Rectify the prescription of drugs not included in the health insurance coverage.

The Ministry of Health is developing a new circular regulating the list, rates, levels, and conditions for reimbursement of health insurance drugs, which includes considering updating new drugs to be included in the list covered by the health insurance fund.

In response to feedback regarding the situation where many medical facilities prescribe drugs outside the list covered by health insurance, causing difficulties and increased costs for people, while the State is actively promoting nationwide participation in health insurance, the Ministry of Health stated that it is stepping up inspection, supervision, and rectification efforts, while also updating and expanding the list of drugs covered by health insurance to ensure the rights of participants.

The Ministry of Health is developing a new circular regulating the list, rates, levels, and conditions for reimbursement of health insurance drugs, which includes updating the list of drugs covered by the health insurance fund. The draft circular is currently being finalized.

Accordingly, proposed drugs to be included in the list of drugs covered by health insurance will be considered for reimbursement rates and conditions when one of the following criteria is met: drugs with high treatment costs or significant budget impact; drugs with higher treatment costs compared to drugs with the same indications in the current drug list... This Circular promotes the implementation of policies for rational, safe, and effective drug use. In particular, it ensures the rights of health insurance participants and gradually reduces the direct payment rate for health insurance participants.

Currently, out-of-pocket spending by households on healthcare accounts for approximately 40% of medical expenses. In some other countries in the region, this figure is around 15-17%.

Source: https://thanhnien.vn/chan-chinh-ke-don-thuoc-ngoai-danh-muc-bhyt-18525101617490609.htm