Service pricing
The Ministry of Health has issued Circular No. 21/2024/TT-BYT (hereinafter referred to as Circular 21) regulating the method of pricing medical examination and treatment services, as a legal basis for determining the price of medical examination and treatment services according to the list of technical services issued by the Ministry of Health, in accordance with the specific characteristics of providing medical examination and treatment services at medical facilities. The Circular applies from October 17, 2024.
The Ministry of Health requires good doctors to spend at least 70% of their time on health insurance patients and provide professional support to lower levels.
According to the Ministry of Health, the adjustment of medical examination and treatment prices according to the basic salary of 2.34 million VND, Circular 21 guides: maintain the price structure and issued norms, only adjust the salary factor from the basic salary of 1.8 million VND to the basic salary of 2.34 million VND.
The Ministry of Health has approved medical examination and treatment prices for 5 special-class hospitals and 10 class 1 hospitals. Localities are urgently implementing the approval of prices according to the salary level of 2.34 million VND for medical examination and treatment facilities in the area, not higher than the highest price of services prescribed by the Ministry of Health.
Regarding the impact of adjusting the price of medical examination and treatment services to increase according to the basic salary level, the Ministry of Health assessed: With the health insurance fund, every year the fund has a difference in revenue and expenditure and still has a cumulative surplus; at the same time, the health insurance fund's revenue increases due to adjusting the basic salary level, which is often earlier than the adjustment of the price of medical examination and treatment services, so the health insurance fund is capable of balancing.
Regarding the impact of adjusting service prices for people participating in health insurance, the poor, ethnic minorities, and social policy beneficiaries are not affected because they are 100% paid by the health insurance fund.
For those with health insurance cards who have to pay a co-payment of 20% or 5%, the co-payment increase is not much and they can afford it because their income is also increased according to the basic salary.
For those who do not have health insurance cards (currently about 8% of the population), adjusting service prices will affect the payment portion according to the price of medical examination and treatment services.
Good doctors support lower level
Circular 21 also specifies the principles and basis for pricing medical examination and treatment services on demand. In addition to meeting the requirements on facilities, medical equipment, means and human resources as prescribed by the law on medical examination and treatment, medical examination and treatment facilities when providing services on demand must also meet the following requirements: ensure that the number of hospital beds to perform on demand services at a time does not exceed 20% of the total number of hospital beds performing on average in the previous year; except for the number of hospital beds on demand arranged in separate or independent areas not mixed with regular hospital beds in departments and rooms invested by the unit from borrowed capital, mobilized capital, joint ventures, associations, and public-private partnership investment; purchase and invest from the career development fund or mobilize other legal capital sources as prescribed.
Hospitals need to ensure that their specialists and good doctors spend a certain percentage of their time (at least 70%) providing medical care to patients with health insurance cards; those who do not use the requested services; and providing professional support to lower-level hospitals.
Hospitals must publicly and transparently disclose the list, prices and ability to provide medical examination and treatment services so that people and patients know and choose to use the services on a voluntary basis; ensuring that patients receive medical examination and treatment according to the treatment regimen issued by competent authorities.
The Ministry of Health also requires hospitals to request competent authorities to adjust medical examination and treatment service prices in cases where medical examination and treatment service prices have price-forming factors that increase or decrease.
Source: https://thanhnien.vn/bac-si-gioi-phai-danh-it-nhat-70-thoi-gian-cho-benh-nhan-bhyt-185241116190219125.htm
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