The Fund sent to finance medical care over 156.7 billion tenge in the package of compulsory health insurance
According to the results of the half-year, the Social Health Insurance Fund allocated over 156.7 billion tenge to pay for medical care in the compulsory health insurance package, the press service of the SHIF reported.
So, for 6 months, contributions and deductions for compulsory health insurance were received in the amount of more than 260 billion tenge. At the same time, most of them – 146.6 billion tenge – is the payment of contributions by the state for almost 11 million citizens, representing 15 privileged categories of the population.
“According to the results of 6 months of 2020, more than 156.7 billion tenge was paid for medical services provided within the framework of the compulsory health insurance package. Note that payment is made only after monitoring the quality and volume of medical services provided to the population. The services are paid for, which were rendered in fact and are documented, in compliance with clinical protocols and the necessary requirements for treatment, ”said in the Fund.
As the press service of the Fund recalled, contributions and deductions for compulsory health insurance are transferred to a special account at the National Bank, then the funds are sent to pay for medical services provided under the compulsory health insurance package to medical organizations – suppliers of the Fund.
At the same time, the Fund clarified that most of the expenses for the six months were payments for inpatient medical care – over 50 billion tenge. For 6 months, more than 630 thousand people have been treated in the country’s hospitals as planned.
About 42 billion tenge was paid for the consultative and diagnostic assistance provided. In particular, among the diagnostic services, CT and MRI services are especially relevant for citizens. For six months, patients received more than 96 thousand CT services worth over 1.1 billion tenge and more than 101 thousand MRI services worth over 1.6 billion tenge.
In addition, over the period from January to June, more than 3 million dental services, almost 2 million X-ray services, and more than 1.6 million ultrasound diagnostics services were provided, with a total value of over 15 billion tenge. All of them were provided in the package of compulsory health insurance at the expense of medical insurance funds, the Fund paid for medical care to patients.
It should be noted that in the first half of the year, all Kazakhstanis were conditionally insured in the compulsory health insurance system and could use medical services within the framework of guaranteed assistance and within the framework of compulsory health insurance.
Along with that, more than 50 thousand Kazakhstanis underwent medical rehabilitation worth more than 11 billion tenge. More than 3.8 thousand citizens received high-tech medical services for more than 11 billion tenge in six months.
And in the second quarter, within the framework of quarantine, there was a restriction on the provision of medical care in a planned manner. Since August 1, planned medical care in the country’s clinics has been resumed, so in the second half of the year, an increase in the consumption of medical services by the population in the compulsory health insurance package is expected.