NHIS Launches Year-Round Self-Diagnosis System for Long-Term Care Services

The National Health Insurance Service (NHIS) in South Korea operates a year-round self-diagnosis system designed to help long-term care facilities independently monitor their service quality and verify compliance with care benefit cost addition criteria. According to reports from Weekly Hankook, the initiative allows eligible facilities to conduct regular internal evaluations to maintain high standards of elder care.

Administered via the official long-term care portal, the system requires participating institutions to review specific operational metrics on a monthly basis. This self-management framework focuses heavily on proper staffing arrangements and specialized service delivery, ensuring that elderly recipients experience reliable and professional support across the country.

The program targets institutions receiving additional care benefit costs, providing them with structured guidelines to self-correct and uphold strict regulatory standards.

Understanding the Self-Diagnosis Checklist and Categories

Under the guidelines reported by Insurance Economy, the self-diagnosis system is open to any long-term care institution that receives care benefit cost additions. Facilities evaluate themselves once a month using a tailored set of 15 to 17 checklist items depending on their specific service category.

NHIS Launches Year-Round Self-Diagnosis System for Long-Term Care Services
Photo: inseconomy.kr

The primary evaluation categories include the additional placement of staff, the provision of customized services, and the specialized assignment of personnel such as social workers in home-visit care settings. Participating administrators log onto the designated online portal and complete the evaluation using a straightforward “Yes or No” format.

Once submitted, the system automatically calculates a preliminary compliance rating. If affirmative responses account for 60% or more of the evaluation items, the facility receives an “adequate” designation. Scores falling below the 60% threshold are marked as “inadequate,” prompting facility managers to review their operational practices and implement immediate corrective measures.

Participation Rates and Administrative Goals

According to Insurance Economy, participation reached 76% by June 2026, with a majority of eligible facilities completing the diagnostics.

NHIS Launches Year-Round Self-Diagnosis System for Long-Term Care Services
Photo: weekly.hankooki.com

Officials at the National Health Insurance Service noted that the system serves as a practical tool for bolstering institutional self-regulation. By encouraging monthly reviews, the agency aims to strengthen the internal oversight capabilities of care providers and ensure that elderly beneficiaries consistently encounter a high-quality care environment.

Facility managers seeking to review their monthly metrics or submit assessments can access the designated portal through official government channels.

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