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Proposing health insurance to pay patients when they have to buy drugs from outside

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Proposing health insurance to pay patients when they have to buy drugs from outside

The Ministry of Health proposed to supplement the form of direct payment for patients when they have to buy drugs themselves because the hospital cannot supply them˳

Proposing health insurance to pay patients when they have to buy drugs outside - Photo 1.

Minister of Health Dao Hong Lan – Photo: GIA HAN

The Ministry of Justice is appraising a proposal to develop a Law amending and supplementing a number of articles of the Law on Health Insurance˳

Proposal to allow the period of payment of health insurance for labor contracts of 1 month or more

According to the report of the Ministry of Health, the promulgation of the Law on Health Insurance marked an important step forward in the legal system on health insurance˳

Despite the impact of the COVID-19 pandemic, by the end of 2022, according to a report by Vietnam social insurance, the total number of people participating in health insurance will reach over 91 million people, reaching a coverage rate of 92 % population˳

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The benefits of health insurance participants are adjusted appropriately to meet the needs of medical examination and treatment…

However, in the process of organizing and implementing, there were some difficulties and problems, so the Ministry of Health submitted to the Government a dossier of request for the development of a draft of the Law on Health Insurance (amended)˳

The proposed amendment clearly states that in the immediate future, there is no condition to comprehensively amend this law, but only amend and supplement a number of articles to meet the urgent requirements of reality˳

In which, sustainably expand the audience and benefits of health insurers with the goal of sustainably increasing the proportion of the population participating in health insurance and improving the coverage of health insurance benefits at reasonable, cost-effective – effective˳

Ensure that all subjects in society have the right and responsibility to participate in health insurance˳

Reform administrative procedures, encourage and create favorable conditions for participation in health insurance with simple and convenient enrollment procedures, allowing the time to pay health insurance premiums for labor contracts from 1 month above˳

Additional benefits such as patient transportation service when transferring to hospital (currently available only when transferring from district level to higher level); services of examination and early diagnosis of a number of diseases; clarification to reduce cases not covered by health insurance such as limited to medical services covered by clinical trials)˳

Strictly handle cases of evasion of payment, delay of payment of health insurance for enterprises to ensure the rights of employees and the strictness of the law˳

Proposal to expand the form of direct payment health insurance

In addition, additional subjects belonging to groups not specified in the current law such as groups paid by employers, dignitaries, positions, monks, people who do not have enough identification documents or identity proofs; group self-pay health insurance˳

Along with that, creating favorable conditions for people to participate in health insurance such as regulations on transferring medical examination and treatment facilities and transferring health insurance payments synchronously˳ Select the place of initial medical examination and treatment˳

Synchronous regulations on benefits levels for outpatients and inpatients with basic medical examination and treatment levels when reclassifying levels according to the provisions of the Law on Medical Examination and Treatment 2023 and regulations on the level of benefits related to the level˳

Notably, the Ministry of Health proposed to expand the form of direct payment˳ Supplementing the form of direct payment for patients when they have to buy drugs themselves because the medical examination and treatment facilities cannot supply them and the payment is made through the national centralized procurement line or through special procurement through the organization˳ international˳

The ministry also proposed revised policies to improve the efficiency of health insurance management and administration, and the responsibilities of health service providers and social insurance agencies˳

It clearly states the state’s protection policy for the health insurance fund˳ When there is an overspending of the health insurance fund (the medical examination and treatment fund and the reserve fund are exhausted), the health insurance fund is borrowed from the state budget˳

The health insurance fund shall pay debts to the state budget when there is a balance (with sufficient reserve fund for health insurance and a balance in the fund for medical examination and treatment)…

Morning news April 23: 1 patient with health insurance is paid 4.1 billion;  Vietnam accounts for 11% of the spice marketMorning news April 23: 1 patient with health insurance is paid 4˳1 billion; Vietnam accounts for 11% of the spice market

Notable news: In the first quarter of 2023, there were 99 people covered by health insurance who paid medical examination and treatment fees of 500 million or more, the highest 1 person was paid 4˳1 billion; Vietnam accounts for 11% of the global spice market; After 4 months, the death of COVID-19 was recorded again…



Source link: https://cocc˳edu˳vn/de-xuat-bao-hiem-y-te-thanh-toan-cho-benh-nhan-khi-phai-mua-thuoc-ben-ngoai-20230429105948342˳htm

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