Yerzhan Babakumarov chaired a meeting of the Regional Headquarters on the implementation of compulsory health insurance in Almaty
Today, under the chairmanship of the Deputy Akim of Almaty, Yerzhan Babakumarov, a meeting of the Regional Headquarters on the implementation of the compulsory social health insurance system took place in an online format. The meeting was attended by Lyazat Aktaeva, Deputy Chairman of the Board of the Social Health Insurance Fund NJSC.
The issues of expanding the coverage of citizens with medical services within the framework of the compulsory health insurance package, updating the status of insurance, especially employees of business entities, have been considered.
According to the Director of the Almaty branch of the Fund, Tleukhan Abildaev, contracts for the provision of services in the framework of the guaranteed volume of medical care and in the compulsory health insurance system, have been concluded in the city with 183 healthcare entities. Funding increased for all types of care, including primary health care - by 7%, preventive examinations - by 162%, consultative and diagnostic services - by 49%, onco-hematology - by 17%, hemodialysis - 6%, hospital-replacing care - by 13%, inpatient care - by 8%, rehabilitation treatment - by 63%, palliative care - by 12%, an increase in socially significant diseases - by 18%.
As part of the execution of the instructions of the Head of State, funds have been allocated to stimulate and support medical workers involved in the anti-epidemic measures, in the fight against the COVID-19 coronavirus. In the city of Almaty, incentive payments for a total of 16.7 billion tenge were made to employees of medical organizations from March to December 2020. The average payment for 1 employee is 328,033 tenge.
According to information systems, there is a positive trend in the coverage of the population by the compulsory health insurance system. For the period from August 1 to the end of 2020, the number of uninsured in Almaty decreased from 22.6 to 15%.
Updating the lists of employees of small and medium-sized businesses remains an important issue. In the city, the number of SMEs exempted from paying for compulsory health insurance until the end of 2020 was 116 604. Of these, 68.2% updated the lists of their employees or paid deductions and contributions for compulsory health insurance. The deadline for entering employee data by small and medium-sized businesses into IS Saqtandyry has been extended until the end of the first quarter of 2021.
In addition, the results of the "Secret Patient" project were announced, aimed at identifying the level of knowledge of medical workers, on the issues of obtaining medical services in the guaranteed healthcare and compulsory health insurance packages, as well as the status of insurance. Thus, the patient satisfaction index in the context of 26 medical organizations is marked as "very high" - 81-100%, in the remaining 34 - "high". Efforts to raise the level of ethics and knowledge of healthcare professionals in registries and call centers continue.
During the meeting, the leaders of the city departments of public health, entrepreneurship and investments, regional akimats, the Department of State Revenues, the Chamber of Entrepreneurs "Atameken", heads of medical institutions were also heard.
Head of the Regional Headquarters, Deputy Akim Yerzhan Babakumarov, summing up the results of the meeting, gave a number of specific instructions. The Department of Entrepreneurship, together with the Atameken Chamber and the Department of State Revenues, needs to strengthen the work to clarify and update data on the line of business entities. The heads of primary health care organizations were instructed to take special control over the issues of attaching citizens to the polyclinic and the correctness of filling out data in information systems, as well as outpatient drug provision. In addition, the heads of medical institutions were reminded of responsibility for violations of the rules for the provision of services, in particular for the registration of records and visits for services that were actually not provided.