introduction: in order to fulfill the health and medical needs of rural people, iran's medical services insurance organization approved a plan to provide rural health insurance in 2005. the plan aimed to make an appropriate context for the activities of private health care service providers in the rural areas and to meet public expectations for access to specialized medical services. in this st...

introduction: supplementary health care services are provided to offer health care services beyond existing medical services at a reasonable cost to all members. these supplementary health care services contribute to the health and quality of life of the members and therefore membership provides peace of mind and a sense of security. this study aimed at investigating supplementary health care s...

payment mechanism health insurance is a serious challenge for policy makers, access to health, continuing care, need to technology, huge expenses a considerable part of health funds is collected. therefore organizing and designing appropriate policies for organizing, financing, payment mechanism for providers and role of diagnostic related groups system. in this study, our main objective study ...

introduction: neglecting to define important criteria in developing a basic health insurance package and to notice their real roles will result in defining a package which is politically unacceptable, non-economical, technically inefficient or mixed of them. therefore development of basic health insurance package should be according to appropriate composition of influential criteria. this study...

introduction: the rapid increase in health costs across the world has forced governments to use insurance programs. uncontrolled costs would reduce the financial ability of insurance organizations in providing services. abuse of health insurance wastes 3-15% of the health budget annually. this study was conducted to determine cases of violating the rules and regulations of medical services insu...

background: the iranian healthcare system is primarily an insurance based system. this structure has an important influence on the efficiency and equity of the provision of healthcare in iran. this paper reviews the history of the iranian healthcare system and the impact of the iranian health insurance system on healthcare performance based on the results of interviews with key opinion leaders ...

background health insurance has been acknowledged by researchers as a valuable tool in health financing. in spite of its significance, a subscription paralysis has been observed in india for this product. people who can afford health insurance are also found to be either ignorant or aversive towards it. this study is designed to investigate into the socio-economic factors, individuals’ health i...

introduction: health care is considered as one of the basic needs of human societies. health insurance is the most appropriate option for all individuals to enjoy equal health care. however, today, different types of health insurance are facing with various problems which need to be solved through new laws. therefore, health insurance portability and accountability act (hipaa) was approved to s...