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Notice
[Health] Healthcare Financing Management(Nepal)
Administrator
11/08/2017

o Title : Healthcare Financing Management(Nepal)

o Duration : August 17 - August 30, 2017 (14 days)

o Venue : Seongnam & Wonju, the Republic of Korea

o Training Institute : Yonsei University, Yonsei Institute of Health and Welfare

o Number of Participants : 12

 

o Program Module

MODULE

MAIN LECTURES & DISCUSSIONS

STUDY VISIT

Module 1.

Health Service System and

Insurance Scheme

▷ Basic concepts of universal health coverage, health care financing, and health insurance

▷ Understanding of South Korea health system

▷ Case study on pioneering and low income regions of South Asia and Asia Region

▷ Strategies of Health Insurance/promotion and prevention

  • Kangwondo Wonju Medical Center

Module 2.

Healthcare Financing Management

▷ Importance and ways of actuarial analysis and costs of services

▷ Set-up legal framework and institutional mechanism

▷ Importance and arrangement of patient/customer care and quality assurance mechanism

▷ Effective provider payment methods and contracting public health services for equity and improved efficiency

▷ Claim submission and verification, reimbursement, grievance and fraud handling

  • National Health Insurance Service Headquarter

 

  • Health Insurance Review and Assessment Service Headquarter

Module 3.

Problem Solving and Evaluation

▷ Supply chain/ business process in pharmacy services

▷ Engaging (multi) stakeholders for health insurance, including community and private sector

▷ Monitoring and evaluation of health insurance

▷ Health insurance information and big data management

▷ Business game

  • Wonju Severance Christian Hospital 

Module 4.

Country Report and

Action Plan

▷ Presenting country report

▷ Holding a Workshop

▷ The 1st action plan meeting : Materializing problems

▷ The 2nd action plan meeting : GPA analysis

▷ The 3rd action plan meeting : Feasible planning of action plan

▷ The 4th action plan meeting : Sharing action plan and workshop outcomes

Extracurricular

Activities

▷ Seoul Cultural Excursion

▷ Wonju Cultural Excursion

List