Articles from rubric: «Manager of heath care consults»
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2023 № 2 Issues of implementation of new special social payments to medical workers, including those working on an outpatient basis, from January 1, 2023
The article examines the mechanism of implementation of new special social benefits, which are introduced for a number of categories of medical workers from January 1, 2023.
These payments, as well as the previously existing special social benefits paid to persons providing medical care to patients with COVID‑19, will be carried out through a social fund – in this case, through the Pension and Social Insurance Fund. Such a mechanism, despite the long chain of financial flows, has its advantages, primarily concerning the possibility of personalized accounting of payments and minimizing the risks of misuse of funds.
At the same time, the implementation of special social benefits raises a number of questions concerning the payment of insurance premiums, etc., the answers to which are not always obvious, but can be obtained on the basis of consideration of the provisions of the current legislation. -
2022 № 5 Ten years of law enforcement of Federal Law No. 323-FZ dated 21.11.2011 “On the basics of public health protection in the Russian Federation”: controversial issues, gaps, prospects
Federal Law No. 323-FZ of 21.11.2021 “On the Fundamentals of Public Health Protection in the Russian Federation”, adopted in 2011 and entered into force in 2012 (323-FZ) is a key federal law regulating the healthcare sector.
The authors, through content and retrospective analysis, deductive method, method of generalization of judicial practice, conducted a comprehensive study of the application at the 10–year turn of the basic law in the healthcare system of the Russian Federation – 323- FZ. In the article, the authors analyzed the subject of legal regulation of the 323-FZ, the conceptual apparatus enshrined in 323-FZ, the principles of health protection, considered the ratio of the legal statuses of the patient and the medical worker, touched upon aspects of paid medical services. The problems in the implementation of the 323-FZ are also analyzed, the existing legal uncertainties of its enforcement are discussed.
According to the results of the study, the authors conclude that it is necessary to consolidate the most complete guarantees of the realization of rights, both for patients and for medical workers, aimed, inter alia, at reducing the risks of conflicts between the patient and the doctor, regulating economic relations in health care. In this connection, it is necessary to carry out work on the timely completion of this law. -
2021 № 10 ACCOUNTS PAYABLE OF MEDICAL ORGANIZATIONS OPERATING IN THE COMPULSORY HEALTH INSURANCE SYSTEM
Among the indicators used to assess the financial condition of medical organizations, one of the most important is accounts payable, which characterizes the risks to their normal activities.
In this article, this problem is considered in relation to the system of compulsory medical insurance from the point of view of factors that do not depend on the medical organizations themselves. -
2021 № 5 New system of control measures in relation to medical organizations within the framework of compulsory health insurance
One of the most serious innovations in the system of compulsory health insurance is the change in the procedure for conducting control measures. In accordance with the new version of Federal Law No. 326-FZ (in accordance with the provisions of the Federal Law of December 8, 2020 № 430-FZ On Amendments to the Federal Law "On Compulsory Medical Insurance in the Russian Federation"), the procedure for monitoring the volume, timing, quality and conditions of providing medical care for compulsory medical insurance to insured persons, as well as its financial support, is now established not by the Federal Fund for Compulsory Medical Insurance, but by the Ministry of Health of the Russian Federation. At the same time, both the participants of the CMI system who have the authority to conduct control measures, and the procedure for conducting control, are changing.
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2021 № 4 NEW SYSTEM OF CONTRACTS WITHIN THE FRAMEWORK OF COMPULSORY HEALTH INSURANCE
The system of compulsory health insurance is regulated by a large number of regulatory legal acts. Nevertheless, many issues related to the relationship between the participants of the MHI system, and above all – financial, are determined by the content of the contracts concluded between them. This article analyzes the new system of contracts that has developed in the system of compulsory medical insurance in connection with the adoption of Federal Law No. 430-FZ of December 8, 2020 “On Amendments to the Federal Law “On Compulsory Medical Insurance in the Russian Federation”, as well as other related regulatory legal acts. There have been changes not only in the content of the contracts, but also in the composition of their participants. In addition, there is a new, previously absent type of contract. The purpose of the work is to analyze changes in contracts in the MHI system and their possible consequences.
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2021 № 1 Financing of healthcare in 2021 from the federal budget: priorities within the national project “Healthcare” in the context of the fight against coronavirus infection Covid‑19
An analysis of the upcoming financing of healthcare from the Federal budget shows that in 2021–2022,
despite the difficult financial situation, the volume of financial support for the industry will continue to grow. These are all
the more important parameters because the upcoming budget in the period under review assumed a slight reduction in
funding compared to the approved figures of the Federal budget for 2020. This should help to ensure the stable functioning
of health care. -
2020 № 10 Questions related to the procedure for allocating volumes of medical care to regional medical organizations
The arrival of a new wave of the spread of COVID‑19 coronavirus infection made it obvious that the fight
against coronavirus infection will last for quite a long time. For a number of reasons, incentive payments for employees
related to the treatment OF covid‑19 coronavirus infection did not fully suit either employees or the state. Therefore, the
state has made a serious transformation of the system of payments, which have turned from a salary element into a
“non-salary” element of social support. -
2020 № 8 Changes in the procedure for financial support of medical organizations in the system of compulsory medical insurance at the present stage of the spread of coronavirus infection
In the context of the spread of coronavirus infection, the main problem of medical organizations is not an obvious increase in the cost of providing medical care associated with ensuring the sanitary and epidemiological regime (personal protective equipment, disinfection, etc.), but a decrease in income due to a drop in the volume of planned medical care, suspension of preventive measures, downtime (during the period of re-profiling, etc.).
The state quickly responded to this situation by making changes to the relevant legislation and adopting a number of special regulatory legal acts. However, the implementation of these rather varied measures tied to a number of factors, such as the presence or absence of restrictive measures on the territory of the Russian Federation; participation or non-participation in the care of patients with coronavirus infection; periods within which the one or the other order advances, etc.
All this causes difficulties in understanding what financial security mechanism is applied to this particular situation, what should be the actions of medical organizations.
This article is devoted to the analysis of ways of financial support of medical organizations in the system of compulsory medical insurance at various stages of the fight against coronavirus infection. -
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.
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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
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2017 № 5 Possible options of citizens' participation in the financial provision of rendering medical assistance using resources not provided by the program of state guarantees
Active search of new forms of co-financing of medical care is the answer to financial difficulties in the health sector. However, equally important is the streamlining of those forms of relations between medical organizations and patients about co-payments in the provision of medical care within program of state guarantees that exist. The analysis shows that the legalization of shadow payments, proper design of the acquisition at the expense of and at the request of the patient more quality of medicines, health care products, as expressly provided under the program of state guarantees, etc., can serve the interests of both patients and society as a whole. The article discusses specific payment options at the expense of patients, resources that are not provided under the program of state guarantees allowed under the current legislation
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2013 № 1 The process of state control over quality and security of medical activity Consultant: Phd. of Economic F.N. Kadyrov