The Ministry of Health has developed amendments to the requirements for tariff agreements to bring 30 billion rubles to medical organizations. this year. This will allow maintaining target salary levels for certain categories of health workers.
The Ministry of Health has developed a draft amendment to order No. 44n dated February 10, 2023 on the requirements for the structure and content of the tariff agreement. The document was published on November 23 on the regulation.gov.ru portal.
The changes are aimed at achieving the salary goals for health workers, determined by the May presidential decrees. “Mechanisms have been developed to optimize and improve payment for medical care provided in inpatient and day hospital settings,” says the explanatory note to the draft order.
To this end, it is proposed to supplement the list of coefficients for calculating per capita financing standards “for medical organizations in need” when determining the size of tariffs for payment of medical care in inpatient and day hospital conditions with a coefficient for achieving target salary levels for medical staff. According to the Ministry of Health, this will allow maintaining the target salary levels for certain categories of health workers, provided for by the “road maps” for the development of healthcare in the constituent entities of the Russian Federation.
It is clarified that changes to the order will make it possible to bring over 30 billion rubles to medical organizations in 2023, which are planned to be allocated from the normalized safety stock (NSS) of the Federal Compulsory Medical Insurance Fund (MHIF) to maintain wage targets.
At the end of October 2022, the government allocated 58.5 billion rubles. to ensure the indicators of the May decrees on salaries of health workers. Then the money did not come from the National Health Insurance Fund, but directly from the reserve fund of the Cabinet of Ministers, MV reported.
The Ministry of Health updated the requirements for tariff agreements in May of this year. Then, one of the fundamental documents for the compulsory medical insurance system included 25 performance indicators for polyclinics financed on a per capita basis.
|Tariff agreements are concluded by the executive authority of the subject, regional ministries of health, the Territorial Compulsory Medical Insurance Fund, medical insurance organizations and medical professional non-profit organizations. Their goal is to determine the volumes and terms of payment for medical care in the compulsory medical insurance system. The basic requirements for the structure and content of the tariff agreement are established once a year by the Russian Ministry of Health.