The Ministry of Healthcare has proposed to postpone the launch of the provision of medical assistance to participants in compulsory social medical insurance.

“This proposal is submitted for your consideration: in particular, it is proposed to establish the date for the beginning of the provision of medical assistance to participants in compulsory medical insurance as January 1, 2020, to begin contribution payments by individuals, employees, self-employed persons, including individual entrepreneurs and persons on civil law contracts, as well as state contributions for preferential categories of citizens, from January 1, 2020,” – Deputy Minister of Healthcare Lyazzat Aktayeva said at the meeting of the Majilis Committee on socio-cultural development.

According to her, “the amount of contributions of individuals receiving income under civil law contracts should be reduced from 5% to 1% of the average monthly salary. Employer contributions in 2018-2019 should continue at a rate of 1.5%”. “At the same time, we need to continue the provision to the uninsured population of an optimized package of guaranteed free medical assistance from 2020 to 2022. And with that, eliminate the minimum threshold of 1 minimum wage for the calculation of deductibles and contributions,” – she said.

It is proposed to designate the activities of the state corporation "Government for Citizens" in the CSMI system as state monopoly.

"At the same time, continue working on the identification and digitization of all categories of citizens in a single database, work out measures for further formalization and involvement of the unproductive self-employed population in the economy of the country and, accordingly, in compulsory social medical insurance," – she noted.

Aktayeva noted that starting from January 1, 2018, the Social Medical Insurance Fund will become the operator of the guaranteed volume of free medical care and a single payer for medical services.

“This will allow us to work out mechanisms for planning, procurement, quality control and payment for medical services, as well as to polish the work of payment information systems and the introduction of further tariff policy improvement," – she concluded.


Published: 27 October 2017



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