Articles with tag: «mandatory medical insurance»

    Manager of heath care consults
  • 2017 № 10 Financial reserves of the state (municipal) institutions health

    . The difficult economic situation makes to search for possible variants of optimization of resources and reserves in the state (municipal) institutions. Many heads of agencies believe that the reserves for salary increases in accordance with the «Мay» decrees of the President have been exhausted. However, they did not start the process of normalization, the introduction of professional standards and effective contracts. On the other hand, the legal environment in which agencies are often not allowed to implement the legislation provided for the possibility of attracting additional resources. These issues are discussed in this publication

    Authors: Kadyrov F. N. [88] Starodubov V. I. [29]

    Tags: human resources4 mandatory medical insurance9 optimization5 paid services1 promotion1 regulation2 saving resources1

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  • 2020 № 1 Health care Financing in 2020: priorities within the national project «Health Care»

    Analysis of future health financing shows that in 2020–2022, despite the difficult financial situation, the growth of financial support for the health system will continue. Among the priorities for 2020, we should highlight the increase in funding for cancer care. This is the implementation of the provisions of the Decree of the President of the Russian Federation on may 7, 2018 No. 204 "on national goals and strategic objectives of the development of the Russian Federation for the period up to 2024". The allocation of funds in the compulsory health insurance system is also based on these priorities. In particular, at the expense of mandatory medical insurance funds, financial incentives are provided for employees to identify oncological disease. Among the positive aspects are inter-budget transfers to the budget of the compulsory health insur¬ance Fund from the Federal budget to pay for high-tech medical care that is not included in the basic program mandatory medical insurance and birth certificates. All this should have a positive impact on the further development of health care.

    Authors: Kadyrov F. N. [88] Obukhova O. V. [14] Bazarova I. N. [4]

    Tags: deficit4 expenses4 federal budget4 federal fund1 financing8 healthcare5 insurance premiums1 inter-budget transfers1 mandatory medical insurance9 rev¬enues1

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  • Manager of health care consults
  • 2016 № 7 The possibilities of use of OSDs funds financing for the drug supply in the provision of medical care for patients with rare diseases

    The article analyzes the possibilities of use of means of obligatory medical insurance for drug supply patients with rare (orphan) diseases in the provision of medical care in hospital and day hospital.

    Authors: Kadyrov F. N. [88] Sokolov A. A. [2] Aleksandrova O. Yu. [2] Kosyakova N. [1]

    Tags: mandatory medical insurance9 methods of payment for medical care2 orphan medicinal drug1 rare (orphan) diseases2

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  • 2015 № 5 Issues related to utilizing standards of medical aid in the mandatory medical insurance system

    The article is dedicated to analysis of legislation, other normative acts, related to application of regulations on providing medical aid and standards of medical aid, medical aid quality control and enforcement of penalty sanctions towards medical organizations in the system of mandatory medical insurance.

    Authors: Kadyrov F. N. [88] Starodubov V. I. [29]

    Tags: criteria for evaluating medical aid quality1 mandatory medical insurance9 medical-economic expertise1 penalty sanctions1 quality expertise of medical aid1 regulation on providing medical aid1 standards of medical aid3

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  • 2014 № 2 Problems of financial provision of high-tech medical aid (Federal Research Institute for Health Care Organization and Information of the Ministry of Health and Social Development of Russian Federation, Moscow)

    Annotation: In accordance with legislation the high tech medical aid is gradually transferred into the system of mandatory medical insurance. However, the mechanism of organizing the high tech medical aid in the system of mandatory medical insurance, as well as the order of financial provision and etc. remain till now unclear. This material is dedicated to the analysis of problems related to the issues above and to a review of suggested approaches in solving them.

    Authors: Kadyrov F. N. [88] Оbuchova О. V. [2] Sorokina U. A. [2]

    Tags: federal budget4 federal health care entities1 financial provision of medical aid1 high tech medical aid2 mandatory medical insurance9 specialized medical aid1

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  • 2014 № 8 An analysis of possible consequences from introduction of co-payments from unemployed population into the system of mandatory medical insurance (Federal Research Institute for Health Care Organization and Information of the Ministry of Health Care and Social Development of Russian Federation, Moscow)

    In accordance with the current legislation, employers are obligated to cover expenses for mandatory medical insurance system. Constituent territories of Russian Federation are responsible for making payments to support unemployed population (children and elderly and as such). Ministry of Finance of Russia suggested to introduce a mechanism in accordance to which the unemployed population (with exceptance of certain categories) would be responsible for covering expenses for mandatory medical insurance system themselves. The article is dedicated to an analysis of consequences of establishing proposals of Russian Ministry of Finance with regards to introducing co-payments into the system of mandatory medical insurance.

    Authors: Kadyrov F. N. [88]

    Tags: co-payments2 federal fund of mandatory medical insurance1 insurance payouts1 mandatory medical insurance9 unemployed citizens1

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  • Management in health care
  • 2018 № 10 The experience of interregional Clinic and Diagnostic Centerin health care delivery within the mandatory medical insurance and charged services

    An article discusses differences in the legal and regulatory framework in regulating the mandatory medical insurance and charged services. It is found out that conditions that lie at the root of the mandatory medical insurance system could be fully implemented using the causal approach to diagnostics and disease treatment. The causal approach within the mandatory medical insurance allows responding to the cause of the disease quickly and affordably. It is concluded that implementing mandatory medical insurance systems and charged services in a medical facility requires their different positioning, and in this case they will not repeat each other or compete with each other, but complement each other perfectly. The article describes the experience of Interregional Clinic and Diagnostic Center in organizing charged services using a system approach that allows forming an aggregate picture of a disease taking into account a plenty of factors and opinions from various experts. The conceptual differences in organizing the health care delivery in the mandatory medical insurance systems (causal approach) and charged services (system approach) within the activities of Interregional Clinic and Diagnostic Center allowed to define both systems as mutually supportive systems that fully meet the needs of people in medical services.

    Authors: Kupriyanov R. V. [6] Khairullin R. N. [5]

    Tags: causal approach1 mandatory medical insurance9 medical facilities1 system approach3 voluntary health insurance1

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  • 2015 № 6 The need for more continuity and cooperation the relationship between quality of medical care in the mandatory medical insurance system and control of quality and safety of medical activities

    The article shows the lack of continuity and the relationship between the quality of medical care in the mandatory medical insurance system (MMI) and control of the quality and safety of medical activity. Named a number of problems in this regard in public health practice, one of which is the absence in most of the medical organizations of the country internal control systems of quality and safety of medical activity. Asked to create one for the whole health of the Russian Federation the Order of evaluation of the quality and safety of medical care, regardless of whether this examination in a medical organization that is involved in the implementation of insurance programmes, or it is performed in a medical organization, in which the implementation of the programs of the MMI is not involved.

    Authors: Piven D. V. [44] Kitsul I. S. [44]

    Tags: control the quality and safety of medical activities1 mandatory medical insurance9 medical organization39 quality control of medical care1 quality examination1

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  • Financial management
  • 2015 № 2 On certain issues occurring in medical insurance organizations functioning in the mandatory medical insurance system

    Modernization of mandatory medical insurance system should imply a broader usage of reserves from medical insurance organizations (MIO). These reserves are interlinked with changes in the legislation, regulating the responsibilities and obligations of insured citizens, commitment of MIO in covering expenses for medical aid, provided outside of the region, the order of utilizing assets of MIO.

    Authors: Geht I. A. [17]

    Tags: mandatory medical insurance9 medical insurance organizations3 responsibilities and obligations of insured citizens1

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