To better serve the social welfare needs, on October 19, 2023, the Government issued Decree 75/2023/ND-CP amending and supplementing Decree 146/2018/ND-CP guiding the Law on Health Insurance. This decree notably emphasizes the Government’s additional allocation of rights and responsibilities to medical examination and treatment facilities in the implementation of health insurance contracts (‘Decree 75‘).

Here, let’s delve into the details together!

In Section 8, Clause 1 of Decree 75/2023/ND-CP, the Government amended and supplemented the rights and responsibilities of medical examination and treatment facilities as follows:

Firstly, Decree 75 has added the right: ‘To provide timely information when the health insurance assessment information system detects an increase in health insurance examination and treatment costs higher than the average costs of the same-level, same-category, and same-specialty facilities, in order to timely review, inspect, verify, and implement appropriate adjustments.’

Secondly, the new decree has enhanced the responsibility of medical facilities in adhering to regulations regarding procurement, bidding, to ensure the supply of medicines, chemicals, medical supplies, and technical healthcare services with quality, efficiency, and cost-effectiveness.

Additionally, the decree stipulates that medical facilities must promptly review and issue procedures, professional guidelines, measures to prevent abuse, exploitation of health insurance funds within their authority; regularly conduct checks, reviews, verify health insurance examination and treatment costs that surge at the facility based on recommendations, warnings from the Social Insurance Agency, and make appropriate adjustments.

The above encompasses the entire content of the newsletter: Increasing Rights and Responsibilities for Healthcare Facilities.

Decree 75 takes effect from December 3, 2023.

This newsletter is solely intended to inform about newly enacted legal regulations and should not be used for advice or applied to specific cases.

Hope this information proves helpful to our esteemed readers.