The relative stability of monthly ...

The relative stability of the monthly flow of funds into the system of local self-government of Vladimir region for this source has been achieved by 2001. Since 2002, the monthly dynamics of contributions to the NMR non-working population was wearing a very unstable character. And since 2003, when establishing the mechanism of passage of this cash flow through the organs of the regional treasury, the order transferring funds and did undergone a qualitative change - money has become transferred to the fund CBOs are not monthly, every two to three months (Figure 2). Currently private study shows that over the period 2001-2003. in the Vladimir region territorial fund CBOs and its executive directorate completely lost functions and features of active influence on the formation of the budget revenue fund. In other words, the leverage of the financial management system of local self-government of Vladimir region are outside the system of compulsory medical insurance. In accordance with Government Decree of 17.03.03 № 158 "On additional funding in 2003, costs associated with the provision of targeted health care pensioners" at the suggestion of the Russian Pension Fund since 2003 in the Russian Federation carried out an experiment on the financing of additional fees for compulsory health insurance is not working (poor) retirees. Since March 2004, under the conditions of this experiment works and the Vladimir region. In essence, the system of local self-government territorial level there is a new subject in the face of the local branch of the Pension Fund of the Russian Federation. MHI system supplemented by a new source of financial resources - the source is not directly dependent on the activities of the fund. In terms of multi-channel filling fund budget MLA funds is very hard to ensure the financial sustainability of health insurance, especially because the levers of financial management at the executive management of the fund CBOs are simply not available. Thus, the results of this study suggests the inadequacy and inefficiency of financial management in a system of compulsory medical insurance, Vladimir region. Literature IA six destiny "Stability of the financial coverage of the territorial mandatory health insurance system. J. The medical director, № 2 -2003, pp. 24-25 31.03.2004

Unsolved problems in health care and mandatory health insurance

Samsonov A . I. Chief Physician City Children's Hospital, Blagoveshchensk, Amur Region Working in a compulsory health insurance has been going on for over 10 years. The introduction of OMC was appropriate, resulting in improved stability of the hospitals in the new economic conditions. At the same time, today there negative trends in the further development and improvement of local self-government, first and foremost in my mind imperfect relationship insurance companies, fund CBOs and health care facilities (HCF) as a result of the lack of the normal legal framework.