2019 № 1 Financing health care in 2019: new priorities and channels for the movement of funds
Analysis of the future financing of health care shows that in 2019–2021, despite the difficult financial situation, the volume of financial support for the industry will continue to grow. Thus, the size of health care spending from the Federal budget is growing not only in absolute terms, but also occupies all a large share in the structure of Federal budget expenditures. The increase in expenses in the system of compulsory health insurance (CHI) in absolute terms is still quite large. Among the priorities of 2019 are the increase in funding for cancer care, as well as high-tech medical care, which directly follows from the provisions of the Decree of the President of the Russian Federation May 7, 2018 № 204 "The national goals and strategic objectives of the Russian Federation for the period up to 2024" (presidential Decree № 204). The distribution of funds to the compulsory medical insurance system is based on these priorities, and based on the results of implementation of decrees of the President 2012 for leveling a series of problems, such as unreasonable reductions in personnel. All this should have a positive impact on the further development of health care.
2018 № 1 Prospects of health financing in 2018
New 2018 in terms of funding health care will differ from the previous - it is expected a sharp increase in funding from all types of sources. However, this is due not only to increased revenues and the restructuring expenses. It becomes more rational - "saving" (for example, reducing expenditures on more costly inpatient care in the Federal budget). In the system of obligatory medical insurance is the refusal of a number of "non-core" expenditure. All of this should have a positive impact on the development of health care
2017 № 1 Нealth care Funding in 2017 – another paradox: the means was less than planned for 2016, but the financial support for the industry has improved
In recent years, the Federal budget is closely linked to the budget of the Federal mandatory medical insurance Fund – they cannot be analysed separately from each other. The Federal funding is reduced, but the budget of the Federal mandatory medical insurance Fund in 2017 favorably with previous: 2016 was suddenly executed with a surplus. Large carryovers for 2017 are not evaluated as a negative factor, as it was before, but as positive, as they relate to the refusal of the state from the withdrawal of the Federal budget planned amounts. Therefore, a sharp drop of healthcare financing from the Federal budget does not mean the deterioration in the financing industry – changing channels the movement of funds. This is due to the fact that the government became aware that the transformation of the budget of the Federal mandatory medical insurance Fund to source for other budgets will not ensure the implementation of presidential Decrees on raising wages. In addition, there have been major changes to the financing of high-tech medical care, which is not included in base program OMS –2017 it is almost completely financed by funds. In the article the analysis of dynamics and trends of health financing from different sources.
2016 № 1 The paradoxes of health care funding in 2016: the system of mandatory health care insurance policies recorded extra funds, which will be withdrawn back into the federal budget
With all complexity of current economic landscape in the country, health care remains to be one of the top priority spheres regarding financing. Despite the crisis, the volume of funds, allocated to the field is gradually increasing. However, the growth rates of spending on health care lag behind the rates of inflation. Furthermore, a significant part of the budget of Federal Fund of the mandatory medical insurance policy is not connected with the provision of medical aid in the medical mandatory insurance system. Expenditure of Mandatory Medical Insurance System is not oriented on President’s orders to increase the salaries. And despite the presence of crucial financial issues in the mandatory medical insurance system, substantial funds are withdrawn from the Federal budget of Mandatory Medical Insurance system into the federal budget.
2014 № 4 Legal and practical aspects of decreasing amount of labor compensation (including the amounts of incentive pay outs) in the frames of introducing an efficient contract (Federal research institute for health organization and informatics of ministry of health of the Russian Federation, Moscow, Russia)
Introduction of efficient contract suggests further close-bodied dependency of labor compensation from its outcome. It also considers not only raise of salaries as far as reaching best results, but a decrease of salaries in case of decline of corresponding indexes. However, there are legislative limitations directed on decrease of labor compensation amount. The study also considers problems of decreasing labor compensation amounts while not reaching foreseen indexes with meeting requirements of active legislation.