Reimbursement system
Scientifically, health technologies include not only drugs, treatment materials and
internal medicinal/surgical operations used in healthcare, but also all of the
organizational and supportive systems involved in the process of providing healthcare
services. Health technology assessment looks not only at the safety, effectiveness and
cost effectiveness of relevant technologies but also all the social, ethical and legal
effects of the technologies.
The subjects of health technology assessment in Korea are internal medicinal/surgical
operations and related tests; assessment areas are divided into
safety/effectiveness
assessment pursuant to the Medical Services Act and the suitability of benefits and
cost-effectiveness pursuant to the National Health Insurance Act.
This is the system where the Minister of Health and Welfare approves the technology
- that is not recognized as a new health technology due to lack of study and\
is for
disease or illness without alternative health technology, rare disease, or end-stage or
severe chronic diseases with no alternative technology and needs to
enter the clinical
environment hastily - at certain medical institutions to collect and analyze the
outcome to produce a clinical evidence for the technology.
The health care institutions over hospital-level by Article 3 of the Medical Service
Act may request for an approval, and if the technology is determined
as a ‘
conditional health technology’, the institution may use the technology as
non-reimbursement item for the duration notified by the Minister of Health and
Welfare. Once the duration is over, the technology must undergo the nHTA based on
the clinical evidence collected at the clinical environment.
This system is implemented to postpone nHTA for 2 years for earlier use of the
technology at clinical environment if it uses a medical device approved by the
Ministry of Food and Drug Safety (MFDS) and meets the falling clauses.
Other than the assessment of effectiveness through scholarly works, potential value
of the emerging technology, etc. are considered, providing an opportunity
for a
safe innovative health technology to be utilized in practice.
The technology may be temporarily used for 3 ~ 5 years on clinical uses if the related conditions, such as purpose and target of use, duration, treatment (examination) method, etc., are met. Once the period of use is over, nHTA is made based on the clinical evidence collected in the clinical environment to prove the effectiveness.
Integrated Review and Assessment System for Innovative Medical Device
It is possible for innovative medical device to be approved and marketed at the same time by simultaneously implementing processes