On February 8, Dr. Chonnan Srikaew, Minister of Public Health Give an interview about the case Hospitals of the Medical Institutes of Thailand Group (UHosNet) and the Warm Community Clinic Network Came out to claim the problem of lack of liquidity From the problem of disbursement of medical expenses from the National Health Security Office (NHSO), which will be coming to submit a letter on February 14 that they must ask to see the proposal from UHosNet and the clinic network. Warm community first This matter he had also encountered. To listen to problems regarding service provision and costs There were many presentations. So he said that he would like to present it in writing. So that he, as the chairman of the National Health Security Board (NHSO board), will be taken into consideration in the form of a committee member. Either a subcommittee or a large board I know that the application will be filed on February 14th and I will know the details.
When asked if there were any stuck issues in the discussion, Dr. Chonnan said it was divided into two parts: 1. UHosNet Group provides high-quality services, an Excellence Center, for specific diseases. The proposed cost is lower than the cost of providing services. Compared to the cost per unit that the NHSO charges, we would like to consider this matter because the NHSO gives the cost per 1 service unit (AdjRW) at 8,350 baht, which is a cost of more than 13,000 baht. baht or more The cost is therefore very low. make him bear the burden and determining payment methods It is closed-ended. It’s all gone. It’s all gone. The way of thinking has a reverse effect, such as giving 1 unit. When the money is gone, there is 0.7 units left, etc. 2. Warm community clinics that use the Model 5 payment format or pay according to the actual payment list (Free Schedule) also demand it. that it should go back to using the Model 2 payment method as before, which is a lump sum payment according to the number of service users in the responsible area That makes the community clinic warm and caring for promotion, prevention, medical treatment, and rehabilitation.
I further asked if the Warm Community Clinic Association had made a demand by putting up a sign. Will it have an effect on the people receiving the service or not? Dr. Chonnan said that if he refuses to take care of the service recipient, it will be considered an effect. But it is more likely to be a symbolic expression of those involved with the administrative system.
Ask if you need to talk or not. Because it may affect the policy of 30 baht treatment everywhere with one ID card This makes people not confident in receiving services. because it is said as if NHSO has no money to pay. Dr. Chonnan said that we definitely need to discuss it. But we must accept the method of calculating the amount of money per capita of eligible citizens. that there is such a way of thinking Under the assumption Facts about health costs that are thought of that way and the nature of the money is in the form of a lump sum The time is spread out according to the pay items. In terms of the UC budget, the lump sum payment is paid per head. and not UC There will be a picture of the distribution of money. Of course, in the insurance system, everyone must participate in averaging suffering and happiness. People who are not sick help sick people. How to think of an insurance system must be thought accordingly. There is absolutely no profit. But how to survive without loss?
“When will the clearing be completed? I cannot answer. But it is an issue that needs to be discussed. Because we will enter the system with a single ID card, providing treatment everywhere. The matter of paying for medical care has a great impact on participation in private sector projects. If it’s reasonable, join the project. We can open channels for people to conveniently access services. Reduce congestion further,” said Dr. Chonnan.
Asked whether NHSO must complete the clearance before moving forward with Phase 2 of a single ID card or not, Dr. Chonnan said that it would have to be done in parallel. Phase two, we will not stop because of this. Because phase one that was made did not take this matter into consideration. But take into account that there will be an opportunity for the people to be ready. How ready is the system? Prevent complications Security system is the main
Asked whether previously hospitals under the Ministry of Public Health had financial problems. Has the financial status been checked during this period as well? Dr. Chonnan said that there is no difference because the method of calculating the service fees is similar. which is paid according to the nature of work, unit weight There are similar pictures. But ours is internal. Split the money into two parts. Management of The Ministry of Public Health is one piece. and per capita lump sum funds for the service sector As for the status of maintenance money Hospitals at crisis level 6-7 have not seen any reports. Most are at level 3, small hospitals. We have a solution for 1 province, 1 hospital. Wherever there is a problem, we should help spread it out. This does not mean that the maintenance money This hospital must belong to This hospital alone If another place is in trouble, they can average it out.
Asked how UHosNet will solve this problem because there is no format like the Ministry of Public Health, Dr. Chonnan said that UHosNet hospitals are referrals. Didn’t take care of it from the point of view of promotion and prevention. Take care of only two dimensions: treatment and rehabilitation. When paying expenses, you have to look there to see if they are reasonable or not.
2024-02-08 10:15:00
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