High-cost care pegged at B12, 000
PUBLISHED: 14 Oct 2024 at 05: 28
According to the government, the Social Security Office ( SSO ) will be required to pay a fixed rate of 12, 000 baht per patient annually for high-cost treatments provided by hospitals contracted under the social security system.
According to Labour Minister Phiphat Ratchakitprakarn, the responsibility is intended to stop some privately run hospitals from leaving the medical system by the year-end.
The 12-millibarrier billing price promised at the start of each year was later reduced by the remaining portion of the annual budget designated for funding this certain portion of healthcare cost reimbursements in recent years.
The Private Hospital Association has requested that the insurance level be increased to 15, 000 baht, but this insurance rate has not been adjusted for inflation for the past five decades.
According to the organization, several of the 97 private hospitals that are covered by the social security system were considering whether or not to keep. The chancellor stated that the SSO medical panel will consider all of these ideas, which aim to keep as many hospitals in the social security system as possible, on Thursday.
Oftentimes, the promised 12, 000 insurance price was reduced later in the year to 8, 000 ringgit, creating a level of uncertainty with which Mr Phiphat said he could n’t believe.
The secretary said he would rather concentrate on ensuring the SSO finally approves his plan to resolve the insurance rate at 12 000 for the entire year at this point.
He urged against contrasting the basic capitation and reimbursement rates provided by the social security system with those provided by the National Health Security Office ( NHSO)-run universal healthcare system.
The social security system does not have a billing cap, despite the possibility that the rates offered by the system are lower than those offered by the NHSO’s wellbeing scheme. It typically completely reimburses clinics for expensive conditions like heart disease, cancer, and liver disease.
Sustarum Thammaboosadee, a part of the SSO’s committee who represents the individual part of this table, however, argued these secret hospitals were n’t suffering costs as a result of providing treatment under the social security system.
She agreed that the SSO is considering doing the same thing with the SSO, which includes adjusting the rates for capitation and additional healthcare cost reimbursement ( fee-for-service ) to keep up with changing inflation.
The SSO was instructed to follow the NHSO’s present system of medical resources control by Somchai Krajangsang, a part of a committee on healthcare services under the Thailand Consumers Council.
He claimed that the NHSO provides set capitation for simple healthcare services while operating split sub-funds that were set up to reimburse hospitals for treating particular high-cost illnesses like heart disease, cancer, and kidney disease.