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Health Insurance Review & Assessment Service

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건강보험심사평가원
건강보험심사평가원
健康保險審査評價院
Agency overview
Formed1 July 2000 (2000-07-01)
JurisdictionGovernment of South Korea
HeadquartersWonju, Gangwon Province, South Korea
Agency executive
  • Kim Sunmin, President
Parent departmentMinistry of Health and Welfare
Websitehttp://www.hira.or.kr/eng/main.do

The Health Insurance Review and Assessment Service (Hangul: 건강보험심사평가원; Hanja: 健康保險審査評價院) - HIRA in short - is a government agency under Ministry of Health and Welfare responsible for claims review and quality assessment of the National Health Insurance[1] Since its foundation, its role has expanded as it has become a speicalised agency with delegated powers related to health insurance and healthcare from the Ministry.[2] Its head with fixed 3 year term is nominated by the Minister upon the recommendations from nomination committee and appointed by the President.[3][4]

It has its headquarters in Wonju and 10 branch offices across the nation.[5][6]

History[7][edit]

  • 1963 : Health Insurance Act enacted
  • 1977 : National Health Insurance Council (Hangul: 전국의료보험협의회) responsible for claims review established
  • 1982 : Changed its name to Health Insurance Cooperation Association (Hangul: 의료보험조합연합회)
  • 1988: Changed its name to Health Insurance Association (Hangul: 의료보험연합회) and became central organisation responsible for claims review
  • 1999 : National Health Insurance Act enacted
  • 2000 : Current HIRA was created along with National Health Insurance Service, which combined multiple insurance schemes run by multiple insurers
  • 2017 : moved its headquarters from Seoul to Wonju

References[edit]

  1. Kim, J. A.; Yoon, S.; Kim, L. Y.; Kim, D. S. (2017). "Towards Actualizing the Value Potential of Korea Health Insurance Review and Assessment (HIRA) Data as a Resource for Health Research: Strengths, Limitations, Applications, and Strategies for Optimal Use of HIRA Data" (PDF). Journal of Korean Medical Science. 32 (5): 718–728. doi:10.3346/jkms.2017.32.5.718. PMC 5383602. PMID 28378543.
  2. "이의신청 복지부서 심평원 이관". 팜뉴스 (in 한국어). 2003-12-23. Retrieved 2020-07-30.
  3. "임원 선임방법". Unknown parameter |url-status= ignored (help)
  4. "ACT ON THE MANAGEMENT OF PUBLIC INSTITUTIONS". Unknown parameter |url-status= ignored (help)
  5. "Contact Us". Unknown parameter |url-status= ignored (help)
  6. "Organizational Chart". Unknown parameter |url-status= ignored (help)
  7. "Health Insurance Review & Assessment Service". www.hira.or.kr. Retrieved 2020-07-30.

See also[edit]

  • Healthcare in South Korea


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