scholarly journals State Financing Policy of the Modern Health Care System on the Example of Federal Compulsory Medical Insurance Fund

2019 ◽  
Vol 9 (4) ◽  
pp. 111-114
Author(s):  
A. A. Martynova ◽  
V. E. Shorokhov
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
Medical Insurance ◽  
The State ◽  
Insurance Fund ◽  
Social Significance ◽  
Financing Policy ◽  
Modern System ◽  
Financing Health Care ◽  
State Financing

Some of the many existing activities of the state are characterised by their special social significance. These areas are associated with the implementation of the fundamental social functions of the state, as a result of which they require a special order of financing. Health care financing is a type of financial activity associated with the formation of centralised funds of financial resources, as well as their distribution and redistribution through specialised insurance funds and organisations, carried out within the framework of financial relations regulated by law and based on payments when an insured event occurs by a medical organisation. This article discusses the modern system of financing health care in terms of government policy. A detailed analysis is carried out, and the special status of the Federal Compulsory Medical Insurance Fund as an actor in this field is determined, the powers and activities of which are not limited to financial components. It emphasises the need to clarify the existing scientific ideas about the regulation of the modern system of financing health care as one of the mandatory state functions.

Surgonomics: Health Care Financing Policy for Hospitalized Otolaryngology Patients

1988 ◽  
Vol 114 (11) ◽  
pp. 1317-1320
Author(s):  
E. Munoz ◽  
G. Zahtz ◽  
J. Goldstein ◽  
T. Benacquista ◽  
K. Mulloy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
Financing Policy

scholarly journals The Changing Role of Government in Financing Health Care: An International Perspective

2014 ◽  
Vol 52 (2) ◽  
pp. 480-518 ◽  
Author(s):  
Mark Stabile ◽  
Sarah Thomson
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
The United States ◽  
International Perspective ◽  
Wait Times ◽  
Hospital Competition ◽  
Role Of Government ◽  
Financing Policy ◽  
Changing Role

This paper explores the changing role of government involvement in health care financing policy outside the United States. It provides a review of the economics literature in this area to elucidate the implications of recent policy changes on efficiency, costs, and quality. Our review reveals that there has been some convergence in policies adopted across countries to improve financing incentives and encourage efficient use of health services. In the case of risk pooling, all countries with competing pools experience similar difficulties with selection and are adopting more sophisticated forms of risk adjustment. In the case of hospital competition, the key drivers of success appear to be what is competed on and measurable, rather than whether the system is public or private. In the case of both the success of performance-related pay for providers and issues resulting from wait times, evidence differs within and across jurisdictions. However, the evidence does suggest that some governments have effectively reduced wait times when they have chosen explicitly to focus on achieving this goal. Many countries are exploring new ways of generating revenues for health care to enable them to cope with significant cost growth, but there is little evidence to suggest that collection mechanisms alone are effective in managing the cost or quality of care. (JEL H51, I11, I18)

scholarly journals Całkowicie prywatna opieka medyczna — próba zarysu

Ekonomia ◽  
2020 ◽  
Vol 26 (1) ◽  
pp. 155-195
Author(s):  
Stanisław Wójtowicz ◽  
Kamil Rozynek
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Service Providers ◽  
Free Market ◽  
Medical Insurance ◽  
Economic Incentives ◽  
The State ◽  
Medical Services ◽  
Market Mechanisms ◽  
Quality Of Medical Care

In this paper, we explore what the market for medical services and products could look like if the state completely withdrew from the area of medical care. In section 1, we demonstrate that medical services would be purchased mainly through direct payments and medical insurance. We analyse two models of medical insurance: guaranteed renewable insurance and health-status insurance. Other types of insurance that may emerge on the market are also discussed. In section 2, we exam-ine how the privatisation of the health-care system would affect the prices of medical services. We analyse fundamental problems of the state-run health care and discuss how they contribute to small-er supply and higher prices of medical services. We then describe how the introduction of market mechanisms would allow to solve many of these problems. We argue that internalisation of the costs of medical care in a free market order would create strong economic incentives for individuals to take better care of their health, and we contrast this with the state-run health care in which these costs are externalised. In section 3, we explore how medical services could be obtained by individuals without sufficient funds. In section 4, we discuss how the quality of medical care could be ensured without the help of the state. We argue that competition between service providers would be the main guarantor of quality. We also identify mechanisms that would lead to spontaneous emergence of a system of private medical licencing.

scholarly journals THE STATE OFFINANCIAL SECURITYOFTHE HEALTHCARE SECTORIN UKRAINE

2017 ◽  
pp. 156-165
Author(s):  
Liudmyla PARKHETA
Keyword(s):  
Health Care ◽  
Financial Support ◽  
Health Sector ◽  
Health Care Expenditures ◽  
The State ◽  
Financial Resources ◽  
Effective Control ◽  
Current State ◽  
Financing Health Care ◽  
Care System

Introduction. Organization ofeffective functioning and development ofhealth care system in the conditions of limited financial resources is the most important task ofthe authorities at all levels. Therefore, the question ofassessing the current state ofhealth and identifying the main problems of financing health care institutions relevant is more than ever. Purpose. The purpose of the article is to analyze the current state of financial securement ofhealth care in Ukraine. To identify the main problems ofthe development ofthe health sector and to develop recommendations for improving existing and finding new sources of financial support forthe health care system. Results. The results of the analysis show that in recent years, despite an annual increase in health care expenditures, their share in the budget structure is reduced by redistribution to finance other activities ofthe state. The financial support ofhealth care at the state level is extremely insufficient. Apart from the problem of financing health expenditures, attention is drawn to the problem of inefficient and inappropriate use of available resources by the network ofhealth care facilities, which in many cases does not correspond to the real needs ofthe population. Conclusion. It is concluded that the problems of financing health care are largely solved by the introduction of insurance medicine, which ensures not only the ability to receive proper medical care by the population of Ukraine, but also provides effective control by insurance organizations to the rational use of financial resources of the health care sector.

Health Care Financing Policy for Hospitalized Pulmonary Medicine Patients

CHEST Journal ◽  
1989 ◽  
Vol 95 (1) ◽  
pp. 174-178
Author(s):  
Eric Muñoz ◽  
Lionel Barrau ◽  
Jonathan Goldstein ◽  
Teresa Benacquista ◽  
Katherine Mulloy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
Pulmonary Medicine ◽  
Financing Policy

THE ECONOMIC EFFECT OF USING MEDICAL SAVINGS ACCOUNTS INSTEAD OF THE EXISTING HEALTH CARE FINANCING SYSTEM

2021 ◽  
Vol 1 (2) ◽  
pp. 16-26
Author(s):  
E. V. SOKOLOV ◽  
◽  
E. V. KOSTYRIN ◽  
Keyword(s):  
Health Care ◽  
Russian Federation ◽  
Economic Effect ◽  
Health Care Financing ◽  
Medical Insurance ◽  
Financial Resources ◽  
Financing System ◽  
Savings Accounts ◽  
Medical Savings Accounts ◽  
The Russian Federation

The article simulates the accumulation of financial resources on medical savings accounts (MSA) of working and non-working citizens of the Russian Federation for the period from 1994 to 2020 in the case of using in practice the system of compulsory medical insurance of citizens based on MSA instead of the existing system of financing domestic health care. Described and illustrated by calculations of all the elements of economic effect from the use of MSA.

Financing Health Care for Persons with HIV Infection: Guidelines for State Action

1990 ◽  
Vol 16 (1-2) ◽  
pp. 223-247
Author(s):  
Daniel M. Fox
Keyword(s):  
Health Care ◽  
Hiv Infection ◽  
Social Services ◽  
State Government ◽  
Prescription Drugs ◽  
Full Range ◽  
State Action ◽  
History Of ◽  
Financing Health Care ◽  
State Financing

Financing health care for perons with HIV infection is an increasing burden on states and their taxpayers. The major problems of state policy in the 1990s are how to organize and finance both early detection of infection and preventive drug treatment for persons without symptoms and how to provide a full range of health and social services for infected persons whose life expectancy is unknown. This article first describes the shift in the perceptions of HIV infection from a plague to a chronic disease and the implications of this shift for state government. Then it places the history of financing for health care in the context of general health care financing policy during the past decade. Next it describes the history of state action to finance care for HIV infection, especially the use of of Medicaid Waivers, problems of state financing for expensive prescription drugs, and state initiatives, especially in California, Michigan, New Jersey and New York. Finally, the article presents seven policy questions that states should consider in deciding what, if any, legislation or regulations to enact in order to organize treatment and pay some or all of the costs of care for persons with HIV infection.

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