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Table 2 Key milestones in the establishment of the national tariff payment system (1972–1995)

From: Setting health care services tariffs in Iran: half a century quest for a window of opportunity

Period

Milestone

Provider reimbursement

Controlled by

< 1972

1956: IMC created

Public: a line-item budget

Ministry of Work and Social Services

1972–1981

1972: first list of the tariffs

Public: a line item budget + tariffs-based reimbursement// Private: not clear

Ministry of Work and Social Services; SSO

1982–1985

1982: K-tariffs

idem + partially implemented new same tariffs for Private and public

Ministry of Work and Social Services; SSO

1985–1990

1985: MoHME created

idem + Introduced additional methods of reimbursement: K-tariffs + FFS + salary + capitation + bonus

MoHME

1990–1994

1990: UMSI Act introduced

idem, but the tariff is the primary method of reimbursement and shifts towards evidence-based tariff setting

MoHME, IMC

1995

1995: UMIO created

idem, tariffs are now revised annually based on total costs that are included. Return on invested capital and depreciation

MoHME

  1. IMC Iran Medical Council, SSO Social Security Organization, MoHME Ministry of Health and Medical Organization, FFS Fee For Service, UMSI Universal Medical Services Insurance, UMIO Universal Medical Insurance Organization