Resolution No. 68/2013/QH13 sets the goal of intensifying the implementation of policies and laws on health insurance (BHYT) to achieve universal health insurance coverage. The document specifies concrete targets for health insurance participation rates and requires the Government to improve the healthcare facility system and streamline administrative procedures in managing BHYT.
Scope of application
The Government, the healthcare sector, Vietnam Social Security, localities, and the people
Key points
- By 2015, at least 75% of the population will participate in BHYT, and by 2020, at least 80% (Article 2.1).
- Improve investment in commune health stations in difficult areas, reduce overloading at provincial and central hospitals (Article 2.2).
- Define a basic package of medical services covered by BHYT that is appropriate to contribution levels and economic-social conditions before 2018 (Article 2.3).
- Integrate information technology software systems between social security agencies and healthcare facilities to streamline administrative procedures in medical examinations and treatments (Article 2.4).
- Rectify medical ethics and service quality, strictly handle violations of laws related to BHYT (Article 2.5)
🌐 Social impact of this document
- To increase the participation rate of BHYT among the population.
- Improve the quality of medical services, reduce overloading at higher-level hospitals.
- Ensure the rights and transparency of information for those with BHYT cards.
- Exert pressure on healthcare facilities and related organizations through state management.
❓ Frequently asked questions
What is the target for health insurance participation by 2015?
By 2015, the target for health insurance participation should reach at least 75% of the population.
By which year must the definition of the basic package of medical services covered by health insurance be completed?
Before 2018, the definition of the basic package of medical services covered by health insurance must be completed.
What responsibilities do localities have in implementing this Resolution?
People's Councils and People's Committees at all levels incorporate health insurance participation targets into their annual socio-economic development plans and implement measures to ensure all citizens participate in BHYT.
Which agencies are responsible for supervising the implementation of this Resolution?
The Standing Committee of the National Assembly, the National Ethnic Council, the Committees of the National Assembly, Delegations of the National Assembly, National Assembly deputies, and People's Councils at all levels within their respective duties and powers.
When does this Resolution take effect?
This Resolution was adopted on November 29, 2013.
Full text
RESOLUTION
STRENGTHENING THE IMPLEMENTATION OF HEALTH INSURANCE POLICIES AND LAWS TOWARDS UNIVERSAL HEALTH COVERAGE
OF THE NATIONAL ASSEMBLY
SOCIALIST REPUBLIC OF VIET NAM
Pursuant to the Constitution of the Socialist Republic of Vietnam in 1992 as amended and supplemented by Resolution No. 51/2001/QH10; Pursuant to the Health Insurance Law No. 25/2008/QH12;
Pursuant to the Law on the Supervisory Activities of the National Assembly No. 05/2003/QH11;
Based on the review of Report No. 525/BC-UBTVQH13 dated October 14, 2013 of the Standing Committee of the National Assembly on the results of supervising the implementation of health insurance policies and laws during the period from 2009 to 2012 and the opinions of the National Assembly deputies,
RESOLUTION:
Article 1
The National Assembly agrees with the Standing Committee of the National Assembly's supervision report on the results of implementation, existing shortcomings, causes, and responsibilities in organizing the implementation of health insurance policies and laws during the period from 2009 to 2012; acknowledges the efforts of the Government, the healthcare sector, social insurance, relevant agencies, localities, and the people in implementing health insurance policies and laws. By the end of 2012, nearly 70% of the population had joined health insurance; people with meritorious service, the poor, children under six years old, ethnic minorities living in areas with difficult socio-economic conditions, extremely difficult areas, social assistance recipients, near-poor individuals, students, residents in coastal and island areas were supported by the state budget to join health insurance; a wide network of medical facilities and social insurance was established; health insurance participants enjoyed medical services, modern medical techniques, and new drugs; the health insurance fund ensured balance and surplus. These achievements affirm the consistent and correct policy of the Party and State towards universal health coverage.
However, there are still limitations in the implementation of health insurance policies and laws; more than 30% of the population has not yet joined health insurance; the quality of health insurance medical examination and treatment at primary healthcare facilities does not meet requirements; the overload situation at upper-level hospitals has not been promptly addressed; administrative procedures in managing health insurance and medical examination and treatment have not been significantly reformed; effective measures to address duplicate cards, misuse of the health insurance fund, and unreasonable price differences for medicines among localities have not been implemented; the rights of health insurance cardholders are not transparently publicized; some civil servants, healthcare workers violate medical ethics and laws; local participation in expanding health insurance coverage and managing the health insurance fund is limited, with some localities having budget deficits; state management, propaganda, supervision, inspection, and handling of violations related to health insurance are not timely or strict enough.
Article 2
The Government shall undertake the following tasks and targets:
1. Ensuring that at least 75% of the population joins health insurance by 2015 and at least 80% by 2020.
2. By 2020, completing the investment in commune health stations in areas with difficult socio-economic conditions, reducing overloading at provincial and central hospitals by at least 50%, and completing the transition from direct funding for medical examination and treatment facilities from the state budget to supporting people to join health insurance in line with the process of accurately pricing medical services.
3. Before 2018, completing the regulation of basic health services covered by health insurance in accordance with contribution levels and socio-economic conditions, implementing measures to ensure the quality and appropriate prices of medicines, addressing unreasonable price differences for medicines among localities, expanding the model of family doctors participating in health insurance medical examination and treatment, improving regulations on referral in line with the condition of illness.
4. Before 2018, completing the interconnection of information technology systems between social insurance agencies and medical examination and treatment facilities to improve administrative procedures in medical examination and treatment, enhance the effectiveness of health insurance claims processing, manage, and use the health insurance fund.
5. Rectifying and enhancing medical ethics and the quality of medical examination and treatment, strictly dealing with violations of laws on medical examination and treatment and health insurance, strengthening state management capacity and health insurance claims processing, improving the efficiency of the health insurance implementation system.
6. Promoting the responsibility of all levels, sectors, local authorities, the Vietnam Fatherland Front, and political-social organizations in promoting and mobilizing the people to actively implement health insurance policies and laws, join health insurance, and move towards universal health coverage.
7. Reporting to the National Assembly every two years on the results of implementing this Resolution.
Article 3
People's Councils and People's Committees at all levels shall include health insurance participation targets in their annual socio-economic development plans, implement measures to ensure that all citizens join health insurance, expand health insurance coverage, control the use of the health insurance fund, and strengthen state management of health insurance at the local level.
Article 4
The Standing Committee of the National Assembly, the National Ethnic Council, the Committees of the National Assembly, Delegations of National Assembly members, National Assembly deputies, and People's Councils at all levels within their respective duties and powers shall supervise the implementation of this Resolution./.
This Resolution was adopted by the Thirteenth National Assembly of the Socialist Republic of Vietnam at its Sixth Session on November 29, 2013./.
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