Health insurance coverage rate is increasing
If in 2009, there were 747,556 outpatient medical examinations and 46,017 inpatient treatments, by 2023, there will be more than 1.89 million people receiving health insurance medical examinations and treatment, of which the number of outpatient medical examinations and treatment is more than 1.7 million and the number of inpatient medical examinations and treatment is 131,793.
According to Mr. Tran Van Toan, Director of the Provincial Social Insurance, along with the increase in the rate of people participating in health insurance, health insurance revenue and expenditure have increased rapidly each year.
The rights of health insurance participants are guaranteed.
This shows that, in addition to the increasing demand for medical examination and treatment, health care of the people, creating favorable conditions for initial medical examination and treatment, health insurance medical examination and treatment through district lines in the province, and through provincial lines nationwide according to the Law on Health Insurance has also had an impact on increasing the number of people participating in health insurance and the number of health insurance medical examinations...
In order to effectively implement the health insurance policy in the province and ensure health insurance benefits for patients, in recent years, the provincial Social Insurance has closely and regularly coordinated with the Department of Health in implementing medical examination and treatment at public and non-public medical facilities in the area.
In addition, the provincial Social Insurance agency established interdisciplinary inspection and examination teams to conduct inspections and examinations at medical facilities on health insurance treatment, prescription of paraclinical technical services, use of drugs, chemicals, etc. to prevent abuse and profiteering of health insurance funds, as well as gradually improve the quality of health insurance treatment at grassroots health facilities.
“At the same time, the provincial Social Insurance regularly coordinates, discusses, resolves difficulties and proposes solutions to deploy and implement regulations on health insurance laws, ensuring compliance with regulations and the rights of people participating in health insurance in the province. Every 6 months and every year, the Social Insurance and the Department of Health coordinate to organize a preliminary and final review to evaluate the implementation of health insurance medical examination and treatment work during the period, proposing solutions to overcome shortcomings and limitations to perform better in the coming time,” added Director of the provincial Social Insurance, Tran Van Toan.
The rights of health insurance participants are guaranteed.
According to Mr. Tran Van Toan, after 15 years of implementing the Law on Health Insurance, in general, the scope of benefits for health insurance participants is relatively comprehensive, including: Costs of medical examination and treatment services, treatment drugs, blood, infusion fluids, medical supplies, chemicals when health insurance participants go for medical examination and treatment, rehabilitation, periodic pregnancy check-ups, and childbirth at health insurance facilities.
In addition, the health insurance fund also covers the cost of transporting patients from the district level to the provincial and central levels for a number of priority groups, such as: people from poor households, ethnic minorities, people with revolutionary contributions, children under 6 years old... in emergency cases or when being treated as inpatients and needing to be transferred to a specialized technical level.
“Health insurance benefits tend to be increasingly expanded to meet the health insurance participants’ needs for health insurance, changes in disease patterns, the development of science and technology in the healthcare sector, the ability to balance the health insurance fund and the participants’ ability to pay, while aiming to reduce out-of-pocket expenses from households for healthcare spending,” Mr. Tran Van Toan emphasized.
Regarding health insurance examination and treatment, according to the leaders of the Department of Health, the health care system for the people is currently developed comprehensively and widely. People can get health insurance examination and treatment right at the health station or go to higher levels depending on the severity of the disease.
In addition, the list of drugs (including modern and traditional medicines, medical supplies, medical technical services), medical supplies, and health insurance technical services are always reviewed to update in accordance with the scope of professional activities and the capacity to perform technical services, both to ensure the rights of cardholders when coming to medical facilities and to require improving the technical expertise of medical facilities...
After 15 years of implementing Directive 38-CT/TW dated September 7, 2009 of the Central Party Secretariat on promoting health insurance in the new situation, health insurance coverage nationwide has increased rapidly and sustainably. If in 2008, the whole country had only 39.7 million people participating in health insurance (reaching 46.1% of the population), by 2023, there were 93.6 million people participating in health insurance (reaching 93.3%), 2.3 times higher than in 2008.
Meanwhile, to realize the goal of universal health insurance, the Provincial People's Committee recently issued a Plan to implement the roadmap towards universal health insurance in the province, period 2022-2025.
Accordingly, the Provincial People's Committee requested all levels and sectors to continue to synchronously and drastically implement 5 main groups of solutions. The focus is to continue to strengthen the role and responsibility of Party committees at all levels, authorities, organizations and people in coordinating to effectively implement policies, laws, goals and plans on health insurance, and rapidly increase the number of people participating in health insurance to ensure the completion of the set goals.
Promote the responsibility of leaders in organizing the implementation of health insurance policies; the role of mass organizations and prestigious individuals in residential areas to mobilize people to participate in health insurance.
Strengthening the organization of propaganda and dissemination activities on health insurance policies and regimes to raise awareness and actions of all levels, sectors and the whole society in implementing health insurance policies and laws...
At the same time, the Social Insurance, Health Insurance and related agencies need to organize well the health insurance treatment work to ensure the rights of patients with health insurance cards; effectively manage and prevent abuse and profiteering of the Health Insurance Fund.
Increase investment in equipment for medical examination and treatment facilities, allocate budget reasonably and effectively use budget sources to consolidate and develop the grassroots medical network to meet the requirements of health insurance. Strive to have the health insurance coverage rate in the whole province reach 95% by 2025.
Source: https://www.congluan.vn/bhxh-tinh-phu-yen-thuc-hien-tot-chinh-sach-bhyt-nham-dam-bao-an-sinh-xa-hoi-tren-dia-ban-post301745.html
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