Officially abolishing referral procedures for rare and serious diseases

On the afternoon of November 27, with the majority of delegates in favor, the National Assembly voted to pass the Law amending and supplementing a number of articles of the Law on Health Insurance.

The new point of the Law is to amend and update the subjects of participation, responsibility for paying health insurance, payment method, payment period, responsibility for making a list of health insurance payment, and card validity period to be more consistent and synchronized with the provisions of related Laws.

Regulations on health insurance medical examination and treatment, including initial health insurance medical examination and treatment registration, and patient transfer between health insurance medical examination and treatment facilities according to the technical expertise level of the Law on Medical Examination and Treatment.

Regulate the level of health insurance benefits when implementing the universal health insurance examination and treatment in the direction of not distinguishing between administrative boundaries, maintaining the rate of health insurance benefits according to the provisions of the current Law and expanding to a number of cases; including a number of rare diseases, serious diseases... that are sent directly to specialized medical examination and treatment facilities.

Supplementing the payment mechanism for drugs and medical equipment transferred between medical examination and treatment facilities and payment for paraclinical service costs transferred to other facilities in case of shortage of drugs and medical equipment.

Supplement specific regulations on late payment and evasion of health insurance payment and measures to handle these cases.

The law comes into effect from July 1, 2025.

According to Thu Tra/VTV

Source: https://doanhnghiepvn.vn/tin-tuc/chinh-thuc-bo-thu-tuc-chuyen-tuyen-voi-benh-hiem-benh-hiem-ngheo/20241127072743584