Abstract
In the difficult economic conditions in Russia, caused, as in the all countries, by the consequences of the coronavirus pandemic, the search for additional government revenues is becoming especially relevant. All possibilities of cutting budget expenditures are being considered, including the optimization of the number of civil servants. The deputies of the State Duma of the Russia over the past month have been actively discussing the effectiveness of the functioning of state extra-budgetary funds and expressing ideas about the abolition of the Pension Fund of Russia and others, with the simultaneous return of functions back to the federal budget. It is important to reasonably assess the effectiveness of the financial mechanism of each extra-budgetary fund in Russia, including the Federal and Territorial Compulsory Medical Insurance Funds. To this end, it is necessary to comprehensively consider the mechanism of financing health care in the country within the framework of the current budget-insurance model. This article reveals the features of the financial mechanism in the healthcare sector in Russia, primarily in terms of methods for the formation of financial resources. In general, the Russian health care system is financed by the country’s budgets, Compulsory Medical Insurance Funds, voluntary medical insurance and paid medical services. In accordance with this, the budget, insurance and market methods for the formation of financial resources in health care are identified. The article describes each method; the effectiveness of the current financial mechanism was assessed and recommendations for its improvement were proposed.
Highlights
In the context of the coronavirus pandemic, all countries began to pay special attention to such economic sector as healthcare
The financing mechanism in healthcare in Russia is quite complex. It has developed as a result of reforms in the healthcare sector, and as a result of budget reforms (introduction of performance-based budgeting; Treasury budget execution; procurement systems; changes in the organizational and legal forms of state institutions, etc.), focused primarily on borrowing foreign experience, the so-called «best practice»
There are different methods of transfer of financial resources depending on the chosen model of financing of health care: budget model, insurance model or budget-insurance model
Summary
In the context of the coronavirus pandemic, all countries began to pay special attention to such economic sector as healthcare. Each resident involuntarily compares the availability of medical services in different countries, which directly depends on the chosen funding model and on the well-functioning financial mechanism in the healthcare sector All this determines the relevance of the organization of financing of medical institutions and development prospects in this area. In Russia, the healthcare financing process has many shortcomings in the financing mechanism for medical institutions These include the existence of redundant links in the chain of the process of transferring funds to medical institutions, which affects the final amount of funding for medical services; the complexity of bringing funds to institutions; the availability of different ways of obtaining and using financial resources by medical organizations. It is necessary to analyze the organization of the financial mechanism in the Russian healthcare system and determine the ways to improve it
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