СОВРЕМЕННОЕ СОСТОЯНИЕ ФИНАНСИРОВАНИЯ ЗДРАВООХРАНЕНИЯ В РОССИИ

Abstract

The article touches upon the problem of financing health care in the world today, which is carried out mainly at the expense of budget funds, employers, population and enterprises in different proportions. The share of each of these sources in the total amount of funds allocated by society to health care determines the model of financing this economic sector. The budget model of financing the health care does not fully cover the needs of the population in the guaranteed volume of free medical care. In recent years, such sources as direct payment for medical services and voluntary health insurance programs have brought a certain amount of money to the Russian health care system. The conducted analysis of the financial support of the health care system in Russia proved that the cost of the program of state guarantees increases throughout the whole period. Means of compulsory medical insurance as well as budgetary allocations of the entities of the Russian Federation are used to finance the program of State guarantees. The volume of compulsory health insurance funds is increasing, the growth rate of compulsory health insurance in 2017 outpaced the rate assigned by the program. In 2016 revenue growth and spending cuts brought the Federal Fund of compulsory medical insurance to a deficit-free budget, but in 2017 the growth of spending outpaced revenue growth, which leads to a deficit. There can be seen the positive dynamics of growth rates of insurance premiums for voluntary health insurance. Currently, underfunding of territorial programs is compensated by the population independently through the use of voluntary health insurance and paid medical services. The main objective of the further transformation of compulsory medical insurance system is stated to increase the volume of financing of the system. In the process of adjusting state obligations the deficit of financial provision of territorial programs of state guarantees should be taken into account, which has already been redistributed due to its insecurity, but without legislative consolidation. The reserve of redistribution will be the increase in payments under contracts of voluntary medical insurance and funds received by medical organizations from the provision of paid medical services.