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Pilot Project of the Korean Medicine and
Western Medicine Collaboration

Overview of Pilot Projects

Pilot Project of the Korean Medicine and
Western Medicine Collaboration

Overview of Pilot Projects

Korean Medicine and Western Medicine Collaboration Pilot Project

The Korean Medicine and Western Medicine Collaboration Pilot Project is designed to promote collaborative medical practices by focusing on medical institutions
that have established a cooperative treatment system, with the aim of advancing collaborative medical technologies and improving service quality, ultimately
creating a sustainable model for collaboration between Korean and Western medicine.

Through this pilot project, we will promote collaboration by implementing medical pricing models based on the collaboration framework, generating relevant data, reviewing potential system improvements, and evaluating collaborative practices' effectiveness and economic viability.

Before and after the Korean Medicine and Western Medicine Collaboration Pilot Project

  • Previously, patients receiving both Western and Korean medical treatments for the same condition on the same day at a single institution had to bear the full cost of subsequent treatments.
  • By participating in the pilot project, patients will be subject to the standard health insurance co-payment rates for subsequent treatments,
    similar to the initial treatment.

The center aims to create evidence regarding the safety, effectiveness, and cost-effectiveness of the collaboration system by developing and operating a
monitoring research system centered around public hospitals, thereby contributing to the improvement of public health.

Background

  • From the patient's perspective, it ensures health insurance
    coverage for collaborative treatments, reducing
    out-of-pocket expenses.
  • From the healthcare provider's perspective, it facilitates a
    smooth collaborative treatment system between
    physicians and Korean medicine practitioners.
  • From the government's perspective, it facilitates
    verification of the policy's feasibility and necessary
    improvements following amendments to healthcare laws
    that promote collaboration (e.g., mutual employment and
    collaborative hospitals).

Goals

  • 01

    Through the clinical research monitoring system, collaborative patient registration research system, and researcher
    network established by prior studies, we will conduct clinical research for the institutions participating in the Korean
    Medicine and Western Medicine Collaboration Pilot Project to establish evidence regarding the clinical safety,
    effectiveness, and cost-effectiveness of the collaboration.

  • 02

    By integrating the literature and clinical information related to the Korean Medicine and Western Medicine
    Collaboration established through prior research, we will build a sustainable platform for managing and
    disseminating evidence on the collaboration.

  • 03

    For frequently treated conditions involving Korean Medicine and Western Medicine collaboration, we will present
    the validity of health insurance coverage criteria by verifying the cost-effectiveness of the collaboration compared
    to standard treatments, while also monitoring the status and safety of potential drug side effects associated with
    the collaboration.

Prior and Current Phases of the Pilot Project

The pilot project is currently being implemented in the fifth stage across 104 institutions.

  • Stage 1

    Health insurance coverage is applied for both Western and Korean medical treatments when collaborative treatment is provided for the same condition on the same day.

  • Stage 2

    Additional medical fees can be charged for collaborative treatment when conducted for specific conditions.

  • Stage 3

    Medical pricing for collaborative treatments will vary based on the institution's classification.

  • Stage 4

    There are no additional charges for collaborative treatment fees, and a unified fee system is applied.

  • Stage 5 (Current)

    A unified fee system is applied without additional charges for collaborative treatment fees, while patient copayments vary depending on the type of institution.

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