(Podcast) NKÚ: Nespravodlivý systém a záujmové skupiny v zdravotníctve urobili z pacienta rukojemníka

Welcome to the podcast Poch Times. Najvyšší kontrolný úrad, nespravodlý systém a zaujímavé skupiny v zdravotnictví urobili z pacienta rukojemníka. The subject of the investigation was that the patient was not in a position to be treated by the hospital. Between 2020 and 2023, public health insurance resources will increase by 42% to private sources, representing more than 2 billion euros. The trend will continue into 2024, when the state's debt will rise to almost half a billion. The Slovene healthcare system is worth up to 9 billion euros. The Chief appointed one of the providers who benefited from Penta Hospitals' well-established insurance system. Zamestnanci company said his claim was not true. According to the last two inspections of the Supreme Control Office, focused on payment mechanisms of health insurance companies and obligations of health facilities, The main problem of the Slovenian healthcare system is lack of funds. The NCA states that the state knows how much of the mohutnny system will be used, but does not say what and in what quality patients will receive. And he can't control it, if he's publicly accused. NKÚ President Ľubomír Andrášik noted that the healthcare system lacked a transparent financial accounting system that would allow for any change. The ministries have no data, but for inexplicable reasons they have not been able to verify whether they tolerate an opaque and inefficient system, he said. The Government's Control Authority recommends that the Ministry of Health be given the task of effectively implementing a transparent allocation of resources with clear and sustainable objectives. Their regular public accountability and maximization of patient support suggest that no single system can bring benefits to patients and reduce burden. The questionnaire was submitted to the government's office and a summary report was received by NR deputies. If Slovakia does not continue with an opaque system of continuously increasing sources of data without evaluating the data, Patient will be no longer a beggar, who gets poor quality medical services, said NKU. In the social field, healthcare is the second largest public resource. Since 2018, when healthcare became a priority control, the NCA has carried out 17 control actions and further are planned. Auditors' findings point to fundamental problems in how public healthcare resources are distributed and used. Neprehradné zmluvy (not yet concluded) The control mechanisms showed that the DRG system, the system of payment according to the diagnosis, He used it to make his real introductions to a long-term relationship. The controlled hospital is a hospital with a medical condition, which is based on the principle of DRG. However, the authorities already applying this principle do not use a procedure based on unreadable monthly limits. Uviedol NKU Each health insurance institution uses its own payment mechanism for the distribution of public healthcare resources. This leads to uncertainty and inequality in the funding of individual hospitals. A specific payment model is contained in a free contract between the post office and the hospital. Continued addition to existing treaties, which are reached at the level of several third parties, I mean, it's hard to compare the soul and cause data chaos. Priblížil Andraši is a very good man. For example, the Bratislava University Hospital had a controlled period of 45 days. In addition, 29 or 31 additional amendments were made to the rules, which were not yet in force. Facultná nemocnica z poliklinikou Roosevelta, Banska Bystrica, which is located in the city of Banska Bystrica. The number of contracts concluded by the company is up to 59 as compared to 31 or 22 additional contracts. Comparison of the years 2019 and 2023 further development, The Commission has decided to change the priorities of the healthcare payments to hospitals. NKU states that in 2019 they received the highest salaries in state-owned hospitals, In 2023 we will rebríčku TOP 30 zdravotníckých zařízení s nejvyššími úhradenými sádzbami and we will rebríčku the top 30 of the highest-rated healthcare facilities in the world. The hospital is privately owned. The healthcare system is being overhauled and is not being properly managed. without clear and tangible evidence of performance and quality. For example, state-owned hospitals receive less funding from health insurance companies. As a regional hospital, hospitals of lower category. I'm not going to tell you. Same power, different platby. If you also show control NKU, Všeobecná zdravotná poistovňa paid for DRG hospitalizačné case In the years 2019-2023, more than €333 million was spent on implementing institutional care facilities provided by private hospitals. This approach to payment may be one of the important factors, Which is primarily related to her long-term strategic management. The payment for DRG hospital cases in the General Court over the last few years has also significantly decreased. The controlled period from 2019 to 2023 will be from €1.5 billion to €2.3 billion. The highest 124-percent increase in the history of the Union's health insurance. The NKU concluded that the DRG, since its introduction in 2010, still does not serve the Všeobecný úhradový mechanism. A v this way, there is no primary difference between production and production. Hospitals are not financed by actual production, but have a guaranteed fixed income, which, in the following period, will be different in each health insurance scheme. The paradox of the disease is that it is characteristic of the patient who wants to reduce production. The health insurance system does not respond to the initial reductions in financial resources provided. The manoeuvring space shall be created in the hospital, which shall assume part of the medical functions of the unit of surgery, Where I don't need long hospitalizations and platby's not limited to the N.C.U. In this way, according to hospital controllers, which are reducing their production, They get economic advantages with higher prices per unit of production. The result is that for the same medical performance, different providers may The system does not require higher production, The hospital receives the same funding regardless of performance. NKU warns that by 2023 hospital production will have fallen by up to 11% compared to 2019. Despite this, the money in this period of the system has grown significantly. In 2020, the cost to the healthcare system will be 1.7 billion, In 2023, the EU will be worth €2.5 billion. But the production of pokes doesn't require all hospitals alike. The highest number of people in the lower general hospital of the first level is 24%. a second level of 18%. Productivity growth, for example, is at the heart of the research process. The state oncological office is keeping the level of pandemic spread. Paradoxically, however, the identified risk, which is not That some small hospitals have a higher base of patients as a specialized heart-health hospital Or oncological institutions with such top doctors. I'm going to Uviedol NKU. In 2019 the first level hospitals were ranked in the top 30 in the country. The highest-paid doctors' offices only occasionally. In 2023, this type of disease will spark half of this relic. For example, a private facility called Nova Farm is modeled after DRG. The amount of the basic salary is 2160 euros. The amount of the fine was more than 11 thousand and the amount of the fine to the General Medical Police was more than 10 thousand euros. The case of Kysutská nemocnica z poliklinikov v Čaci concerned a fixed basic salary for medical performance of EUR 2160. The health insurance scheme was set up by the Union to provide 4527 euros to the health insurance company Dôvera for 3870 euros. The NKU also warns of a significant increase in patient charges for providing health services. The problems of various pre-investigation services can significantly limit a patient's access to the necessary healthcare. Various charges are not legally imposed, but are levied without legislative support. A responsible state institution is in the process of preparing this alarming situation. He's hidden a need to charge his system hundreds of millions more, The beneficiaries of these fees are primarily non-state healthcare providers. You've got to control it. I like the way you look. Problematic is also the long-term nature of the disease, especially in universities and colleges, which have the largest share of the production and are not able to meet their obligations towards the various suppliers of goods and services, The social security system is a system of social security systems. Neuhradzením commitments in the course of their splatnosti do not comply with these medical establishments' business laws or social security laws. In addition, it leads to a breach of the European Directive on combating fraud, which is the subject of EU lawsuits. If Slovenia does not take the necessary measures, we risk financial ruin. Maximum amount of commitments for the period at the level of the objective 735,57 million euro They were scheduled to be in the medical facility by the end of 2023. These are high, with personal costs often reaching up to 82% of public health insurance revenues. Increased finances due to unsustainable automated health and safety and the fulfilment of basic operational obligations, the NKÚ concluded. The total debt to equity ratio was 71%. One of the unpaid invoices was not issued until 1997. Cyclically, the increasing burden of disease is primarily the result of this, They get less money from jobs if they really need it to perform executive functions. 13 largest state hospitals in the country provide the widest range of professional and financially most demanding medical services, They also provide an exceptional space for the preparation of new doctors. The non-payment of obligations in statutory law is not a systemic liability. Since 2003, it has been used five times in a total amount of about EUR 2.2 billion. The problem, however, remains a debt that has again spiked to $2 billion. The most serious risk to which the SR government must be subject is the accumulation of medical debts by private firms, including NKU. The most important truth about the additional relations between BFE and Central Europe SRO, Which specializes in gathering and capitalizing public funds. At the time of the last extension of the 2018-2023 financial year, the portfolio had a turnover of approximately EUR 140 million. The total cost of the scheme is estimated at EUR 80 million and represents a risk of illness. a pre-operation of public health insurance resources for other purposes, if they are primarily intended. For more than 20 years, the Ministry of Health has taken systemic measures, The trend of the number of hospitals with a high proportion of institutional healthcare providers has stopped. The resort has long been a statistical or monitoring body. The efficiency and effectiveness of healthcare can be solved with only small changes. There has to be a fundamental review of healthcare spending. The system is mainly based on the pre-determination of public resources, which the system pays to the citizen through health insurance. A super-decision, which must have a dominant control, just like the health resort, Doal Andráši. The Kontrolný úrad warns that the current situation is the result of inadequate public health policy. The Ministry of Health as the main organ must adopt systemic solutions and use its powers to change. Reactions of the Pentah Hospital staff Andráši 5. maja pre spravodajský portal News stated by Pentahospitals Slovensko As an example of a provider who benefits from an inefficient and non-transparent system The Commission has already decided to grant a grant of EUR 5 million to the The Pentah Hospital network has created 17 hospitals and 10 polyclinics with more than 10 thousand employees. The claims of the NKU President were only one day's statement by 350 senior staff at Pentah Hospitals. PentaHospitals is a Denik plus a parent company of Pentainvestments. According to the head of the Pentah Hospital, The disease is not being acquired by the system without justification and without justification. Remember, the Pentah Hospital never plans to receive any form of dividend from its shareholders, But we also try to reinvest in the development of our medical infrastructure. From our own resources we built two modern hospitals of the new generation. The Court of Justice of the European Communities According to data from the Office of Health Supervision and Quality Control for the year 2023 and the first three quarters of 2024, According to which the average basic rate of hospital care in the Pentah hospitals during this period should be significantly lower The rate of treatment at large state hospitals is lower than that at other non-state or private providers. It also stressed that the performance of the Pentah hospitals was above average compared to comparable providers. Even lower-cost hospitals can produce a greater volume of care than is usual in other hospitals of the same type. We agree that the funding of the hospital should be limited to performance. However, it should be noted that the current system of financing is established by the state. A time of pandemic could not function as a stabilizing mechanism for the entire sector. It also omits real causes of state-run hospitals' failure, which cannot be determined except by an analysis of the payment mechanism. Much light on this key problem was brought to light by the recent review of state hospital spending in the Zdielne útvaru values for money, including employment benefits. President NKU Andraši ho invites you to present to your public communication the presentation of the overturned facts a detailed report from other relevant authorities, such as the Office for Health Protection and the Financial Services Authority. They also call for the public to start distinguishing between individual service providers, I'm not going to let you know that every private device automatically starts having system problems.