Approval of the Project to implement the roadmap towards universal health insurance

The Prime Minister has just approved the Project to implement the roadmap towards universal health insurance for the 2012-2015 and 2020 periods with the goal of having over 80% of the population participating in health insurance by 2020.

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Increase health insurance coverage

One of the solutions of the Project is to increase the health insurance rate, in which, for groups of subjects that have achieved a coverage rate of over 90%, the coverage rate will continue to be maintained and solutions will be implemented to improve the quality of medical examination and treatment, increase access to medical services, and continue to implement solutions to propagate policies and laws on health insurance.

For some groups of people with low health insurance participation rates, along with general solutions (such as strengthening propaganda on health insurance policies and laws, mobilizing participation, and increasing the attractiveness of health insurance), combined with specific solutions suitable for each group of people.

Specifically, for the group of employees in enterprises, we will inspect and examine the implementation of policies and laws on health insurance in state-owned and private enterprises, strictly handle violating enterprises; at the same time, we will build a mechanism for collecting health insurance contributions in terms of time (payment cycle), collection form suitable for the operation of the enterprise...

For near-poor households, the Government shall support 100% of the contribution for near-poor households living in difficult and extremely difficult areas in the Northern mountainous provinces and the Central Highlands according to the Prime Minister's regulations; near-poor households living in the 62 poorest districts in the country according to Resolution 30a of the Government and extremely difficult communes according to the regulations in Decision No. 135/1998/QD-TTg dated July 31, 1998 of the Government; and households that have escaped poverty in the first 5 years.

As for students, research on increasing the level of health insurance support from the state budget to at least 50% of the contribution level.

Agricultural, forestry, fishery and salt-making households with average living standards participate in family health insurance, applicable to all household members and reduce the contribution level according to the provisions of the Law on Health Insurance.

Improve the quality of medical examination and treatment under health insurance

Along with increasing the health insurance coverage rate, the Project proposes solutions to improve the quality and meet the needs of medical examination and treatment under health insurance, reform administrative procedures, improve the spirit, attitude, and professional ethics to ensure the quality of service and satisfaction of patients with health insurance cards in both the public and private medical examination and treatment facilities.

For central and large city hospitals, continue to invest and expand the medical examination and treatment network to meet the requirements of health care and quality of medical examination and treatment, especially at the grassroots level through the implementation of the Hospital Overload Reduction Project; strengthen the socialization of medical work, diversify forms of medical examination and treatment organization to meet the increasing needs and quality of medical examination and treatment under health insurance of the people.

Upgrade, expand and build new ones to rapidly increase the number of hospital beds for hospitals that are currently severely overloaded at the central level and in the two cities of Hanoi and Ho Chi Minh City.

At the same time, forming a network of satellite hospitals of some central hospitals, end-line hospitals of Hanoi and Ho Chi Minh City in 5 specialized groups: Oncology, cardiovascular, trauma and orthopedics, obstetrics, pediatrics at general and specialized hospitals at provincial level. Investing, upgrading, and expanding hospital beds for hospitals that accept to be satellite hospitals of hospitals in the above specialized groups.

In addition, it is necessary to improve the capacity to provide lower-level medical services as well as promote preventive medicine and primary health care; innovate financial mechanisms and payment methods for medical examination and treatment costs under health insurance...

The solutions of this Project are implemented in the period 2012 - 2015. After 2015, the objectives and solutions will be adjusted based on the summary of the implementation process of the Project in the period 2012 - 2015 and the implementation of new regulations of the Law amending and supplementing a number of articles of the Law on Health Insurance.

According to (Chinhphu.vn) - LT