The Ministry of Health has started a series of presentations of the Draft Law “On State Financial Guarantees for the Provision of Medical Services and Medicines,” which is the main law that should facilitate the health system reform. The document establishes the single rules for the medical sector performance and allocation of funds.
The state is expected to make direct payments to hospitals and private practices for specific medical cases that occurred with pecific people through a national solidarity insurance system. According to Deputy Minister Pavlo Kovtoniuk, the document includes the following changes:
• Introduction of the State guaranteed package of health services and medicines containing a specific list of services and drugs that will be wholly or partly covered with taxpayers’ funds (the list will be updated each year);
• Personalization of payments – hospital receives funding only for the specific person treatment;
• Transition to the international medical protocols of diagnostics and treatment.
According to the draft law, a new financial institution – the National Health Service of Ukraine will be established. The institution will be responsible for covering the cost of medical services.
The state will cover 100% of the expenses for: emergency care, primary care and palliative care (provided for the patients with fatal diseases). At the same time, costs for the following services and medicines will not be covered: aesthetic medicine and dentistry for adults, except emergency cases; references that are not appointed by family doctor (general practitioner, pediatrician); medications whose effectiveness is not proven.
This year, the cost of primary care sector services in accordance with the official international methodology will be calculated. The real cost of services will be based on statistical data received for the year containing specific diseases and services needed, Deputy Health Minister Pavlo Kovtoniuk noted.
According to the draft law, primary care sector payments and reimbursement of expenses for medicines (for asthma, hypertension, and diabetes) will start in July this year. Expenses for diagnosis and analysis services will be reimbursed to the specialists from 2018. The transition of the health system to the new payment system is scheduled for Jan. 1, 2019.