2021 № 5 FROM MULTI – TO THE MONOPAYER IN THE RUSSIAN SYSTEM OF OBLIGATORY MEDICAL INSURANCE
Since January 1, 2021 amendments to the law “About Obligatory Medical Insurance in the Russian Federation” according to which medical insurance companies are excluded from the system of financing of medical care in federal clinics came into force. The logic of these changes provides creation in each territorial subject of the Russian Federation of a system of “the uniform payer” not only for federal, but also for other medical organizations that can regard as the beginning of centralization and restoration of integrity of a health care system that demands carrying out the analysis and forecasting of consequences of these innovations.
Research objective – the analysis and the forecast of consequences of the changes in the legislation on obligatory medical insurance providing creation of “the uniform payer” of the medical care provided in federal clinics.
Materials and methods. Content analysis methods, information and analytical materials of the Russian and foreign news agencies, expert estimates are used.
R e s u l t s . The federal law of December 8, 2020 № 430-FZ “About introduction of amendments to the Federal law “About Obligatory Medical Insurance in the Russian Federation” provides creation of two parallel systems of financial security of activity of the federal medical organizations – the first for directly from the compulsory health insurance Federal fund, the second – through the compulsory health insurances territorial funds and medical insurance companies. The law provided development of an order of distribution of volumes of the medical care provided at the expense of means of obligatory medical insurance in the federal medical organizations, taking into account capacities of such organizations and volumes of the provided medical care at the expense of other sources of financing. It can lead to division of the federal medical organizations into groups taking into account their dependence on treasury which force is inversely proportional to a share of paid services in revenue breakdown of these organizations.
Conclusions. Application in the system of obligatory medical insurance of the principles of “the uniform payer” of medical care is economic due to reduction of administrative expenses and elimination aspiration of commercial insurers to receiving profit. This decision also corresponds to global trends and will promote ensuring intrasystem efficiency in the industry, to development of network of the medical organizations as the “uniform organism” providing need of citizens for medical care. Division of the federal medical organizations into groups taking into account their dependence on treasury can have ambiguous consequences, including lead to strengthening of commercialization of federal clinics, many of which have legal status of autonomous budgetary institutions that causes need of creation of a system of protection of the population against catastrophic payments for medical care.