Proposal to remove obstacles in payment of medical examination and treatment costs on sponsored assets

Illustration photo: VNA

The issuance of Resolution 30 has resolved many difficulties and problems in the provision of medical equipment for medical examination and treatment activities due to the failure to establish public ownership according to the provisions of Decree No. 29/2018/ND-CP stipulating the order and procedures for establishing public ownership of assets and handling assets with established public ownership. At the same time, it has resolved difficulties and problems in paying for medical examination and treatment costs under health insurance for donated medical equipment but due to a number of objective and subjective reasons, public ownership has not been established, removing many difficulties and problems for medical examination and treatment facilities.

To limit these problems, Clause 4, Article 118 of Decree No. 96/2023/ND-CP (detailing a number of articles of the Law on Medical Examination and Treatment) continues to stipulate that assets, means and objects that are sponsored but have not completed the procedures for establishing public ownership are used in medical examination and treatment and the costs of medical examination and treatment using these assets are collected from patients or paid by the Health Insurance Fund according to the provisions of the law on health insurance.

However, the Ministry of Health said that the costs of medical examination and treatment carried out on assets, means and objects that were sponsored but had not completed the establishment of public ownership before March 4, 2023 have not been resolved. At the time of issuing Resolution No. 30/NQ-CP and Decree No. 96/2023/ND-CP, the Ministry of Health had not yet collected full statistics on these difficulties and problems, so there was no plan to propose regulations for payment of medical examination and treatment costs under health insurance carried out on donated assets that had not completed the establishment of public ownership before March 4, 2023.

According to statistics from Vietnam Social Security, the total cost of medical examination and treatment under health insurance implemented on medical equipment that has not been established as public ownership according to Decree No. 29/2018/ND-CP before March 4, 2023 is about 660 billion VND, in 47 provinces and cities. These costs have been implemented for health insurance participants and medical examination and treatment facilities responsible for the quality of the services provided.

In order to resolve the above difficulties, the Ministry of Health is proposing that the Government stipulate that the costs of medical examination and treatment covered by health insurance that have been implemented on assets, means and objects that have been sponsored but have not completed the procedures for establishing full ownership in the period before March 4, 2023 shall be applied according to the provisions of Clause 4, Article 118 of Decree No. 96/2023/ND-CP of the Government detailing a number of articles of the Law on Medical Examination and Treatment and shall be paid by the Health Insurance Fund within the scope of benefits and levels of benefits of health insurance participants.

Accordingly, the costs of medical examination and treatment performed on sponsored assets, means and objects but not yet completed the procedures for establishing public ownership shall be collected from patients or paid by the Health Insurance Fund according to the provisions of the law on health insurance. Medical examination and treatment facilities shall be responsible for the quality and medical services provided from these assets and shall use the facility's budget to maintain, repair and maintain the assets during use.

Source: https://baobinhphuoc.com.vn/news/14/171012/de-xuat-go-vuong-trong-thanh-toan-chi-phi-kham-chua-benh-tren-tai-san-duoc-tai-tro