HIRA is dedicated to maintaining and improving national health by fulfilling its commitment to health care review and quality assessment. We will be an organization that is recognized and respected by all the physicians, patients, partners and people in the country.
HIRA, succeeding to the medical claims review part of National Federation of Medical Insurance, was established to combine medical fees review and health care assessment as an independent single agency separated from insurers, providers and other interested parties. HIRA is responsible for reviewing medical fees and evaluating whether health care services are medically necessary and delivered to beneficiaries at appropriate level and cost.
In addition to reviewing and evaluating health care services provided to beneficiaries, HIRA also performs a number of activities such as supporting to establish and revise the standards of health care and the fee schedules, managing the information about medical care institutions, implementing the quality improvement initiatives for the health care services, and conducting various researches and preparing policy proposals, etc.