This text is translated into Russian by google automatic human level neural machine.
EastRussia is not responsible for any mistakes in the translated text. Sorry for the inconvinience.
Please refer to the text in Russian as a source.
The reasons for the ineffectiveness of the compulsory medical insurance were found in the Accounts Chamber
The Accounts Chamber of Russia analyzed the effectiveness of the CHI system in the country. According to the department, the implementation of the program is hampered by the lack of competent distribution of funds and standards for the provision of medical care.
As they write "News», Funds from the normalized safety stock (NSP) are used for the CHI program. However, this money is often not spent on insurance purposes. This is not in line with the goals of creating an NHA reserve for the sustainability of compulsory insurance. Also, the department noted that it is necessary to ensure the completeness of the standards for the provision of medical care. Until now, standards have not been developed for some diseases that are included in the CHI.
For example, implantable medical devices are not taken into account in the tariffs, there is no procedure for financing treatment if a person has applied for help in another region. Tariffs also vary among regions due to the uncertainty in the volume of medical services. And the lack of financial support mechanisms leads to the fact that funds are spent in excess of the plan, the debts of the regions are growing. And the underfunding is about 92 billion rubles.