Articles with tag: «insurance medical organizations»

    Manager of healthcare consults
  • 2019 № 3 Рayment for medical care provided in excess of the volumes of granting of medical aid in system of obligatory medical insurance

    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. [79]

    Tags: insurance medical organizations2 medical organizations7 sanctions2 the commission on development of the territorial judicial practice1 volumes of medical care1 сompulsory medical insurance1

    Read more >

  • Management in healthcare
  • 2014 № 3 Outcome of reforming the system of mandatory medical insurance in 2010–2013 years. Analysis of drawbacks of existing system of mandatory medical insurance (Ministry of health care of Novosibirsk region, Novosibirsk, Russia)

    Annotation. The article examines the system of mandatory medical insurance operating on the territory of Russian Federation, there has been conducted a complex analysis of main problems and drawbacks of the system. There are formulated the main directions of reforming Mandatory Insurance System.

    Authors: Кravchenko V. V. [2] Shatalin E. V. [2]

    Tags: competition2 insurance medical organizations2 mandatory medical insurance system3 motivational crisis1 program of state guarantees2

    Read more >