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25.04.2012

By 2015, high-tech medical care will be available under compulsory health insurance policies

Russian Ministry of Health and Social Development is going to include the provision of high-tech medical care in the list of services covered by compulsory health insurance (CHI) policies, the Medical Information Agency reports. By 2015, the Russian health care system will have to completely switch to single-channel funding from the CHI funds. This rule is provided in the new law on compulsory health insurance, which entered into force on January 1, 2011.

According to the Law, hospitals that specialize in high-tech care receive full payment for their services; however rates should not include the costs of purchasing expensive equipment. The expensive equipment is any equipment that costs more than 100,000 rubles.

Most often, the latest technologies are used in cardiovascular surgery, traumatology and oncology. And it is cancer patients, experts say, who can be deprived of access to high tech medical care. According to information of Society for assistance to patients with hematologic malignancies, because of underfunding of cancer care only one patient of 10-20 of those who need adequate medical care, the one that can offer survival rates of about 10 years, really receives it. In most cases, obsolete methods of chemotherapy are used; the system of quotas for the provision of high-tech care does not cover all cancer patients. The defenders of patients’ rights are confident that CHI rates will not be able to cover the costs of providing necessary high-tech care.

Oncologists see one indisputable benefit in this innovation. Now a patient can start treatment without waiting for a quota provided, of course, that the CHI Fund can cover costs for high-tech care for all cancer patients.