Clinics that perform less than 100 IVF cycles per year may be denied access to compulsory medical insurance funding starting next year. Experts believe that this will increase the effectiveness of ART programs.
The Ministry of Health is preparing to ban in vitro fertilization (IVF) procedures in clinics that perform fewer than 100 cycles per year. This was announced on November 9 by the Deputy Minister of Health Evgenia Kotova at parliamentary hearings in the Federation Council on current decisions to support fertility.
According to her, the department has defined such criteria in the form of amendments to the laws “On the organization of insurance business” and “On compulsory health insurance.” The draft documents have been sent to the State Legal Department of the President. The State Guarantees Program for next year already includes such approaches, Kotova clarified.
The planned tightening of the conditions for the participation of medical centers in state programs of assisted reproductive technologies (ART) was reported at the end of last year by the chief freelance specialist on women’s reproductive health of the Ministry of Health, Deputy Director of the National Medical Research Center of Obstetrics, Gynecology and Perinatology named after. N.I. Kulakova Natalya Dolgushina. According to her information, in addition to the number of IVF cycles, the following criteria for admission were considered: at least two occupied positions of embryologists and obstetricians-gynecologists; availability of a license to provide primary specialized health care in obstetrics and gynecology (use of ART) and provide services in this profile for at least two years; zero number of critical obstetric conditions and maternal deaths in pregnant patients caused by ART methods due to underestimation of contraindications to their use; the presence in the medical organization of a medical information system with the ability to automatically transfer information to the ART register VIMIS “AKiNEO”, as well as the proportion of treated women who gave birth to a live child, reported “MV”.
It is not yet known whether all of these criteria were included in the final document of the Ministry of Health.
At the beginning of the year, the Russian Minister of Health Mikhail Murashko reported on the increasing availability of ART, saying that there is no queue for those in need of such medical care at the expense of compulsory medical insurance funds.
According to the Federal Compulsory Medical Insurance Fund, in 2021, the share of centers performing less than 100 ART cycles was 32.8%. Another 17.2% of clinics performed 100–199 cycles per year.