Lack of medicine for patients with health insurance coverage, what does the insurance agency say?

On June 14, Vietnam Social Insurance issued Official Letter No. 1576/BHXH-CSYT to social insurance of provinces and centrally run cities, social insurance of the Ministry of National Defense, social insurance of the People’s Public Security (collectively referred to as social insurance of province) on insurance Ensure the supply of drugs and medical supplies for medical examination and treatment Health insurance.

The official dispatch stated that, through the monitoring work of the Vietnam Social Insurance and the feedback of the patients, in some medical examination and treatment facilities, there was a situation of not providing timely and adequate drugs and supplies. health services (VTYT) to serve patients, especially essential drugs on the list of drugs within the scope of beneficiaries of health insurance.

Medical examination and treatment with health insurance card at Bach Mai Hospital

Regarding the procurement and supply of medicines for health insurance, the Vietnam Social Insurance Agency proposes to monitor the drug bidding progress of each concentrated bidding package, additional bidding at the Department of Health and medical facilities to promptly give opinions. avoid delay in bidding, leading to shortage of drugs for treatment and arising the purchase of drugs in contravention of the law.

In addition, effectively participate in the process of selecting drug supply contractors at the Bidding Councils in order to select contractors capable of providing quality, economical and effective drugs, meeting the requirements of the Government. require treatment according to the guidelines of the Vietnam Social Insurance.

It is required to coordinate with the Department of Health in directing and instructing medical facilities in the area to immediately have solutions to promptly and adequately supply drugs and medical equipment to treat patients with health insurance, ensuring proper implementation of their responsibilities. of medical facilities prescribed at Point b, Clause 2, Article 21 of Decree No. 146/2018/ND-CP dated October 17, 2018 of the Government detailing and guiding a number of articles of the Law on Health Insurance: “Ensure the supply of supply drugs, chemicals, medical supplies and technical services in accordance with professional and technical lines as prescribed by the Minister of Health.

It is necessary to proactively request the Department of Health and hospitals affiliated to the Ministry of Health to organize procurement according to the guidance of the Ministry of Health for drugs on the list of national-level centralized bidding, drugs subject to the form of drug procurement. price negotiation method when there are no bidding results; Timely bidding and procurement to meet treatment requirements for drugs of groups 3, 4, and 5 of drugs on the list of national-level centralized drug bidding according to the decentralization of the Ministry of Health.

Monitor and urge the procurement of drugs to ensure that establishments perform at least 80% of the value of each part of the signed contract for drugs with concentrated bidding as prescribed in Clause 3, Article 37 of Circular No. 15. /2019/TT-BYT dated July 11, 2019 of the Ministry of Health stipulating the bidding for drugs at public health facilities.

Regarding bidding for procurement and supply of medical equipment, the provincial social insurance agency is required to coordinate with the Department of Health in requesting medical facilities in the area to review the bidding results, the number of medical equipment in stock and the estimated time of use up. At the medical facility, the estimated time to complete the bidding process to plan and execute the procurement, to ensure adequate and timely supply of medical equipment for medical treatment.

Social insurance agencies of provinces proactively provide information on the results of bidding for medical equipment in localities and units (posted by Vietnam Social Security on the website) for the local medical equipment procurement councils for reference and selection. select types of medical equipment and develop appropriate plan prices in accordance with the provisions of the law on bidding.

Vietnam Social Security requires social insurance of provinces to urgently organize the implementation of the above mentioned contents; promptly monitor and report to the Vietnam Social Security and the Provincial People’s Committee on difficulties, problems, inadequacies and suggestions and recommendations in the supply of drugs and medical equipment for patients with insurance coverage for guidance, guidance and direction.

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