NHIF Director Gintaras Kacevičius: dynamic times require change


2022 05 10


The health insurance funds continue cooperation with young medic organisations. On 6-8 May, Gintaras Kacevičius, Director of the National Health Insurance Fund (NHIF), took part at TransForm 6.0 Health Care Forum, organised by the Young Medics Association for already the sixth time.

The main topic of the medic forum, which took place in Birštonas this time, was the price of health. Participants of the event, together with economists, representatives of state institutions that regulate and implement health care policies, and other experts of the field, discussed the concepts of health economy, the funding of health care system in Lithuania, the meaning of free health care, and solutions that would enable the medics to do their job in higher quality. The forum also dedicated time for personal development and community building.

On the first day of the conference, NHIF Director Kacevičius delivered a presentation on The Model of the Lithuanian Health Care System Funding. He emphasized that, although developed a quarter a century ago, the model of the Lithuanian compulsory health insurance (CHI) is still considered rather advanced and in line with current health care system financing trends.

Talking of the structure of the revenue and costs of the Compulsory Health Insurance Fund (CHIF) and its dynamics, Kacevičius drew the audience’s attention to an interesting fact: The first CHIF budget was approved in 1997. In a little more than twenty years, it has increased nearly 7 times – from 379 million Eur in 1997 to 2.6 billion Eur in 2021.  Moreover, considering CHIF revenue with cash balances in 2017-2021, their share of GDP grew steadily from 4.1 to 5.4 per cent.

NHIF Director emphasized that the major goal of the health insurance funds is to provide a financial protection to the residents, reducing the burden of direct payments, eliminating illegal bonuses, etc. Another important mission is the coverage of health care services, provided to the residents, ensuring their availability, improving their quality and finding the most efficient ways to use the CHIF funds.

‘Every single euro should bring specific benefits to the public health instead of simply being “absorbed”.’ said Kacevičius at the conference.

NHIF Director Gintaras Kacevičius (second from the right). Mantas Bartaševičius photo

NHIF Director also shared a number of substantial challenges, encountered by the participants of the health care system on a daily basis: reducing household costs on health care, coordinating the increase in medic salaries and CHIF opportunities, and modernising the system of payment for services. Speaking of the latter, Kacevičius was sure that it was time the payment system got ‘reloaded’ – updated according to the latest international tendencies, and shared the ideas and plans for the payment system development in 2022-2024.

For example, a post-pandemic payment model for services in line with the ongoing network reform is currently being developed. There are plans to review and improve the payment for the primary health care services and introduce integrated services, which could be provided by health centres or mixed polyclinics. Ways to manage inpatient service use, improve emergency aid and outpatient consultation payments are being discussed as well.

‘Throughout its existence, our CHI model has proved its durability withstanding three crises, but our dynamic times keep introducing new challenges, which require change. Thus, we seek to initiate and implement the necessary changes in the model in order to provide the Lithuanian residents with financial security and the best health care possible with the most efficient use of the CHIF funds available.’ concluded NHIF Director during his presentation.

TransForm 6.0 forum also featured presentations by such well-known speakers as political scientist Linas Kojala, Director of the Eastern Europe Studies Centre, lecturer and businessman Arnas Markevičius, Antanas Montvila, Vice-President of the European Young Medics Association, health economist Barbora Butkutė, strategic advisor Rytis Kalinauskas and others.

According to the organisers of the event, this year there was an intention to make a step forward into a dialogue, cooperation and getting everyone involved in building the future of the Lithuanian health care. Therefore, there was a discussion together with TransForm 6.0 audience, during which everyone had an opportunity to share about the future and changes they hope and expect.

‘Our ideas will become the value and content basis, which will become the foundation for the vision of the future of the health care system, developed by all interested and political parties.’ said the organisers.

The health insurance funds are kindly reminding that the Young Medics Association us a public organisation, uniting young Lithuanian medics and representing and defending the national interests of health care.

Kacevičius’ full presentation is available here.

The NHIF invites you:

Your questions are welcome by email [email protected] or phone: local (8 5) 232 2222, international +370 5 232 222