원격의료 합법화를 고려한 건강보험 정책 제언: 원격진료플랫폼, 원격모니터링기기, 디지털 치료기기 및 재택치료의료기기 중심으로

Abstract

While social demand for telehealth continues around the world since coronavirus disease 2019, other countries are maintaining and developing health care systems through the activation of telehealth. Korea is also continuously discussing with the government and industry and forming a consensus on the necessity of telehealth. However, the legal problems of telehealth and the application of health insurance for medical expenses are hindering the activation of telehealth. It is insufficient to estimate the value of the medical staff’s time-consuming parts such as initial setting and user and patient education. Assuming that telehealth is legalized, this paper intends to propose the following health insurance policies, focusing on telemedicine platforms, remote monitoring, digital therapeutics, and homecare medical devices, as follows to activate telehealth. Telemedicine platforms are essential when introducing telemedicine, and standardization is necessary to improve the quality of medical services. The health insurance application of remote monitoring should start as soon as possible for user education, the initial setting, analysis, and interpretation. The digital therapeutics and homecare medical device part propose to apply the health care cost. In addition, differentiated pay codes should be reflected in consideration of patient compliance.