Health insurance funds sign contracts with treatment institutions: additional funds allocated

This year, 812 treatment institutions will provide Lithuanian residents with healthcare services paid for by the Compulsory Health Insurance Fund. This time, as much as EUR 2.32 billion has been allocated in the contracts signed by the health insurance funds with the institutions. An additional amount of EUR 33.5 million has been allocated to increase planned contractual amounts.

“Through the financing of treatment institutions, the profile of health services is being actively changed to meet expectations and needs of patients, for residents getting services closer to home. Treatment institutions will be encouraged to provide medical consultations, day surgery and day inpatient as well as nursing services. It is important that more contracts are signed with institutions providing nursing services, which is particularly important in our rapidly ageing society,” Arūnas Dulkys, Minister of Health, emphasizes.

According to Gintaras Kacevičius, director of the National Health Insurance Fund (NHIF) under the Ministry of Health, for the first time this year, contracts with treatment institutions were signed on the new digital contracting platform for health insurance funds. This type of contracting has been a win-win situation for both sides, making negotiations between the health insurance funds and the contracting partners more comfortable and smoother, and the contracting process much more expeditious.

“Having assessed actual increase in the number of services provided at the end of last year, it has been decided to allocate EUR 33.5 million additionally from unallocated funds in the budget of the Compulsory Health Insurance Fund (CHIF) for contracts of this year. This will significantly increase funding for services that have been developed in recent years: consultations of medical specialists, outpatient home care, nursing and palliative care, day surgery, day inpatient, medical rehabilitation and other services,” G. Kacevičius says.

According to the data of NHIF, the average increase in funding for healthcare services was 12.65 % this year.

This year, primary outpatient personal health care will be provided to patients by 398 institutions and their other subdivisions. It is intended to allocate EUR 448 million from the Compulsory Health Insurance Fund in the contracts of this year – 14.6 % more than last year.

This year’s contracts provide EUR 1.6 billion for doctors’ consultations, day inpatient, day surgery and other outpatient services, as well as nursing and inpatient services – 12 % more than last year. Day surgery will receive 38 % more funding this year than it was foreseen in 2023, day inpatient services will receive 20.2 % more, and other outpatient services will receive around 12 % more than last year.

Starting this year, several groups of inpatient services will be prioritised. These include oncology (6 centres providing specialised oncology care), complex cardiology and cardiac surgery, endo-prosthetics and surgery for multiple trauma. The preliminary estimate is that EUR 123 million per year will be needed to finance these services, but if more services are provided, they will all be covered by the Compulsory Health Insurance Fund. As in the past, inpatient services for childbirth, stroke and myocardial infarction will remain a priority this year.

Residents will be able to choose ambulatory and inpatient services in 631 institution. 64 institutions will provide inpatient services, 79 – day surgery services, 119 institutions will provide day inpatient services and 487 – consultations of medical specialists. Inpatient nursing services will be provided in 99 institutions, while 167 institutions will provide outpatient nursing services for patients at home.

Nearly EUR 134 million are planned in contracts for medical rehabilitation and sanatorium treatment services this year. 159 institutions intend to provide a range of medical rehabilitation services to residents. 

EUR 46.6 million is earmarked for five preventive health programmes. It is 35.7 % more than last year.

812 institutions will provide reimbursed services this year, 213 of them are public and 599 are private institutions and their subdivisions. All health care institutions and services contracted with health insurance funds across Lithuania can be conveniently found in the interactive search of the health insurance funds.

(Piktochart photo)

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