Health Fund Makes Hospitals Sick

Migration Image

This is the highest budget of the National Health Insurance Fund (NHIF) for the last 20 years, said the head of the institution Dr. Plamen Tsekov in October last year. Back then it became clear that the fund will have a record 2.377 billion levs to cover health insurance payments for 2013. At least on paper for hospitals and clinics 1.8 billion levs were allocated, which can be used to pay for their medical activities, and the purchased drugs and supplies. But for a good manager it is not just how much money he or she has, but how are the funds managed. In less than a year after being appointed head of NHIF Mr. Tsekov managed to convince everybody that in no way can he adequately manage the money the health insurance fund.

The former manager of a hospital in Lom not only introduced restrictive and illegal methods

to limit the therapeutic activity and clinical pathways, but defends the system frantically. Which is paradoxical, given that managers of hospitals, doctors, patients, and anyone who is working in the health sector, said the system is unacceptable. The current structure of payments is said to be very lucrative for fraudulent dealers.

In the theory of the controversial methods several time bombs were set that exploded with terrible force yet at the trial period. Mr. Tsekov remained deaf and blind. With the allocation of quotas between hospitals, the Fund actually deprives the citizens of their right to chose in which hospital they want to be treated, which is a violation of two articles of the Law on Health Insurance. The institution cannot have people listed on waiting lists, nor can it force them to pay for medical care through clinical paths, due to irresponsible trimming of the budgets of key hospitals. This was what exactly happened and the healthcare system of the country is now in a serious knockdown. And unless adequate measures are taken, it is a matter of days a state of total chaos to be reached and the entire system collapses.

Contrary to any economic logic, with the increase in the expenditures side of NHIF budget it came to drastical cuts of payments to 90 percent of the hospitals, regardless of whose property they are. The new forecast volumes and the adjusted value of clinical pathways in 2013 most painfully stung the largest hospitals that handle more than a half of the patients in the country. Sofia emergency care institute Pirogov will be able to work on activities for 32.4 million instead of last year’s 38.1 million levs. The university hospitals St. George in Plovdiv, St. Ana, Saint Catherine and Lozenets in Sofia will get in total by 19 million levs less than in 2012, while the budget of the National Heart Hospital fell from 23.5 million to 17.6 million levs. Metropolitan Oncology will lose nearly 1 million levs off its 2012 budget. listed only clinics that are a drop in the sea of ??neglected, health insurance plans to save about 32 million levs. Due to public pressure, the budgets of some of them have been reviewed, but essentially deplorable situation with some others has not been changed.

The logical question is where will the money saved from their budgets be directed to? Mr. Tsekov tried to answer, but was not very convincing. He pointed out that the existing hospital budgets are reduced because financial resources were relatively uniform, and only in the capital 12 private hospitals opened in the last year. This is, however, not true. Up until the end of October, the newly opened private hospitals in Sofia were only three.

On the other hand, not all state and municipal hospitals have felt the financial ax. Hospital in the small town of Dulovo, the hometown of the now resigned health minister Desislava Atanasova, is scheduled to receive 971,690 levs in 2013, instead of 657,702 it was awarded last year.



Още от категорията..

Последни новини

Ще успее ли ГЕРБ да състави правителство с първия мандат?