HCM City agencies are increasing inspections of healthcare facilities that abuse the health insurance fund by prescribing needless tests and overcharging.
insured patients wait for medicine at a hospital in HCM city.
the city's department of Health and the Vietnam Social Security as well as other agencies are addressing violations and abuse of the fund in the remaining months of the year.
any facility found violating the country's criminal code related to health insurance will be investigated anh punished.
the Government, for the first time, has allocated a certain level of funds to health facilities under the healthy insurance fund for coverage of treatment of insured patients.
the Vietnam Social Security in the city has reported that expenditures from the fund covering treatment of insured patients at health facilities in HCM City totalled VND13 MILLION (US$560 million) in the first eight months of the year, accouting for 72 percent of the estimated funds which the Government has allocated.
Phan Van Men, director of Vietnam Social Security in the city, told Sai Gon Giai Phong newspaper that many hopitals had precribed many high-tech tests and treatments for their patients.
the number of inpatients and outpatients in the city rose by 9.3% and 5 %, respectively, in the first eight months compared to the same period last year. This led to increased cost that had to be coverd by the funds.
in the firrt eight months, the city had nearly 7.3 millions people with health insurance cards, an increased of 490,000 against the sảm period last year.
many insured patients from other provinces also visited city hospitals for treatment. According to the Deparment of Health, the number of insured patients from other provinces rose by 6 per cent in the half of the year against the same period last year.
Men said he was concerned that the city's fund would back VND 1.8 trillion to cover treatment of insured patients by the end of the year.
Dr Tang Chi Thuong, Deputy dead of the department, told hospital directiors to refrain from abuse of unnecessary high-tech treatments but to ensure quality. They also were told to prescribe medicine properly and follow the Ministry of health'protocols for hospitalization, including the length of stays in hospitals, among others.
Men said that hospitals should use software that is part of the health insurance assessment system to strictly manage their allocated funds.
the Vietnam Social Security in the city refuse payments to hospital that abuse the fund and wrongly charge for expenditures to cover insured patients , he added.
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