scholarly journals Development of medical insurance in the Russian Federation. At the crossroads. What's next?

Author(s):  
Igor M. Akulin ◽  
Lubov Yu. Zhiguleva

The RF health care reform is gaining momentum. A thorough consideration should be given to the discussion on the need to exclude health insurance companies from the compulsory health insurance system (CHI). Formation of the National Health Care System of Russia is the main problem of the national health care at this stage of reforms. Additional payment for medical services in the CHI by the general public is not advisable. Changes in the regulatory framework of the CHI system is deemed to be the basis for reforming the system of compulsory and voluntary health insurance in Russia.   

2014 ◽  
Vol 23 (3) ◽  
pp. 182-4 ◽  
Author(s):  
Tokihiko Sawada ◽  
Hirohisa Kawahara

Japan has long operated a government-based health insurance system covering the entire population, and has been focusing on strategies for balancing viable national health care services with the need to minimize national health care expenditure. Hemodialysis (HD) is a representative form of medical treatment that is expected to expand in Indonesia in the near future, and which will require sustained financial support from the national health insurance system. In this report, consecutive to our previous one, we describe how the Japanese government has attempted to minimize medical expenditure in the past, focusing especially on HD.


Author(s):  
Elena Stepanovna Ustinovich

The purpose of this article is to study the eff ectiveness of using digitalization in national health care. The article outlines the main advantages of using digital technologies in healthcare. The article also shows which areas of digitalization of healthcare are used in the Russian Federation. In addition, it is described that medical centers should carry out remote monitoring of patients in order to prevent critical conditions. This article outlines the benefi ts of digitalizing healthcare and its main directions. Today, the transition of Russian healthcare to an innovative digital platform is an urgent task. Digitalization of healthcare is a prerequisite for the development of this industry. In addition, such a process serves as a major factor in economic and social progress. Digital technologies are one of the priorities for the development of the healthcare sector. Every year this area is increasing by a quarter. The digitalization process will help provide a breakthrough in the availability and quality of services without increasing healthcare costs. Several information projects have been implemented in the Russian Federation over the past few years.


2020 ◽  
Vol 31 (2) ◽  
pp. 477
Author(s):  
Beáta Gavurová ◽  
Adela Klepáková ◽  
Ladislava Ivančová

The day surgery is a highly effective tool for providing health care which has been used in Slovakia only for the last decade. The unified system of payment for inpatient or outpatient (day care) surgeries causes the reduction of health insurance companies´ spending. Incorrectly configured and economically demotivating system of refunding is a cause of lagging behind the European average in utilization of day surgery. Without the evaluation of day surgery it is not possible to link the progress in the social sphere, which leads to the restriction of day surgery availability for some social groups and thus the subsequent stagnation of day surgery in Slovakia. This contribution presents a pilot study conducted in Slovakia and its partial findings focused on the development and trends in the implementation of day surgery in order to increase the efficiency healthcare system.


2020 ◽  
Vol 12 (8) ◽  
pp. 3384
Author(s):  
Ján Derco ◽  
Piotr Romaniuk ◽  
Michal Cehlár

The article deals with the financing of spa undertakings through the health insurance system. The analysis is based on the financial statements of 28 spa undertakings operating in the Slovak Republic, their contracts with the individual health insurance companies and secondary data sources (accommodation statistics of these undertakings, the number of medical stays paid by clients themselves and of those covered by public health insurance, the spa treatment expenditure of the health insurance companies, the percentage of this expenditure out of the total expenditure spent by the health insurance companies on health care). The still significant percentage of revenues from the health insurance companies out of the total revenues of spa undertakings shows the prevalence of the medical nature of spa care. At the same time, it reflects the current tax measures related to the spa industry and shows that the introduction of a recreation allowance might influence the future development of spa care.


2016 ◽  
Vol 2 (2) ◽  
pp. 262
Author(s):  
Michio Yuda

<p><em>In this study, I use panel data from municipal Japanese National Health Insurance (JNHI) insurers to estimate their financial efficiency scores using nonparametric methods and to estimate the causal effects of structural and regional characteristics on the efficiency scores consistently using econometric methods. The major findings of this study are as follows. First, the estimated efficiency scores imply that many JNHI insurers have serious financial inefficiencies, and that total cost efficiency (economic efficiency) is strongly and positively correlated with allocative efficiency. Second, the empirical results of the effects of various factors on efficiency scores indicate that the two major policy reforms for health care systems for the elderly in 2008 contribute strongly to the improvement of JNHI insurers’ finances. Third, the subsidy from a prefectural government positively affects efficiencies, but subsidies from central and municipal governments have an adverse effect. Fourth, contributions to health care systems for the elderly still have an adverse effect on JNHI finances.</em></p>


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