Contracts with healthcare institutions from the Health Network, whose founder is the state, will be concluded for five years, and with other providers of healthcare services for two years, provided for by amendments to the Law on Health Insurance.
Contracts will be adjusted for each year, according to the planned funds in the Fund's budget, as a rule, by March 31 of the current year.
The current law stipulates that contracts for the provision of health services outside the Health Network are concluded for one year.
"The stated deadline is not optimal, bearing in mind, first of all, dental health services at the primary level that have been moved from the public health system and are provided exclusively by concluding contracts with private dental clinics, of which there are more than 170 in Montenegro," the explanation says. .
Making public invitations and signing contracts every year is unjustified, both from the point of view of the Health Insurance Fund and the dental health institutions, which, as stated, expressed justified dissatisfaction.
"By extending the validity of the contract for two years, the Fund is not put in a disadvantageous position as a service contractor, given that the contract can include a provision that the Fund reserves the right to cancel the contract due to the cessation of the need to provide health services to insured persons," the explanation of the law says.
The deadline prescribed by the Law on Health Insurance for the introduction and realization of supplementary health insurance must be extended because the technical requirements for its implementation have not yet been created.
As stated, an integral health information system in which all health institutions should be networked has not been established.
"The postponement of the implementation and realization of the rights from the supplementary health insurance should also be carried out due to the lack of technical assumptions in terms of providing cash registers for the collection of an additional payment of 20 percent of the price of the health service and the obligation to issue fiscal invoices," the explanation says.
As stated, maintaining the current norms in relation to supplementary health insurance would entail paying a monthly premium for supplementary health insurance for services that cannot be provided since the technical prerequisites for the introduction of this type of insurance have not been provided.
"The introduction of supplementary health insurance would entail the provision of new personnel and technical assumptions in the Health Insurance Fund and in all its regional units and health institutions, for which appropriate assumptions have not yet been created," the legal amendments state.
It was announced that the Ministry of Health will initiate the preparation of a detailed analysis of the justification for the introduction of supplementary insurance in terms of identifying the costs and benefits of this type of insurance primarily for citizens, that is, insured persons of Cme Gora.
"A significant number of countries in the region that have introduced this type of insurance are increasingly conducting the same analyzes and initiating the abolition of supplementary insurance, bearing in mind the costs incurred by the insured," the proposed amendments to the Health Insurance Act state.
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