Increase accountability in drug supply and combat health insurance fraud.

SGGPO 08/11/2023 17:00

The government has just issued Decree No. 75/2023/ND-CP amending and supplementing a number of articles of Decree No. 146/2018/ND-CP, which provides detailed regulations and guidance on the implementation of a number of articles of the Health Insurance Law, with many new points aimed at increasing benefits for health insurance participants.

This information was sent to the press by the Vietnam Social Insurance (BHXH) on the afternoon of November 8th.

Medical examination and treatment using health insurance. Photo: Vietnam Social Security.

Accordingly, this decree will strengthen the responsibility of medical facilities in complying with regulations on procurement and bidding to ensure the supply of quality, effective, and economical medicines, chemicals, medical supplies, and medical technical services.

The decree also stipulates that medical facilities must review and promptly issue procedures, professional guidelines, and measures to prevent abuse and profiteering from the health insurance fund; and regularly inspect, review, and verify any high increases in health insurance-covered medical expenses at their facilities as requested or warned by the social insurance agency.

The decree also increases the authority of health insurance medical examination and treatment facilities. Accordingly, health insurance medical examination and treatment facilities are provided with timely information when the health insurance claims information system detects an increase in health insurance medical examination and treatment costs that is significantly higher than the average cost of medical examination and treatment facilities of the same category, level, and specialty, so that they can promptly review, inspect, and implement appropriate adjustment solutions.

Source: https://www.sggp.org.vn/tang-trach-nhiem-cung-ung-thuoc-chong-truc-loi-bao-hiem-y-te-post713259.html