Chapter 4.
REGULATION ON PRICES OF THE MEDICAL EXAMINATION AND TREATMENT SERVICES
Article 18. Prices of the medical examination and treatment services
The price of medical examination and treatment service are the payable amount for each medical examination and treatment service and comply with the following roadmap:
1. 2013: The price of medical examination and treatment service is calculated on the basis of the following direct expenses:
a. The drugs, chemicals, consumable materials, replacing materials for performing service (including expenses for preservation, loss within norm provided by the competent agencies);
b. Electricity, water, fuel, handling of waste and environmental hygiene directly for performance of service;
c. Maintaining, repairing equipment, sale and replacing instruments, tools which are directly used for performance of service;
d. Expenses to pay for the standing allowances, expenses to pay for allowances of surgery and operation.
2. 2014-2017: The price of medical examination and treatment service is calculated on the basis of the following direct expenses:
a. Expenses specified in clause 1 this Article;
b. Expenses on salary:
- 2014 – 2015: just calculating 30% of the basic salary fund for provincial hospitals in mountainous areas, highlands and hospitals of district level in Hanoi and Hochiminh city, 50% of the basic salary fund for hospitals of central level and the remaining central-affiliated cities and provinces;
- 2016 – 2017: calculating 100% of the basic salary fund for the provincial, central hospitals and hospitals of district level in Hanoi and Hochiminh city, 50% of the basic salary fund for the remaining district hospitals;
c. Expenses for outsourced workers (if any). These typical expenses maximally not exceed 50% of expenses for salary of service subject to pay wage aiming to encourage and attract experts and good doctors to work in units;
d. Depreciation of fixed assets being machines, equipment directly user for performance of service according to the regime applicable to state enterprises; expenses for interests under contracts of capital borrowing and mobilization for investment, procurement of equipment in order to perform service (if any): Being calculated and allocated into expenses of services which use these capital sources;
e. Indirect expenses, other lawful expenses to operate and ensure normal activities of hospitals.
3. Period from 2018 and later, the price of medical examination and treatment service is calculated all expensives to perform service, including:
a. Direct expenses:
- Expenses of drugs, chemicals, consumable materials, replacing materials (including expenses for preservation, loss within norm provided by the competent agencies);
- Expenses of electricity, water, fuel, handling of waste and environmental hygiene;
- Salary, allowances, payable amounts under regimes; expenses of hiring oursourced workers; typical expenses maximally not exceed 50% of expenses of salary for service;
- Expenses for maintaining, repairing fixed assets, procurement to replace instruments, tools directly used for performance of technical services;
- Depreciation of fixed assets according to the regime applicable to state enterprises; expenses for interests under contracts of capital borrowing and mobilization for investment, procurement of equipment in order to perform service (if any): Being calculated and allocated into expenses of services which use these capital sources;
b. Indirect expenses:
- Expenses of indirect divisions, other lawful expenses in oreder to operate and ensure normal activities of hospitals;
- Expenses of training, scientific study in order to apply new techniques.
4. Expenses on salary are calculated in the following principles: For services which have the salary unit price in unit price of service approved by competent agencies, they may calculated according to the approved salary unit price. For services which have not yet provided the salary unit price in unit price of service, the expenses on salary are calculated on the basis of labor consumption and the average salary for performance of service.
5. Prices of the medical examination and treatment services for units of group 1, group 2, and facilities performing socialization of the public health non-business units are calculated full cost elements specified in clause 3 of this Article and have accumulation for investment in development. The maximal accumulation not exceed 10% of service expenses and supplemented in the development fund of non-business activities of units.
Article 19. Competence to prescribe and decide the prices of medical services
1. Prices of medical examination and treatment services are calculated according to each medical service, technique or calculated according to case of disease.
2. The Ministry of Health shall assume the prime responsibility for, and coordinate with the Ministry of Finance in prescribing the price framework of the medical examination and treatment service in case of payment under service; the price framework of each type of disease, group of disease in case of payment under disease case, including:
a. The price framework calculated according to the roadmap specified in Article 18 of this Decree;
b. The price framework which calculated full elements of expenses and has accumulation specified in clause 5 Article 18 of this Article.
3. For prices of health services which are assigned or ordered by state, complying with regulation in the Decision No. 39/2008/QD-TTg, of March 14, 2008 of the Prime Minister, issuing the regulation on bidding, placement of orders for, and assignment of the provision of, public non-business services funded with the state budget.
4. Prices of the medical examination and treatment services are considered to regulate in cases:
a. The competent state agencies change the eco-technical norm of the medical examination and treatment services;
b. state changes on regime, salary policy;
c. When the input elements have changes on price.
5. The specific competence to prescribe the prices of medical examination and treatment services for the medical examination and treatment establishments of state comply with the current provisions.
6. The state agencies competent to prescribe on prices of the medical examination and treatment services shall, base on provisions in Article 18, Article 19 of this Decree and actual conditions, decide adjustment level of the health service prices and time of adjustment of the health service prices for conformity.
Article 20. Regulation on subjects and methods of payment of expenses for the medical examination and treatment
1. When using the medical sevices of public non-business medical examination and treatment establishments, all individuals, organizations (including foreigners on business trip, working, learning, going tourist, transiting in Vietnam’s territory) must pay expenses according the the price levels of service and quantity of used services, of which:
a. For persons with health insurance card: The health insurance Fund shall pay their expenses of medical examination and treatment to the medical examination and treatment establishments according to the levels prescribed by law on health insurance. The patient shall pay the difference part between expenses of medical examination and treatment and the level paid to the medical examination and treatment establishments;
b. For persons without health insurance card: They must pay expenses of the medical examination and treatment to the medical examination and treatment establishments, except subjects specified in clause 2 of this Article;
c. Foreigners being citizen of countries which have concluded International treaties on medical examination and treatment with Vietnam, the expenses of medical examination and treatment will be applied in accordance with provisions of those International treaties.
2. State pays expenses of medical examination and treatment at the public non-business medical examination and treatment establishments for the following subjects:
a. Persons who are forcible to be treated disease as prescribed in Article 66 of the Law on medical examination and treatment;
b. The persons suffering leprosy and persons suffering some diseases under Decision of competent authorities;
c.Patients in cases of natural disasters, serious disaster under Decisions of Ministers, Heads of Governmental agencies, when they are cured at the medical examination and treatment establishments managed by Central; under Decisions of the chairpersons of the provincial People’s Committees when they are cured at the medical examination and treatment establishments managed by localities.
3. Methods of payment:
a. Payment according to the prices of service means payment based on price of each health service and technique prescribed for the public non-business establishments and expenses for drugs, chemicals, consumable materials, replacing materials which are used by patients;
b. Payment according to the disease case means payment according to the average expense level for each type of disease or specific group of disease which has been diagnosed.
The medical examination and treatment establishments are encouraged to perform payment according to the disease case. The Ministry of Health shall formulate the roadmap which by 2020, most of types of diseases or groups of diseases will be paid according to this method.
Article 21. Management and use of revenues from the medical examination and treatment services
1. All revenues from the medical examination and treatment services in the scope of price framework promulgated by the Ministry of Finance and the Ministry of Health as prescribed in this Decree are kept for use of units and not record in the State budget.
2. Units shall open accounts at State Treasuries in order to monitor and manage expenditure, finalization of revenues from the medical examination and treatment services in accordance with current regulations; may open accounts specialized in collecting from the health services at commercial banks which bank may collect on behalf of units but every 5 working days, these revenues must be transferred to accounts of unit at State Treasuries for monitoring, managing expenditure and finalizing.
3. For revenues from service activities of independent accounting establishments specified in Article 6 of this Decree: Units may open accounts at commercial banks for monitoring and management but when using, they must transfer revenues to their accounts at State Treasuries for managing the expenditure and finalization.
4. Units must use invoices, receipts as prescribed in the Government’s Decree No. 51/2010/ND-CP of May 14, 2010 providing for goods sale and service provision invoices and the current guiding documents.
Tìm kiếm
Nghị định 85/2012/NĐ-CP về cơ chế hoạt động, tài chính đối với đơn vị sự nghiệp y tế công lập và giá dịch vụ khám, chữa bệnh của cơ sở khám, chữa bệnh công lập (Bản Word)
Nghị định 85/2012/NĐ-CP về cơ chế hoạt động, tài chính đối với đơn vị sự nghiệp y tế công lập và giá dịch vụ khám, chữa bệnh của cơ sở khám, chữa bệnh công lập (Bản Pdf)