insight in what criteria as presented in Health technology assessment (HTA) studies are important for decision makers in healthcare priority setting. METHODS We performed a discrete choice experiment among Dutch healthcare professionals (policy makers, HTA experts, advanced HTA students). In twenty-seven choice sets, we asked respondents to elect re...

Methods to reimburse living organ donors for the non-medical expenses they incur have been implemented in some jurisdictions and are being considered in others. A global understanding of existing legislation and programs would help decision makers implement and optimize policies and programs. We searched for and collected data from countries that practice living organ donation. We examined legi...