📋 Tender Overview
The Government issued Decree 75/2023/ND-CP amending and supplementing a number of articles of Decree No. 146/2018/ND-CP dated October 17, 2018 of the Government regulating expenditures. details and instructions on measures to implement a number of articles of the Health Insurance Law.
In particular, Decree 75/2023/ND-CP supplements the group of subjects covered by the State budget for health insurance: People in safe zone communes and revolutionary safe zones during the resistance war against the French and French colonialists. Americans currently reside in safe communes in revolutionary zones that have updated information in the National Population Database.
In addition, the Decree adds Clause 5 after Clause 4, Article 4 of Decree 146/2018/ND-CP, groups that are supported by the state budget for health insurance premiums, including: Ethnic minorities living in communes of Region II, Region III, and extremely difficult villages in ethnic minority and mountainous areas in the 2016-2020 period but these communes are no longer on the list of Region II communes. III, extremely difficult villages in ethnic minority and mountainous areas in the period 2021-2025 according to the Prime Minister's decision.
At the same time, the Decree amends and supplements the rights of medical examination and treatment facilities in implementing health insurance medical examination and treatment contracts, specifically:
- Exercise rights under Article 42 of the Health Insurance Law and legal regulations on medical examination and treatment;
- Be provided with timely information when the health insurance assessment information system detects an increase in medical examination and treatment costs covered by health insurance that is high compared to the average cost of medical examination and treatment facilities. diseases of the same class, same level, same specialty to promptly review, verify, and implement appropriate corrective solutions.
In addition, the Decree also amends the principle of payment according to service prices. Accordingly, the costs of medical examination services, hospital bed service costs, and technical and laboratory service costs have been used for patients within the scope of benefits and benefits of health insurance participants. Payment is made according to the actual amount used for the patient and the price according to current regulations.
The cost of drugs, chemicals, and medical supplies has not been included in the price of medical examination and treatment services covered by health insurance or used in technical services for which medical examination and treatment prices have not been issued under health insurance. has been used for patients within the scope of benefits and the health insurance participants' benefits are paid according to the actual quantity used and the purchase price according to the provisions of the law on bidding.
