Articles with tag: «medical insurance organizations»

    Manager of heath care consults
  • 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.

    Authors: Kadyrov F. N. [95] Obukhova O. V. [18] Chililov A. M. [7]

    Tags: advance payment1 financial support1 mandatory medical insurance10 medical insurance organizations4 medical organizations15 payment for medical care4 volumes of medical care2

    Read more >

  • Management in health care
  • 2014 № 9 Promising model of medical aid management on in Russian Federation (Ministry of Health Care of Novosibirsk region, Novosibirsk, Russia)

    This article describes a promising model of medical insurance system implemented on the territory of Russian Federation. Its benefits and disadvantages were analyzed and there were given additional recommendations on reforming the system of healthcare.

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

    Tags: financing per capita1 mandatory medical insurance system3 medical insurance organizations4 promising system of mandatory medical insurance1

    Read more >

  • Financial management
  • 2015 № 8 On certain questions relating to interterritorial accounting in the system of compulsory medical insurance

    Issues of interterritorial accounting for provided care to citizens registered with a compulsory medical insurance plan yet outside of the insurance territory is relevant and needs further and deeper analysis. It is safe to conclude that insurance medical organizations should participate in interritorial accounting process along with conducting control check of volumes and conditions at which medical care is provided and completing a medical aid quality check.

    Authors: Geht I. A. [17] Аrtemjeva G. B. [2]

    Tags: interterritorial accounting1 medical insurance organizations4 residents of other cities1

    Read more >

  • 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 insurance10 medical insurance organizations4 responsibilities and obligations of insured citizens1

    Read more >