Secretariat: Increase health insurance premiums, universal health insurance coverage by 2030

The Secretariat has set a goal of universal health insurance coverage by 2030 and is studying increasing health insurance premiums to expand benefits for the people.

Standing member of the Secretariat Tran Cam Tu has just signed and issued Directive No. 52-CT/TW dated October 3 of the Secretariat, on implementing universal health insurance in the new period.

Standing member of the Secretariat Tran Cam Tu has just signed and issued Directive No. 52 on implementing universal health insurance in the new period.

PHOTO: VNA

In Directive 52, the Secretariat assessed that after 15 years of implementing Directive No. 38-CT/TW dated September 7, 2009 of the 10th Party Central Committee Secretariat on promoting health insurance work in the new situation (Directive No. 38), health insurance work has achieved important results.

By the end of 2024, the health insurance coverage rate will reach 94.29% of the population; the quality of health insurance examination and treatment has changed positively... However, the implementation of Directive No. 38 still has limitations when the health insurance coverage rate is not sustainable; health insurance appraisal and payment of health insurance examination and treatment costs are still problematic.

At the same time, the method of payment for health insurance has not been fully promulgated according to the provisions of the Health Insurance Law; the quality of medical examination and treatment under health insurance at grassroots health facilities and in remote, isolated and particularly difficult areas has not met the requirements.

Increase health insurance payment from 2026

To implement universal health insurance in the new period, the Secretariat requires Party committees, Party organizations, and authorities at all levels to strengthen leadership and direction to effectively implement policies, strategies, and plans on health insurance .

Specifically, the Secretariat requested to focus on developing health insurance participants and promoting health insurance coverage by households. The State continues to increase the level of health insurance contribution support for policy beneficiaries, people in poor and near-poor households, people with disabilities, and vulnerable people. By 2026, the health insurance coverage rate will reach over 95% of the population, and by 2030, the goal of universal health insurance coverage will be achieved.

The Secretariat also requested to focus on amending, supplementing and perfecting the system of policies and laws on health insurance to meet the goal of universal health insurance coverage. Research on increasing the health insurance contribution rate in line with the expansion of the scope of benefits and health insurance benefits.

At the same time, pilot and diversify health insurance packages and supplementary health insurance packages according to people's needs; strengthen links and cooperation between health insurance and health insurance provided by insurance companies to avoid duplication in payment of medical expenses.

The Secretariat also requested to encourage and facilitate the development of various types of health insurance. Mobilize, diversify, and expand revenue sources, ensure sustainability, and develop the Health Insurance Fund to serve the work of protecting, caring for, and improving people's health.

Notably, the Secretariat requested that from 2026, the rate, payment level, and expenditure for disease prevention, diagnosis, and early treatment of a number of diseases and priority subjects be gradually increased in accordance with the roadmap for increasing health insurance contributions and the balancing capacity of the Health Insurance Fund.

In particular, expanding the scope of health insurance coverage for a number of preventive medical services, nutrition, chronic disease management, periodic health check-ups and screening examinations according to professional requirements.

Research the mechanism to use part of the budget from tobacco harm prevention funds, taxes on alcohol, beer, sugary drinks... to pay for some disease prevention services, chronic disease management, periodic health check-ups, screening, diagnosis and early detection of some diseases, especially non-communicable diseases.

Reduce the burden of medical costs for patients

The Secretariat also requested to innovate the content, form, and method of information and propaganda about health insurance to raise awareness and responsibility of all levels, sectors, unions, organizations and people about health insurance ; create a strong change in health insurance participation, and identify health insurance participation as the right and responsibility of all people and of the whole society.

The Secretariat also requested the effective implementation of projects, programs, and plans on healthcare and health insurance . Innovation in service style and attitude, and promotion of medical ethics of medical staff towards patient satisfaction.

Besides, investing in facilities, equipment, and professional capacity to improve the quality of services in disease prevention and health examination and treatment under health insurance , especially in primary health care, remote areas, especially difficult areas, border areas, seas, and islands.

Speed ​​up the progress of correctly and fully calculating the prices of preventive health services, health examination and treatment under health insurance , and at the same time have an effective control mechanism to prevent waste, overcharging, increasing unreasonable medical service prescriptions and violations of the law in the management and use of the Health Insurance Fund. Implement solutions to reduce the burden of medical costs for patients.

The Secretariat also emphasized the requirement to fully implement health insurance payment methods and determine methods of direct support for health insurance participants when using medical services.

Complete infrastructure, promote administrative reform, comprehensive digital transformation of health insurance work; enhance the application of artificial intelligence and big data to control and monitor health insurance examination and treatment services, ensure the national health insurance database is connected, synchronize the databases of ministries, branches and localities with the national health database.

Source: https://thanhnien.vn/ban-bi-thu-tang-muc-dong-bhyt-bao-phu-bhyt-toan-dan-vao-nam-2030-185251015092137308.htm