Health insurance opposes the unconventional growth of medical tariffs

According to Fars News Agency’s Health Group, Mehdi Rezaei, Deputy Director of Insurance and Health Services of the Health Insurance Organization of Iran, believes that based on general health policies, the formulation of tariffs for services and health care should be evidence-based and value-added. As in the law of public insurance, the emphasis is on the formulation of tariffs based on the real price.

Emphasizing that we must combine these correct principles along with other requirements, he says: “Taking into account the level of income of the general public, the economic and social situation of the country and social justice are among the important components that influence the decision of service tariffs.”

He states that in the proposal of the Supreme Council of the Medical System, two demands have been raised: these demands include the attention of the government board in approving the tariffs of 1401 and also allocating resources from a note of a 1401 budget law. As an insurance organization, we support the proposal of the Supreme Insurance Council and the twenty-eight and a half percent growth for two reasons, and we oppose the proposed unconventional growth.

Rezaei explains: “Our first reason is that the principle of balance of resources and expenditures of insurance is not consistent with such growth, and the second reason is that the per capita health insurance premium in the Health Insurance Organization has grown by only seven percent, which is commensurate with the growth proposed by friends.” is not. On the other hand, the issue of allocating resources from the place of elimination of the preferred currency is in the competence of the government and the parliament and requires their comments.

Reiterating that the Health Insurance Organization agrees with the decision of the Supreme Insurance Council and the 28.5 percent increase in tariffs in 1401, he notes: Although there are problems with the same percentage of growth in providing resources, but to continue providing services to the insured And to prevent the formation of informal payments in health care costs, we support this tariff policy and consider it a fair growth.

In the end, he says: with the normal growth of tariffs to the extent approved by the Supreme Insurance Council, ie twenty-eight and a half percent, the Health Insurance Organization tries to have its coverage at the level of last year. It is as if we will need new resources to improve the coverage or depth of insurance coverage.

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