Insurers lose healthand 30 mlrd roubles a year
Insurers lose health
Today the committee on State Duma health protection will consider the bill “ About modification of the law ` About medical insurance ` “. Its developers insist on the sensational amendment - the insurance companies should be deduced from system of obligatory medical insurance (OMS). In April this document can be offered on plenary session of the Duma. If the law is accepted, insurers will lose nearby 30 mlrd roubles of annual gathering.
Physicians have conceived to get rid of insurers for a long time - the project of changes in the law “ About medical insurance “ Has been approved by the State Duma in the first reading in 1996. Then for it with readiness the left fractions have voted. But the next four years insurers managed to suppress all attempts to beat out from the won positions, and it seemed that the question is closed. However, as it was found out, Ministry of Health has not left the intentions. And anything surprising in it is not present: through the insurance companies pass billions the roubles intended for financing of medical institutions. It is natural that Ministry of Health would like to distribute this money without intervention of intermediaries.
as a matter of fact, it is a question of radical change of all system of the obligatory medical insurance which has developed in the beginning 90 - h years. Now financing of medical institutions occurs as follows. Deductions of employers (3,6 % from fund payment) and means from local budgets (on the idle population) arrive in territorial funds OMS, therefrom - in the insurance companies according to so-called podushevym the specification. From these means the insurance company also pays the accounts arriving from hospitals and polyclinics. Naturally, the insurance companies leave a part of means to themselves - on business management and commission fee (depending on region it is 4 - 5 % from all arrived money).
the Size of commission fee and the fact of use by insurers of the money intended on medicine, revolt for a long time Ministry of Health. There while abstain from comments. However, according to insurers, the main argument of Ministry of Health: “ At us doctors do not receive the salary, and you on ` Mercedes ` go “. Therefore authors of the project of changes in the law consider that system OMS will quite do without insurers, and with function of redistribution of means territorial funds (see the inquiry) will quite consult.
that insurers go on “ Mercedes “ certainly, truth. Truly and that doctors, especially in a province, get small wages, and even do not receive at all. But at insurers on it the objections: to funds OMS should both employers, and local administrations therefore also the salary doctors to pay there is nothing. Besides, according to the president of the Moscow association of the medical insurance organisations (MAMSO) Innas Shelepnevoj, changes in the law open “ a way to an unlimited arbitrariness in system OMS “. That fact Means that tariffs for medical aid payment under the new bill should affirm local authorities while now they are co-ordinated by all interested parties.
As the insurance lobby is strong, chances again, as well as some years ago, to ruin the bill are great enough. Besides, strangely enough, insurers support in system OMS. Against offered amendments, for example, strongly object in Federal fund OMS. About it it is quite certain on Tuesday a deputy head of fund Vasily Obojmov at annual meeting MAMSO spoke. And the assistant to the chief executive of Moscow fund OMS Maria Sivtsev has declared: “ Insurers definitely should remain on this field. Territorial funds while in any way will not cope with work which is spent now by the companies: at us is not present on it either personnel resources, or necessary functions “.
JULIA - PANFILOV, TATYANA - GRISHIN