Medical facilities no longer owe significant sums to FMS due to debt repayments.
The Social Health Insurance Fund (SHIF) has made significant strides in improving its payment schedule for medical organizations, according to recent reports. As of December 12, the SHIF has paid 81% of the planned volume for this year to medical institutions.
This marked improvement comes after a history of systemic delays, with payments often being delayed by up to five months. The SHIF had previously left medical institutions on the brink of financial collapse due to increasing creditor debt, as reported in July.
The turnaround began with the restoration of the phased funding system for medical organizations on November 21. This move was announced by the SHIF, which also reported that it is currently working on paying for services for November.
Advance payments for November will begin on December 20, with final data for November payments becoming available in January. This change in the payment schedule is a positive development, as it allows medical institutions to better plan their finances and address their expenses more effectively.
In the first half of the year, full payment for medical services was made, while 99% of payments were made from June to October. The SHIF is also taking steps to address past issues, as it will pay penalties to medical organizations, as per changes made to their contract.
The SHIF has paid a total of 2 trillion 298 billion tenge to clinics as of December 12. This significant amount has helped medical institutions cover their expenses, particularly during the periods when payments were delayed.
In addition, the SHIF is now accepting applications for medical services in 2025. This move is expected to further strengthen the partnership between the SHIF and medical institutions, ensuring that the necessary services are provided to those who need them.
Despite these positive developments, there is still no information available regarding the size of the advance payment the SHIF provided or will provide to a doctors' association in November, nor the reason why payments would only start from December 20th despite final data being available in January.
In conclusion, the Social Health Insurance Fund has made significant improvements in its payment schedule for medical organizations, moving away from the delays that had plagued the system in the past. This change is expected to have a positive impact on the financial stability of medical institutions and the overall provision of healthcare services.
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