Health Financing Reform in Ukraine

Purchasing the Program of Medical Guarantees

Ukraine. The NHSU is responsible for fine-tuning and developing the UDRG grouping algorithm. Each clinical group / UDRG is assigned a payment rate and cost-weight. 31. The resolution was issued by the Cabinet of Ministers through Resolution #610 of 19.06.2020. Full text is available at https://zakon.rada.gov.ua/ laws/s how /610-2020-%D0%BF#Text.

REFERENCES Ministry of Health of Ukraine. 2019. Як застосовувати телемедицину лікарям первинної ланки: методичні рекомендації [How primary care physicians should apply telemedicine: guidelines]. August 22. https://moz.gov.ua/article/for-medical-staff/jak-zastosovuvati-telemedicinu -likarjam-pervinnoi-lanki-metodichni-rekomendacii. Ministry of Health of Ukraine. n.d. “Concept of Primary Health Care Development in Ukraine to 2031.” Unpublished manuscript. NHSU (National Health Service of Ukraine). 2020. NHSU Guidebook: PMG Packages—Approach to Contracting Medical Facilities. February 7. https://nszu.gov.ua/storage/editor/files /paketi-medichnikh-poslug-07022020_1581100466.pdf. WHO (World Health Organization) and Ministry of Health of Ukraine. 2020. “White Paper on Health Service Delivery in Ukraine.” Unpublished manuscript.

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Health Financing Reform in Ukraine

Published on Jun 22, 2022Medicine

World Bank Publications

"In 2015, the government of Ukraine initiated transformative reforms of its health system with the goals of improving the health outcomes of the population and providing financial protection from excessive out-of-pocket health care payments. This was to be implemented through modernizing and integrating the service delivery system, introducing changes to provider payment arrangements that incentivize efficiency, and improving the quality of care. It culminated in the passage of a new health financing law--the Law on Financial Guarantees for Health Care Services 2017--which established a health benefit package called the Program of Medical Guarantees (PMG), and also created the National Health Services of Ukraine (NHSU) to serve as strategic purchaser for this program. A joint World Health Organization--World Bank review of the early reforms was published in 2019 that took stock of reform progress since 2017. Two years later, implementation of the health financing reforms has progressed substantially, and it

Health Financing Reform in Ukraine

Articles inside

Recommendations

technology

Well-coordinated and constructive interagency relationships NHSU capacity: Structure, human resources, information

constraint

for decision-making

External accountability and oversight of the NHSU Effective systems of internal control within a firm and credible budget

The autonomy of the NHSU Clear and transparent roles, methodologies, and processes

References

Notes

3.8 Payment mix for PMG services in Q2–Q3 of 2020

3.2 Contracting requirements for the service packages under the NHSU

3.7 Packages of specialized care in the PMG, 2020

3.3 E-Health development timeline

3.1 Graphic presentation of the PMG components—PMG service packages

Specialized care: Inpatient, outpatient, emergency, and hospital care

The AMP for outpatient care

What is covered by the Program of Medical Guarantees, and how is it purchased?

projections to 2025

References

2.13 Largest functions as a percentage of consolidated expenditures, 2007–20

Notes

2.1 Central government spending, including transfers

Recommendations

2.3 Intergovernmental financing of health care, 2015–20

Constraints and opportunities beyond 2021

Notes

oblast, 2019 and 2021

1.4 Service packages purchased under the PMG

What is the Program of Medical Guarantees?

and selected country groups, 2000–18

1.3 Health spending as a share of total spending and GDP, 2007–20

Governance arrangements for the PMG

of 2020