In a recent address, Vietnam Social Security’s (VSS) General Director Nguyen The Manh underscored the critical role played by localities in overseeing national health insurance expenditures. He emphasized the imperative of enhancing management efficiency to optimize funds, reduce unnecessary spending, and ensure effective allocation of resources, particularly for the treatment of chronically ill patients.
General Director Manh directed social security offices to collaborate closely with healthcare professionals to combat wasteful spending, aiming to uphold the rights of health insurance beneficiaries and maximize the utilization of health insurance funds amidst financial constraints.
Deputy General Director Nguyen Duc Hoa further highlighted that healthcare expenditures covered by health insurance in 12 provinces and cities surpass fifty percent of the national total. He pointed out disparities in healthcare spending rates across regions, emphasizing the need for vigilant assessment and leadership to manage costs effectively.
Reporting on observed excessive spending within certain provinces, Le Van Phuc, head of the VSS Department of Health Insurance Implementation, suggested that expenditures might exceed government estimates. He commended proactive efforts by local social security offices to enhance management of medical costs nationwide.
Duong Tuan Duc, director of the Centre for Medical Claim Review, discussed tools developed to aid leaders in cost management at local social security offices. These tools, including risk identification and management methodologies, have proven instrumental in ensuring compliance with regulatory standards.
General Director Manh stressed the significance of bolstering national and local systems for statistical analysis and evaluation. He urged social security offices to regularly communicate with healthcare facilities about emerging trends and irregular expenditures, using data-driven insights to facilitate necessary adjustments.
Emphasizing a comprehensive approach to managing health insurance costs, General Director Manh highlighted the importance of transparency in safeguarding patient rights. He encouraged local offices to issue warnings, conduct audits, and withhold payments as needed, leveraging statistical data and warning systems provided by VSS.
In conclusion, General Director Manh affirmed the commitment of VSS to fostering effective management of health insurance funds, ensuring sustainability and equity in healthcare services nationwide.
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