The State Duma proposed expanding the list of health workers for payments for cancer alert


The State Duma initiated the expansion of payments for cancer vigilance – according to the head of the Health Protection Committee, Badma Bashankaev, not only doctors, but also rural paramedics and nurses deserve incentive payments.

The State Duma proposed to the Compulsory Medical Insurance Fund (MHIF) to make the system of incentive payments to medical staff for cancer vigilance “more adaptive to the current situation” – the head of the Health Protection Committee talks about this Badma Bashankaev asked the head of the Compulsory Medical Insurance Fund Ilya Balanina, the deputy said in his Telegram channel. He explained to MV that we are talking about increasing the amount of incentives and simplifying the payment procedure.

In addition, according to Bashankaev, it is necessary to review the list of medical workers receiving payments to identify key specialists who detect cancer in the early stages. “Currently, only doctors receive payments for cancer vigilance. And in paramedic and obstetric centers there are paramedics and sometimes nurses. Don’t they deserve financial incentives if they suspect cancer and promptly recommend that the patient undergo examination?” – the deputy explained.

He added that the head of the MHIF “supported the arguments” — it is planned that the initiative will be further developed.

According to the scheme approved for 2024, payments for cancer vigilance will be made as before: 1000 rubles. are intended for one doctor who first prescribed a consultation with an oncologist or a study. Previously (from 2020 to 2022), payments were to be divided among three health workers who discovered the disease during a medical examination.

More than 50 billion rubles are allocated annually from the compulsory medical insurance insurance reserves for payments for cancer vigilance, but in reality they remain unused. Thus, according to the results of the first half of 2023, only 1.7 million rubles were actually used for these purposes, the Accounts Chamber reported.

In the summer it became known that a third of the regions had completely refused to pay doctors for cancer alert. Then the auditors stated that the mechanism for supporting medical workers in identifying cancer diseases was being implemented “ineffectively.”



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