Background & aim: Medical services pricing is one of the most important tools of each country's

health system policy makers. Tariff is effective on equity, efficiency, quality and accountability in the

provision of services. Switch medical services tariffs affected providers of hospital and medical

services income on the one hand, and on the other hand the cost of medical and hospital care

providers of financial resources. The aim of this study was to obtain results and consequences of

tariffs substantially reform from the health managers' point of views.

Methods: The present qualitative descriptive cross-sectional study was conducted from 2013-

2014. The research population was 12 Health Managers of Tehran, Isfahan and Tabriz who were

investigated with deep interview. Analysis of the data was based on a thematic analysis. Criteria

such as "reliable information", "trustworthy", "reliability" and "ability to consolidation" of data were

considered.

Results: According to findings, the results of the study were divided into two categories: positive

and negative consequences as a result of medical services tariff reforms and likely increase,

although logically and scientifically. The positive consequences included; behavioral outcomes,

economic and stakeholder satisfaction. And negative consequences include; economic

consequences and limited group dissatisfaction.

Conclusion: The consequences have been anticipated at the time of modification of medical tariffs

in addition to encouraging health tariff and policy makers Because of the benefits that will be

earned in terms of positive consequences, they noticed negative consequences, particularly in

economic consequences and the need to provide for an increase in tariffs and the need to think for

provides financing compensatory.