Health facilities will receive more money for services rendered and doctors will receive higher remuneration

In order to enable health facilities to increase doctors’ remuneration by at least 10% from 1 January 2024, the Minister of Health has ordered an increase in the reference prices for personal health care services. This will allow medical institutions to receive additional funds from the Compulsory Health Insurance Fund (CHIF) to be used to increase employees’ remuneration. The increased rates would be used to pay for personal healthcare services provided from 1 November this year.  

“We are committed to regular increases in remuneration for medical personnel, through a review of service fees. The other good news is that this is being done from 1 November, enabling medical institutions to pay their employees higher remuneration from January. Nurses are also receiving special attention, with a call on health facility managers to review and increase their remuneration more quickly. I hope this will contribute to better motivating, attracting and retaining doctors in public healthcare institutions”, – says Minister for Health Arūnas Dulkys. 

The draft budget of the CHIF for 2024 provides for an additional planned increase of EUR 178 million. Around EUR 28 million extra is foreseen for the reimbursement of personal healthcare services provided in November and December this year. This will allow medical institutions to receive more money for services already in January 2024 and to increase remuneration of employees. 

The reference prices for different groups of healthcare services have been increased by different percentages, depending on the share of wage costs in the total costs of the institutions providing the services. For some services, the reference prices have already been increased before and have not been increased at this stage. Similarly, there has been no change in the prices of services that do not include wages (i.e. supplements paid for medical devices, medicines, procedures and blood components, which affect the actual cost of an active treatment case).

In addition, it is planned to reimburse health facilities for all outpatient, day, preventive, nursing and other services provided in the second half of this year, as well as for up to 30% of the outpatient inpatient services provided in 2023, thus fully offsetting the facilities' variable costs related to the increased inpatient patient flows. For this purpose, an additional allocation of around EUR 37 million is foreseen this month in the CHIF budget reserve. It should be noted that up to EUR 60 million is also planned to be allocated this month to reimburse in-patient active treatment facilities for emergency services provided this year.   

The MOH would like to remind that on 16 October this year, the Ministry of Health and nine trade union associations representing medical professionals signed an agreement on the renewal of the collective agreement of the Lithuanian National Health System (LNSS) branch, which was concluded last year. According to the renewed agreement, in 2024, the reference amount for calculating the remuneration of medical personnel in public health care institutions will be increased to the minimum monthly salary set by the Government for the previous year (2023).

Implementing the provisions of the renewed agreement, the Minister of Health approved a recommendation to health care institutions to use the additional funds from the increased fees to increase remuneration of employees as of 1 January 2024, with the aim of increasing the average salary in the institution by at least 10% on average.

The average remuneration for a doctor working in a public health institution is estimated to reach EUR 4,411 before tax in 2024, equivalent to 2.1 times the national average remuneration. This is an increase of EUR 401 compared to the first half of 2023. For nurses, the average salary in 2024 is expected to be EUR 2 261 before tax, equivalent to 1.1 times the national average remuneration. This is EUR 206 more than in the first half of 2023.  

Ministry of Health Communications Division 

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