The status and solution for improving theclearing procedure of health care insurance cost

ABSTRACT

The clearing procedure of health care insurance cost in Viet Nam is actually basing on ceiling-limited service cost. Many limitations are shown in this clearing procedure. Moreover, the hospital cost frame which was promulgated according to the interministerial circular N0 14/TTLB between the Ministry of Health and the Ministry of Finance is not appropriate. Items of health expenditure are increasing. In this article, some solutions for improving the clearing procedure are presented such as replacing this clearing procedure by predetermined portions or diagnosis groups. However, it is necessary to implement short-term and long-term solutions for improving the clearing procedure of health care insurance cost by service