CHI Calculation: The Federal CHI Fund Told What It Will Spend Its Three-year Budget On

Table of contents:

CHI Calculation: The Federal CHI Fund Told What It Will Spend Its Three-year Budget On
CHI Calculation: The Federal CHI Fund Told What It Will Spend Its Three-year Budget On

Video: CHI Calculation: The Federal CHI Fund Told What It Will Spend Its Three-year Budget On

Отличия серверных жестких дисков от десктопных
Video: Chi-squared Test 2023, January
Anonim

CHI calculation: the Federal CHI Fund told what it will spend its three-year budget on

The tariffs for payment of medical services will be put in order, cancer patients will be provided with treatment in full, the salaries of medical workers will continue to grow, and the personnel deficit in the primary care will be eliminated. The Federal Compulsory Medical Insurance Fund promises to solve the most pressing problems of the industry by 2021.

CHI calculation: the Federal CHI Fund told what it will spend its three-year budget on
CHI calculation: the Federal CHI Fund told what it will spend its three-year budget on

Photo: Google Images /

The tariffs for payment of medical services will be put in order, cancer patients will be provided with treatment in full, the salaries of medical workers will continue to grow, and the personnel deficit in the primary care will be eliminated. The Federal Compulsory Medical Insurance Fund promises to solve the most pressing problems of the industry by 2021.

The State Duma approved the budget of the Federal Mandatory Health Insurance Fund for 2019 and for the planning period of 2020 and 2021. FFOMS expenditures next year will amount to 2.19 trillion rubles, in 2020 - 2.35 trillion rubles, in 2021 - 2.5 trillion rubles.

These expenses include, among other things, funds to eliminate the personnel deficit in connection with the 204th decree of the President of the Russian Federation, the head of the Fund Natalya Stadchenko told the deputies. According to her, the budget provides for an increase in the number of doctors and paramedics: in 2019 - 12.3 billion rubles, in 2020 - 34.7 billion rubles, in 2021 - 50.4 billion rubles. At the expense of these funds, it is planned to additionally recruit 5.4 thousand primary care doctors already in 2019, and in 2021 their number should increase by 21.4 thousand people. The number of nurses will grow by 11.9 thousand and 40.2 thousand, respectively.

At the same time, the FFOMS made sure that the money allocated to eliminate the personnel shortage did not spread through the system, Stadchenko said. For this purpose, amendments have been made to the Law "On Compulsory Health Insurance", providing for the targeted reservation in the territorial CHI funds of subventions allocated for these purposes. It is assumed that medical institutions will monthly submit applications for additional payments to employees hired to the territorial fund. Subventions also include funds necessary to maintain the ratio of doctors' salaries at the level of 200% and nursing staff - 100% to the average income in the region.

The average per capita standard within the compulsory medical insurance system is set at 11.8 thousand rubles. At the same time, in each region, coefficients are set depending on local conditions. For example, in Yakutia this figure will be 34.5 thousand rubles. It is planned to increase the volume of high-tech medical care not included in the basic compulsory medical insurance program. For 2019, expenses for these purposes are planned in the amount of 100.8 billion rubles, for 2020 - 103.9 billion rubles, for 2021 - 109.0 billion rubles. From 2020, it is planned to include proton therapy in the list of types of high-tech medical care and to allocate 5 billion rubles for its provision.

Funding for medical care for cancer patients under compulsory medical insurance will grow by 72% and will be brought in line with clinical guidelines and treatment protocols, Stadchenko promised. If the average cost of hospitalization in a hospital is about 30 thousand rubles, then for a cancer patient the average rate will rise to 76 thousand rubles. The costs of the industry in 2019 will amount to 70 billion rubles, in 2020 - 115 billion rubles, in 2021 - 134.5 billion rubles. This will allow in 2019 to eliminate the shortage of chemotherapy drugs, and from 2020 - radiation therapy and surgical care.

Elimination of "problem areas" in oncology is also planned. Such as the lack of beds in day hospitals for chemotherapy, the rejection of targeted drugs in favor of cheaper but less effective drugs, non-compliance with clinical guidelines, and delayed prophylaxis of complications after chemotherapy. Approaches to prevention are also changing. If until now the citizens of Russia had the right to free medical examination once every three years, then starting next year they will be able to undergo an annual preventive examination.

In addition, starting next year, the Federal Fund will be given powers to control tariff agreements of the constituent entities of the Russian Federation. According to the head of the Fund, at the beginning of 2018, only 18 out of 85 regions of Russia were able to provide tariff agreements that corresponded to the federal regulatory framework (they were not underestimated for some medical organizations and were not overestimated for others).

Popular by topic