[메디게이트뉴스 임솔 기자] In recent years, private insurance companies’ tyranny against medical institutions continues. The Korean Medical Association asked candidates who ran for the 41st president of the Korean Medical Association for a solution to the tyranny of private insurance companies.
Symbol No. 1, Candidate Hyun-Taek LimSaid that it would inform the public of information on insurance companies whose patients are not properly protected and even boycott.
Candidate Lim said, “Among the children and adolescents and members, I received an official letter from the Health Insurance Review and Assessment Service saying that it was not a salary, and an insurance company told me that it was a salary. .
Candidate Lim said, “The problem is that we do not hesitate to induce administrative demand or even accusation to intervene and explain medical institutions that have nothing to do with the private contract relationship between patients who are insured loss insurance and the insurance company. He pointed out that the Shim Pyeong-won unfairly intervenes as if he were an apostle of justice.”
Candidate Lim said, “You must actively file a complaint with the Financial Supervisory Service. “In this case, the insurance company should inform the public that it is not unreasonably trying to pay the insurance payments to patients.” said.
No. 2 candidate Tae-wook YooSaid that it would do its best to block legislation that links health insurance and indemnity insurance.
Candidate Yoo said, “Private insurance companies are paying administrative burdens for medical institutions to request submission of various insurance-related documents, or are struggling with lawsuits related to medical expenses.” He said, “We are trying to manage insurance links.”
Candidate Yoo said, “As the Moon Jae-in administration has strengthened its non-payment controls due to strengthened health insurance coverage, it is feared that such a move will put more pressure on medical institutions. He said, “As the link between health insurance and real-loss insurance is aimed at guaranteeing the interests of private insurers, we need to mobilize all the political power of the medical community to prevent this from happening.”
Symbol No. 3, candidate Lee Pil-sooAnnounced that it will provide 24-hour on-site response and legal support through a department dedicated to member grievances.
Candidate Lee said, “The tyranny of private insurance companies is that there are typically a lawsuit for redemption of non-indemnity treatment items and requests for various data. He said, “There are many cases where it becomes a problem by filling out an opinion form or implementing a voluntary non-payment,” he said.
Candidate Lee said, “Even to protect members from such tyranny of private insurance companies, we must always respond 24 hours a day through a department dedicated to member complaints. We will provide on-site response and legal support in connection with experts in each field.”
No. 4 candidate Park Hong-junAnnounced that it would take legal action against medical institutions attacked by private insurance companies as a measure of medical consultation.
Candidate Park said, “Recently, class lawsuits by insurers against breast mammoth surgery are considered a representative case. As the loss ratio of real-life insurance increases, private insurance companies are pushing the government through the Financial Supervisory Service or the Ministry of Strategy and Finance to pressure medical institutions.”
Candidate Park said, “It is the responsibility of the insurer who made the wrong insurance design and not the responsibility of the medical institution to increase the loss ratio of indemnity insurance companies. It must be aggregated and legally addressed at the level of medical consultation,” he emphasized.
No. 5 candidate Lee Dong-wookSaid that it would eradicate private insurance companies from being smitten or tyranny.
Candidate Lee said, “As private insurers exist for the benefit of private companies, there may be differences in interpretation of terms and conditions between private insurers and private insurance subscribers. It is very wrong to do it,” he warned.
Candidate Lee said, “Based on these principles, private insurance companies will do a duty to fundamentally eradicate the direct abuse or tyranny of medical institutions.”
No. 6 candidate Dongseok KimAnnounced that it will inform the public about the harm of private insurance companies that do not want to compensate for medical treatment conducted according to medical judgment.
Candidate Kim said, “Recently, the pressure of private insurance companies has exceeded the degree. As the chairman of the General Association of Korea, he has taken this issue seriously and has been responding preemptively.” He said,’We have achieved a result of receiving an answer saying,’It can be judged and implemented.’
Candidate Kim said, “The contract between the doctor and the patient for unpaid treatment is a matter between the parties. Private insurance companies are contractors with patients and are not entitled to say anything about medical treatment performed by doctors based on medical judgment. Nevertheless, it is an overcoming and illegal act that keeps coming out in this way.”
“Private insurers are lobbying to pass a bill in which medical institutions replace claims for indemnity insurance to reduce payments for medical expenses, and review them by the Review Board. This is also an issue that must be prevented,” he said. “The victims are not only doctors, but the people. I will work to inform the public about these problems and create a friendly army.”