16:25, 10/24/2023
The Government has just issued Decree 75/2023/ND-CP amending and supplementing a number of articles of Decree No. 146/2018/ND-CP dated October 17, 2018 of the Government detailing and guiding measures to implement a number of articles of the Law on Health Insurance.
In particular, Decree 75/2023/ND-CP adds a group of subjects whose health insurance (HI) is paid by the State budget, including: People in safe zone communes and revolutionary safe zones during the resistance war against France and the US, currently residing in safe zone communes whose information has been updated in the National Population Database.
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| Free medical examination for people in Ea Ktur commune, Cu Kuin district. |
In addition, the Decree adds Clause 5 after Clause 4, Article 4 of Decree 146/2018/ND-CP, the group that is supported by the state budget for health insurance premiums, including: Ethnic minorities living in communes in regions II, III, and extremely disadvantaged villages in ethnic minority and mountainous areas in the period 2016 - 2020, but these communes are no longer on the list of communes in regions II, III, and extremely disadvantaged villages in ethnic minority and mountainous areas in the period 2021 - 2025 according to the Prime Minister 's decision.
At the same time, the Decree amends and supplements the rights of medical examination and treatment facilities in implementing health insurance medical examination and treatment contracts, specifically: exercising the rights according to Article 42 of the Health Insurance Law and regulations of the law on medical examination and treatment; being provided with timely information when the health insurance appraisal information system detects an increase in health insurance medical examination and treatment costs compared to the average cost of medical examination and treatment facilities of the same class, same level, same specialty in order to promptly review, verify, and implement appropriate adjustment solutions.
In addition, the Decree also amends the principle of payment according to service prices. Accordingly, the cost of medical examination services, the cost of hospital bed days, and the cost of technical services and tests used for patients within the scope of benefits and the level of benefits for health insurance participants shall be paid according to the actual quantity used for patients and the price according to current regulations. The cost of drugs, chemicals, and medical supplies not included in the price of health insurance examination and treatment services or used in technical services for which health insurance examination and treatment prices have not been issued and which have been used for patients within the scope of benefits and the level of benefits for health insurance participants shall be paid according to the actual quantity used and the purchase price according to the provisions of the law on bidding.
Nguyen Ha
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