FFOMS Promises To Put Things In Order With Tariffs For Medical Care In The Regions

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FFOMS Promises To Put Things In Order With Tariffs For Medical Care In The Regions
FFOMS Promises To Put Things In Order With Tariffs For Medical Care In The Regions
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FFOMS promises to put things in order with tariffs for medical care in the regions

The Federal MHI Fund received the right to control tariff agreements of the constituent entities of the Russian Federation. It has been known for a long time that one of the key reasons for chronic underfunding of medical institutions is the discrepancy between tariffs for medical care and real costs. But now the regions will not be able to lower tariffs, they promise in the department.

FFOMS promises to put things in order with tariffs for medical care in the regions
FFOMS promises to put things in order with tariffs for medical care in the regions

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The Federal Compulsory Medical Insurance Fund received the right to control tariff agreements of the subjects of the Russian Federation. It has been known for a long time that one of the key reasons for chronic underfunding of medical institutions is the discrepancy between tariffs for medical care and real costs. But now the regions will not be able to lower tariffs, they promise in the department.

According to the press service of the Federal Compulsory Medical Insurance Fund (FFOMS), last year only 18 out of 85 regions of Russia were able to provide tariff agreements for payment of medical care, to which the department had no comments. Moreover, in a number of regions, the adopted tariff agreements were revised downward after their approval.

The fact that tariffs rarely correspond to the real costs of providing medical care and differ significantly depending on the region, and the sequestration of the budget of the territorial CHI fund is becoming a common practice, doctors have been talking about for a long time. The budgets of the territorial funds of the compulsory medical insurance turn into a "trishkin caftan" All items of expenditure of medical institutions are growing everywhere (maintenance of hospitals, the cost of medicines and consumables, etc.), and the cost of medical services is only decreasing. When there are not enough funds, they are dragged from one clinical and statistical group to another, from one medical organization to another, but, by and large, all the same, everyone is "sailing in the same boat."

The Ministry of Health has already recognized this problem as the reason for the underfunding of medical institutions. Amendments to the Law on Compulsory Health Insurance give FFOMS the authority to negotiate regional tariff agreements.

According to the chairman of FFOMS Natalia Stadchenko, earlier the Fund monitored the approved agreements, but his comments were of a recommendatory nature. According to the new law, after the adoption of the tariff agreement in the region, the chairman of the tariff commission is obliged to submit it for approval to the FFOMS within five days. And without the positive conclusion of the Foundation, the region is outside the legal framework. According to the head of the Fund, the ability to control tariffs throughout the country will solve the problem of underfunding of medical institutions.

In addition, the FFOMS called on the professional communities, in particular the regional branches of the National Medical Chamber, to more actively participate in the development of tariff agreements in the constituent entities of the Russian Federation. “The participation of representatives of the National Medalchata in tariff commissions allows the regions to prepare better tariff agreements in the CHI system. Experts are well aware of all the needs and aspirations of the regions, and the Fund has much fewer comments on the tariff agreements prepared with their participation,”Stadchenko said earlier.

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