In November, President Sadyr Japarov signed a decree allowing certain state medical institutions to gain financial autonomy. Health Minister Kanbek Dosmambetov reported that the pilot project will cover 20 medical institutions.
According to the project, medical institutions will be able to pool their financial resources, redistribute them to key areas, independently determine their organizational structure and the number of employees based on actual performance indicators and patient numbers. Financial autonomy, as well as the ability to retain unspent funds at the end of the year, will allow for the formation of a reserve fund for modernization and the acquisition of high-tech equipment.
The Ministry of Health assures that the new methodology for tariff calculation will not lead to excessive increases in the prices of medical services. It will ensure fair pricing that takes into account profitability, inflation, and rising utility costs, among other factors. Currently, the cost of services in state institutions is 2-3 times lower than in private medical centers.
Preliminary estimates suggest that prices for paid services may rise by 35-50%, but will remain approximately half of those in private clinics.
The methodology developed by the Ministry of Health in collaboration with the Ministry of Economy will serve as the legal basis for the independent establishment and approval of prices in state medical institutions, taking into account differentiated costs and established norms.
Additionally, the project includes a new approach to employee remuneration and motivation, which will be based on work performance, while guaranteeing a base salary. Heads of institutions will be able to set salary levels based on employee performance, which should help enhance motivation and professional growth among medical staff.
To attract additional resources, institutions will be able to use donor and sponsorship funds by opening accounts at "Eldik Bank." They will also gain the right to establish tariffs for paid services, considering mandatory benefits for socially vulnerable groups.
Main provisions of the project:
Structure and staffing: institutions will form their organizational structure and determine the number of staff based on real needs, service volume, and patient numbers.
Financial autonomy: organizations will manage revenues and freed resources, including funds from paid services, grants, and sponsorship assistance. Opening accounts at "Eldik Bank" is permitted for transactions. Unspent funds will carry over to the next financial year.
Paid services: institutions may expand the paid services offered, create separate divisions for their provision, and set tariffs according to the approved methodology. These tariffs must be transparent, published for patients, and include benefits for socially vulnerable categories.
Remuneration and motivation: a transparent system will be implemented with guaranteed and incentive components, focused on work results. Managers will be responsible for the accuracy of calculations and the timeliness of payments.
Budget and reporting: institutions will form a consolidated budget, independently determine spending priorities, maintain accounting records, and provide reports to the Ministry of Health and the Mandatory Health Insurance Fund.
Monitoring and evaluation: the Ministry of Health will evaluate the results of the pilot project quarterly, analyzing the quality, accessibility, and efficiency of resource use.
Temporary procedure for regulating the activities of state healthcare organizations in a pilot mode
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Regulations on remuneration and financial incentives for healthcare organization employees in a pilot mode
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