Рayment for medical care provided in excess of the volumes of granting of medical aid in system of obligatory medical insurance

Published: 2019-07-19

    Manager of healthcare consults
  • Сurrently, health organizations are extremely important are the issues associated with excess of volumes of granting of medical aid in system of obligatory medical insurance. This is the so-called problem of "super-planned patients". The current legislation does not provide for payment of super-planned volumes of medical care.. But the incidence rate is difficult to predict with a high level of accuracy. Within the framework of the current regulatory framework, all financial risks in this situation are assigned to the medical organization, which does not correspond to the logic of insurance. However, there are some options to mitigate this problem. This is illustrated by the court practice in this area.
    сompulsory medical insurance, volumes of medical care, insurance medical organizations, medical organizations, sanctions, the Commission on development of the territorial judicial practice.

    Authors: Kadyrov F. N. [95]

    Tags: insurance medical organizations3 medical organizations15 sanctions2 the commission on development of the territorial judicial practice1 volumes of medical care2 сompulsory medical insurance1

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