Hana: With the new law, patients will choose their hospital
Everything will depend on the contracts that will connect the HII to provide these packages of services. In a statement to the media, Director of the HII, Elvana Hana, explained what will benefit patients by the new law. “The Institute of Health Insurance, already has the power to draft basic package of services for patients, which will not be offered, only 12 public regional hospitals in the country.” Now we will negotiate well-defined package, which will be detailed and patients would really like to get services, “said Hana. According to her, these packages will include: visits, examinations and treatments.” Today there is a service package defined in the primary, but will also hospital service. Will know exactly what to get the patient, it would cost, how will provide HII, which are real costs, what drugs the patient etc.. We expect another reality with the implementation of this law, “said Hana. She called innovation involvement of private institutions for providing these health services, which must meet certain criteria.” We are willing to give them the same service and in private, because we will cover the same population, but based on its free choice, choose the public or individual with and will pay the same amount.
Part of accreditation is very important, part of the fulfillment of the conditions and standards that will be required by the Ministry of Health is also very important, “said Director of the HII. There will be strong selection criteria of contracted services in private. These services will be contracted only after the accreditation of service providers. They will be provided to support the legislation, after the law in parliament. There are specific elements provided. Part of accreditation is very important, part of meeting standaredeve conditions and that will be required by the MOH is also very important, and these will be checked not only at the time of licensing and bonding of the contract, but will have a strict process monitoring and control even after contracting, control which will be ongoing. ISKSH Director added that would create a new registry service to private providers, while it will be the Administrative Council, which will adopt the methods and criteria for contracting for health service providers , encouraging access to services, their cost effectiveness and increased quality of service to the public.
The new law
Package of compulsory insurance services
1. Compulsory insurance should fund service packs compulsory insurance that contains:
a) visits, examinations and medical treatment centers and public primary health care in public hospitals.
b) visits, examinations and medical treatments in private primary care providers and private hospitals in the extent to which agreed with the Fund.
c) drugs, medical products and treatments by health care providers contracted services.
2. Packages compulsory insurance services produced by defining:
a) visits, examinations and treatment in primary care health centers and public hospitals, which paid for this service by compulsory insurance.
b) A list of reimbursable drugs and medicines extent of its coverage. The structure of the list of drugs determined by the list of essential drugs under INN classification (the active drug) set by WHO, as well as covering the cheaper alternative.
c) The list of medical equipment and the extent of their coverage.
Measure of contribution:
Contribution payable to social security health is 3.4% (three point four percent) of base appreciated, as defined in Article 35 of this Law. For employees, contributions paid by the employer 50% and 50% by the employee
Census
Identification of insured persons, and providing them with personal security number. Will establish a system that will identify the number of economically inactive population, determining exactly the amount of contributions that the state pays for them.
Basic Package
Health services will be provided based on a basic package of services, which will be covered by the state and will be allowed on the private supplementary insurance.