Government assigns cost estimate for health insurance coverage in 2022
Total cost of medical examination and treatment covered by health insurance is 109,601,528 billion VND
Accordingly, the total cost of medical examination and treatment covered by health insurance in 2022 for social insurance agencies of provinces and centrally-run cities, social insurance of the Ministry of Defense, and social insurance of the People’s Public Security is VND 109,601,528 billion; in which, Ho Chi Minh City and Hanoi are the two localities with the largest expenditure estimates, respectively 20,125,884 billion VND and 18,912,579 billion VND; followed by Thanh Hoa, Nghe An and Dong Nai provinces…
The decision also clarifies that the Management Council of Vietnam Social Insurance is responsible for directing and supervising the implementation of the assigned cost estimate for medical care and health insurance in 2022, ensuring the correct implementation of regulations.
With regard to medical and health insurance spending in 2022 and previous years exceeding the annual estimate assigned by the Prime Minister and has been appraised and summed up by the Vietnam Social Insurance to ensure objective reasons, the Management Board of Vietnam Social Insurance proactively decides the temporary settlement. provide funding for medical care and treatment with health insurance from the health insurance fund to localities to ensure timely funding for medical facilities on the basis of the proposal of the Vietnam Social Security.
Social insurance officials mobilize people to participate in social insurance and health insurance in Khanh Hoa. Photo of Khanh Hoa Social Security
The maximum amount of temporary funding is equal to 80% of the funding that has been appraised and synthesized by the Vietnam Social Security Administration due to objective reasons and approved by the Management Council of the Vietnam Social Insurance.
Chairmen of People’s Committees of provinces and centrally run cities are responsible for directing the provincial social insurance agency to assume the prime responsibility for, and coordinate with the Department of Health, the Department of Finance and relevant agencies in, effectively managing and using the fund. Health insurance and health insurance cost estimates are assigned, but estimates of health care costs are not assigned to health care facilities covered by health insurance; strictly implement regulations on advance, payment and settlement of medical and medical expenses covered by health insurance according to the provisions of the Law on Health Insurance, Decree No. 146/2018/ND-CP dated October 17, 2018 of the Government detailing and guiding measures to implement a number of articles of the Law on Health Insurance and its guiding documents.
Directing the Department of Health to assume the prime responsibility for, and coordinate with the provincial social insurance agency and relevant agencies in, strengthening the advisory work to assist the People’s Committee at all levels in performing the state management of health insurance through inspection, examination and handling of violations. ; have solutions to prevent abuse and profiteering of health insurance funds; direct the Department of Finance to fully and promptly transfer funds from the state budget, support to pay health insurance premiums for those covered by the state budget; participate in the management of the health insurance fund according to regulations; direct health care facilities to fully and promptly update information about health care insurance covered by health insurance and transfer data to the social insurance agency according to regulations so that the assessment and payment are accurate and timely.
Strengthen communication on health insurance, have solutions to mobilize people to participate in health insurance suitable for each target group in order to achieve the goal of developing health insurance according to Resolution No. 20-NQ/TW dated October 2, 2017 of the Association. The 6th meeting of the 12th Central Committee of the Communist Party of Vietnam on strengthening the protection, care and improvement of people’s health in the new situation.
The General Director of Vietnam Social Insurance is responsible for guiding the dossiers, procedures, and organizing the implementation of the health insurance regime to ensure fast, simple and convenient for the participants of health insurance. Directing and guiding the social insurance agencies of the provinces and centrally-run cities to finalize the cost of medical treatment and treatment with health insurance in accordance with the provisions of the Law on Health Insurance and Decree No. 146/2018/ND-CP dated October 17, 2018 of the Government.
Benefits of students when participating in health insurance. Source of Social Insurance Magazine
In case a province or centrally run city has a medical care expenditure amount larger or smaller than the estimate for medical treatment and health insurance premium assigned in this Decision, the social insurance agency of the province or city shall specifically explain the data and the reason and send it to the Vietnam Social Security. Nam summarizes and reports to the Management Board of Vietnam Social Insurance for consideration and submission to the Prime Minister for decision according to its competence.
In order to ensure timely payment to medical facilities, while submitting to the Prime Minister for consideration and approval of payment for medical treatment expenses in excess of the assigned estimate, Vietnam Social Security shall summarize and report to the Management Board of Vietnam Social Insurance for review. consider and decide to temporarily grant a maximum of 80% of the funds eligible for payment, which have been assessed and summarized by the Vietnam Social Security.
The Minister of Health is responsible for, promulgating guidance on payment of medical expenses associated with the quality of medical services and sanctions for handling cases of unsatisfactory service quality; direct health care facilities to fully supply drugs, chemicals, medical supplies and technical services within the scope of benefits of health insurance participants, raise the spirit of thrift practice, and combat waste in appointment. testing, inpatient treatment and use of services, especially technical services and expensive medicines…
The Government assigns estimates of revenues and expenditures of social insurance, health insurance and unemployment insurance in 2022
At the same time, Deputy Prime Minister Le Minh Khai has just signed Decision No. 583/QD-TTg dated May 13, 2022 assigning estimates of revenues and expenditures of social insurance, health insurance, unemployment insurance and management costs of social insurance, health insurance and unemployment insurance. year 2022.
According to the Decision, the total revenue of social insurance, health insurance and unemployment insurance in 2022 is 464,658,755 million VND; total expenditure is 376,976,636 million VND. The cost of social insurance management in 2022 is equal to 1.57% of the estimate of social insurance revenues and expenditures (except for the expenditures on payment of health insurance premiums for the beneficiaries of social insurance) which is deducted from the profit of investment activities from the social insurance fund.
The unemployment insurance management expense in 2022 is equal to 1.57% of the estimate of unemployment insurance revenue and expenditure (except for the expenditure for paying health insurance premiums for unemployment insurance beneficiaries) deducted from the unemployment insurance fund. The cost of health insurance management in 2022 is equal to 3.5% of the health insurance premium, which is deducted from the health insurance fund.
The Prime Minister requested the Vietnam Social Security, the Ministry of National Defense, the People’s Public Security Administration, the Ministry of Labor, War Invalids and Social Affairs to proactively review, save, and cut down on unnecessary expenditures within the scope of the policies. content management costs are assigned to ensure the performance of the task.
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