COMPARATIVE EVALUATION OF PROCEDURE-BASED TARIFFS IN THE SOCIAL SECURITY INSTITUTION (SGK) EK-2C REIMBURSEMENT LIST AND THE MINISTRY OF HEALTH PUBLIC HEALTHCARE SERVICES TARIFF (SHFT) IN TURKIYE
Author(s)
Yagmur Faiz, BSc1, Guvenc Kockaya, MSc, PhD, MD2, Selin Okcun, MSc3, OZNUR SEYHUN, BSc, MFE, MSc2.
1Econix Research, İstanbul, Turkey, 2Econix Research, Tallin, Estonia, 3Health Economist, Econix Research, Samsun, Turkey.
1Econix Research, İstanbul, Turkey, 2Econix Research, Tallin, Estonia, 3Health Economist, Econix Research, Samsun, Turkey.
OBJECTIVES: In Türkiye, the SGK EK-2C list reflects reimbursement-based procedure tariffs, whereas the SHFT represents service tariffs within the Ministry of Health framework.This study aimed to compare procedure-based tariffs between these two public tariff systems and to identify concordance, discrepancies, and potential implications for reimbursement and health economic evaluations.
METHODS: A comparative tariff analysis was performed using the SGK EK-2C and SHFT lists.Datasets were processed in Microsoft Excel and matched by procedure codes to identify unmatched procedures and tariff differences.Matched procedures were categorized according to whether SHFT tariffs were higher or lower than corresponding SGK EK-2C tariffs.
RESULTS: A total of 2,423 procedures were evaluated.Overall, 2,392 procedures were matched between the SGK EK-2C and SHFT lists, while 31 procedures were unmatched.Among unmatched procedures, 10 were identified only in the SGK EK-2C list, with a mean procedure tariff of ₺47,660.90, and 21 were identified only in the SHFT list, with a mean procedure tariff of ₺65,133.93.Mean procedure tariffs were 29.14% higher in the SHFT list than in the SGK EK-2C list, at ₺75,414.18 and ₺58,399.26, respectively. Among matched procedures, 2,325 had higher tariffs in the SHFT list,with SHFT tariffs being on average 31.50% higher than SGK EK-2C tariffs. Conversely, 67 procedures had lower tariffs in the SHFT list,with SHFT tariffs being on average 20.72% lower than SGK EK-2C tariffs.
CONCLUSIONS: The SGK EK-2C and SHFT lists demonstrated substantial procedural concordance, with 2,392 of 2,423 procedures matched across both tariff systems. Despite this high overlap, tariff levels differed notably, with the SHFT list showing a higher overall mean procedure tariff and higher tariffs for the majority of matched procedures. However, a smaller subset of procedures had lower tariffs in the SHFT list, indicating bidirectional tariff variation. In conclusion, these findings underscore the relevance of systematic tariff comparisons for reimbursement evaluations and health economic decision-making in Türkiye.
METHODS: A comparative tariff analysis was performed using the SGK EK-2C and SHFT lists.Datasets were processed in Microsoft Excel and matched by procedure codes to identify unmatched procedures and tariff differences.Matched procedures were categorized according to whether SHFT tariffs were higher or lower than corresponding SGK EK-2C tariffs.
RESULTS: A total of 2,423 procedures were evaluated.Overall, 2,392 procedures were matched between the SGK EK-2C and SHFT lists, while 31 procedures were unmatched.Among unmatched procedures, 10 were identified only in the SGK EK-2C list, with a mean procedure tariff of ₺47,660.90, and 21 were identified only in the SHFT list, with a mean procedure tariff of ₺65,133.93.Mean procedure tariffs were 29.14% higher in the SHFT list than in the SGK EK-2C list, at ₺75,414.18 and ₺58,399.26, respectively. Among matched procedures, 2,325 had higher tariffs in the SHFT list,with SHFT tariffs being on average 31.50% higher than SGK EK-2C tariffs. Conversely, 67 procedures had lower tariffs in the SHFT list,with SHFT tariffs being on average 20.72% lower than SGK EK-2C tariffs.
CONCLUSIONS: The SGK EK-2C and SHFT lists demonstrated substantial procedural concordance, with 2,392 of 2,423 procedures matched across both tariff systems. Despite this high overlap, tariff levels differed notably, with the SHFT list showing a higher overall mean procedure tariff and higher tariffs for the majority of matched procedures. However, a smaller subset of procedures had lower tariffs in the SHFT list, indicating bidirectional tariff variation. In conclusion, these findings underscore the relevance of systematic tariff comparisons for reimbursement evaluations and health economic decision-making in Türkiye.
Conference/Value in Health Info
2026-11, ISPOR Europe 2026, Vienna, Austria
Value in Health, Volume 29, Issue 12S
Code
HPR220
Topic
Health Policy & Regulatory
Topic Subcategory
Reimbursement & Access Policy
Disease
No Additional Disease & Conditions/Specialized Treatment Areas