At the beginning of April, the Cabinet of Ministers of Ukraine approved a package of draft laws necessary for the health care reform. The key one is a bill “On state financial guarantees of medical services and medicines”, which should provide funding of medical services and drugs out of public funds through the State social health insurance system. As of today, it is pending in the Verkhovna Rada.
It is expected that the state will allocate funds for a specific list of medical services and drugs provided to insured persons, and not to the hospitals’ maintenance. The list of services and level of coverage will be fixed in the guaranteed package of health services.
In an interview to the BBC Ukraine, the acting Minister of Health Uliana Suprun noted that the guaranteed package of medical services will provide every citizen of Ukraine, 100% free help in primary, emergency and palliative care. “For secondary care, specialized care or hospitalization, the state will set prices for each service – payment of doctor and nurse services, medicine, operating theater – everything will be transparent. We also consider the amount of money which should be paid by the state and the patient “- commented Suprun.
According to the Reanimation Package of Reforms expert, the pediatrician Oleksandr Yabchanka, implementation of this reform should help to ensure that the financial position of the doctor will depend only on the quality of his job. “This reform – is about the understanding of the game rules. The doctor should realize that he is competing for the patient with the money, therefore, the better he works, the more he earns “- comments the expert for the publication “Livyi Bereh”.
It should be added that financing the provision of medical services and medicines will be held by the new executive body – the National Health Service of Ukraine. It will directly serve as an insurance agent and the owner of the health services, control the targeted use of funds and fulfillment by service providers of their obligations.
Also, it is important that the new draft law will involve to the delivery of health services through the budget funds the private medical institutions and private entrepreneurs.
According to the bill, the process of insurance will be introduced gradually, first at the primary level – starting from the second half of 2017, and other levels – by 2020.