Abstract
The article explores the evolution of compulsory health insurance in Russia and the important changes that have taken place in the financial relationship between medical organizations and the financier. These relationships are regulated by a federal law defining the basic insurance principles implemented in our country and the rules of the CMS, which regulate the order of organizational and economic interaction of interested parties. In 2019, this by-law was amended significantly, which affected the functioning of the CMS system in 2020. The article considers the situation with the payment of medical care, provided that the planned volumes are exceeded and innovations in the rules of the CMS regulate this situation.
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