المملكة: “Reference pricing” to control the costs of health services in hospitals – urgent
The Health Insurance Council launched the “MRP Reference Pricing” project, in a move aimed at restoring Control prices Healthcare and unifying pricing mechanisms, within a framework that balances the quality of services and cost efficiency, and achieves greater protection for beneficiaries of health insurance." target ="_Blank"> Diagnostic packages «Drgs» internationally approved, and depends on the classification of the Australian diagnostic groups «AR-Drgs», to determine the pricing based on the degree of complexity Medical cases and resource consumption. High -cost – such as exorbitant medications and some prostheses and medical brushes – will be included as separate items in insurance claims, to ensure flexibility in the billing and taking into account the privacy of each case, while maintaining the comprehensive coverage. The negotiation between insurance companies and the careers of the care, according to the condition of the market and the needs of patients, which enhances transparency and gives the health sector more accurate tools in cost management. />
He mentioned that this project is part of a broader orientation that the council adopts to build a sustainable national health system based on efficiency and value, and aims to raise the efficiency of health spending, and enable beneficiaries to obtain advanced services at fair costs, in addition to motivating service providers to innovate and providing quality -based care.
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