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  • New types of risk-sharing agreements added for reimbursement
  • by Lee, Tak-Sun | translator Alice Kang | Mar 12, 2025 05:57am
Fixed cost refund at initial treatment and outcome-based types of RSA added to drug evaluation criteria
Fixed cost refund at initial treatment type is managed by the National Health Insurance Service, and the outcome-based type is managed by the Health Insurance Review and Assessment Service.
The Health Insurance Review and Assessment Service has established two types of risk-sharing schemes, including initial treatment cost reimbursement (Fixed cost refund at initial treatment) and outcome-based reimbursement, to the detailed criteria for drugs subject to negotiation.

This appears to reflect the additional content included in the recent revision of the Ministry of Health and Welfare's 'Criteria for the Determination and Adjustment of Drugs.¡¯

According to the industry sources on the 7th, the Health Insurance Review and Assessment Service established two types of risk-sharing agreements in the 'Detailed Evaluation Standards for Medicines subject to Negotiations, Including New Drugs'.

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