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During quarantine, medical institutions are paid one twelfth of the contractual amount with funds from territorial health insurance, i. and. The institutions kept their previous funds received during the month, although they provided fewer services than before the quarantine.
Following the entry into force of the amendments, institutions that have renewed their scheduled services before June 8 will continue to receive payment in accordance with rule 1/12, even if they provide less than provided in the contract with the sickness fund. . Exceeding the planned amount of services will be paid additional.
Meanwhile, institutions that will not start providing services before June 8 will receive payment of the same amount that services will actually be provided, the ministry said. For example, if the institution resumes operations later, that is, and. after June 8, and will provide services to 10 patients, and will pay only for these services provided, without applying rule 1/12.
Under the new regime, the agreement will take place in June, that is. services provided to patients from June 1 to 30, reported the Ministry of Health.
According to Health Minister Aurelijus Veryga, the changes should encourage medical institutions to resume service delivery to patients faster, as their income will depend on it.
“We hope that institutions are interested in opening the door to patients as soon as possible and providing them with the services they need, something people are looking forward to because they have been postponed due to the quarantine in the country,” Veryga said in a statement.
“It is unfortunate, but I have to admit that the temporary funding model used so far, where the institutions, even without accepting patients, received full payment, was convenient for the institutions and did not encourage them to resume services.” That is why the procedure had to be changed in such a way that it motivated institutions to provide services to patients again, “says the Minister.
About 53 percent of scheduled services were updated last week, according to the data. outpatient clinics and about 56 percent. hospitals
The most active were Šiauliai, Telšiai, Panevėžys and Tauragė counties, which renewed half and more of all outpatient, inpatient and dental services.
Earlier on Wednesday, commenting on the situation in an interview with Lithuanian radio, A. Veryga said that medical institutions were given “reasonable time” to resume normal activities.
“A twelfth was a very important measure, knowing that the institutions were not to blame for having to restrict the provision of services, on the contrary, they had a great challenge to adapt to a coronavirus infection. But time does not stand still, the Infection is more or less controlled, patients not only suffer from COVID-19, they have many other diseases, and they have been given reasonable time to prepare and adapt, “Veryga said.
According to the minister, there are cases when medical institutions do not even present plans on how to prepare for the renewal of planned services, and “this is a completely intolerable situation.”
“We do not require 100% renewal of all services, it is not realistic, but we must start providing them.” Finance was generally the mechanism that worked best, and we are ready to adapt it, “said the prime minister.
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