Showing 4 results for Etemadi
Kioomars Ashtarian, Manal Etemadi,
Volume 1, Issue 3 (12-2018)
Abstract
The fourth industrial revolution that is currently taking place requires policy decisions and responses. Political will, as one of the important variables studied in public policy, is the subject of this paper. The management will requires that policymakers first become familiar with the knowledge, appropriate to the various dimensions of this revolution and have policy concern about it; Secondly, They should have the ability to formulate this policy discourse in the country’s managerial body and thirdly, they must develop the ability to spread this discourse in the community level. This paper, analyzing upstream documents and health policy-makers discourse, shows that such three conditions have not been yet met.
Manal Etemadi, Saeed Shahabi, Mahan Mohammadi,
Volume 4, Issue 4 (3-2022)
Abstract
Introduction: Given the high expenditure of universal long-term care for elderly and the challenge of financing it for most countries, this article intends to examine leading countries to provide solutions for Iran.
Methods: The present study is a comparative study using domain review and examines the evidence related to the insurance for long-term care in the selected countries in six dimensions: type of insurance, type of membership, contribution rate / premium, inclusion criteria for coverage, the scope of services covered, and ultimately cost sharing through studies reviewed in the electronic databases.
Results: The results in the six countries showed that long-term care insurance requires public sector support in full or partly in combination with the private sector. This insurance’ being consistent with basic insurance coverage, its mandatory nature, the combination of government and individual financing (deduction from salaries or taxes) and the existence of a limited user fee to receive services, have saw in all these countries. The type of coverage is defined either universally or only for the elderly, and finally the scope of services in these insurances is graded based on the degree of dependence, the time required and the place of receiving the service.
Conclusion: In all studied countries, compulsory insurance coverage for long-term care was designed to allow for cross-subsidization. Consolidation and reduction of fragmentation of resources and expansion of integrated risk sharing is an important prerequisite for designing long-term care insurance in Iran. It is necessary to implement of the law requiring supplementary insurance to only cover services outside the basic insurance package and redesign both the basic and complementary insurance packages to determine what can be defined in the form of long-term care insurance package.
Mohammad Mehdi Tadayon, Manal Etemadi,
Volume 5, Issue 2 (8-2022)
Abstract
Mohammad Mehdi Tadayon, Manal Etemadi,
Volume 6, Issue 1 (Spring 2023)
Abstract
The Resource-Based Relative Value Scale (RBRVS) payment basis, combined with the unorganized increase in the payment rate with the Fee-For-Service (FFS) payment method that stimulates service supply and leads to an increase in induced demand, creates a crisis for the health system, which wastes the limited resources. The present study looked briefly at the challenges caused by the health service pricing system in Iran and has provided policy recommendations to improve it. The national payment system based on the RBRVS in Iran lacks important cost control tools of the main model, including the Sustainable Growth Rate, Budget Neutralization Factor, and forecasting the growth rate of Rial value of the relative value conversion factor in the annual budget laws. A number of technical challenges exist in the national model of the RBRVS include changing the ratio of Physician Work to the Practice Expense, removing the Geographic Practice Cost Indices, removing the budget neutralization factor, the lack of an allowable payment to determine the Rial value of the conversion factor. There are also policy challenges, the most important of which is the disassociation of the Supreme Council of Health Insurance and the Supreme Council of Welfare and Social Security as a part of comprehensive welfare and social security system structure. All of the challenges are the root of the malpractice of the health service pricing system in Iran. Dissociation between health financing policies and macroeconomic policies of the country necessitates the adoption of policies to strengthen the governance of the payment system, including reforming the existing pricing system by returning to the principles governing the original model, changing the payment method to improve behavior on two supply and demand sides and institutional reform to strengthen the regulatory function for health services pricing.
