Changes in the directions and limits of the use of compulsory medical insurance funds from 2024.

Abstract

The economic independence of medical organizations as legal entities presupposes their right to determine the direction of their expenses. However, the targeted nature of compulsory health insurance funds imposes restrictions on the freedom to use the income received from the provision of medical care in the compulsory health insurance system. And although the legislation defines the structure of expenses (tariffs), limiting them to the framework of compulsory health insurance programs, in practice, attributing expenses to certain groups often presents great difficulties, accompanied by sanctions and lawsuits. In this regard, recent changes in the legislation on compulsory health insurance, which expand the possibilities of using funds, seem to be very significant. This is also facilitated by an increase in the marginal cost of purchased equipment from 100 to 400 thousand rubles. However, such opportunities are due to a large number of restrictions and reservations, which requires a more detailed analysis of new legislative norms and an assessment of their impact on the conditions of medical organizations, which determined the relevance of this publication.