In the framework of the advocacy for the introduction of mandatory social medical insurance (further - MSMI), organized by MHSD of Kazakhstan, Akmola, Kyzylorda, East Kazakhstan oblasts and Pavlodar training will cover 40.5 thousand medical workers, including 10.6 thousand doctors and 29.9 thousand average medical personnel. June 14 in the above mentioned regions, the special mobile group, composed of Deputy akims of oblasts, heads of territorial departments of the Committee on payment of medical service of MHSD of RK, healthcare management and well-known figures of the healthcare system of Kazakhstan has held seminars for the heads of 238 healthcare organizations (Akmola oblast – 84, Kyzylorda – 40, EKO – 50, Pavlodar, 64). During the event, the chief doctors of hospitals and clinics receive clarification on all matters related to the implementation of MSMI. In the coming days, chief doctors of hospitals will tell about the principles of MSMI to their employees. A total of advocacy will be covered in Akmola oblast 2.2 thousand doctors and 5.5 thousand of middle medical staff, in Kyzylorda – 2.1 and 8.3 thousand, EKO - 3.9 and 10.3 thousand, Pavlodar – 2.3 and 5.9 thousand, respectively.
As previously reported, meetings with medical workers are the first stage of large-scale awareness-raising work of MHSD of Kazakhstan will carry out in this year. In the future, about the principles of MSMI system, stages of implementation of medical insurance and its advantages tell in detail to employers and wider population. We remind, that in Kazakhstan will introduce medical insurance system, developed considering to international best practices, based on mutual responsibility of the state, the employer and each individual. The government will provide contributions for economically inactive population. Employers provide employees. Employees and self-employed persons registered in tax bodies – for themselves. The state reserves the right to provide citizens with guaranteed volume of free medical care (further – GVFMC): the provision of medical care in socially significant diseases, emergencies, emergency medical service, sanitary aviation and vaccination. In order to ensure the universal right to health care by 2020 uninsured citizens in the framework of GVFMC will be provided outpatient care with outpatient drug provision. In the framework of MSMI will be provided: outpatient care with outpatient drug provision to insured citizens, inpatient medical care, high-tech medical services, hospital-replacing technologies, long-term nursing care. In addition, citizens, the participation in voluntary insurance, can receive medical services, unexpected system of MSMI, on the basis of contract concluded with private insurance companies. The state, employers and self-employed citizens will begin to make contributions to the social medical insurance Fund (further – SMIF) since 1 January 2017. The state contribution rate for special categories of citizens will be 7% of the average wage. The rate will gradually increase: 4% in 2017, 5% in 2018, 6% in 2023, since 2024 - 7%. The overall rate of employers ' contributions will amount to 5% of income, while contributions starting from 2% in 2017, 3% in 2018, 4% in 2019 and since 2020 -5%. The contribution rate of self-employed people (individual entrepreneurs, private notaries, private bailiffs, lawyers, professional mediators, individuals who receive income under contracts of civil-legal nature) will be 7% of income. In this case, 2% in 2017, 3% in 2018 5% in 2019 and since 2020 - 7%. Employees will begin to make deductions since 2019 - 1% of income in 2020 - 2%. From paying contributions to the social medical insurance fund are exempted 15 categories of citizens, 12 of whom are socially vulnerable layers of the population, as well as military personnel, employees of special state and law enforcement agencies. Socially vulnerable populations include: - children; - mother of many children awarded pendants "Altyn Alka", "Kumis Alka" and got earlier the rank "Mother–heroine" and awarded the order of "Maternal glory" I and II degree; - participants and invalids of the great Patriotic war; - disabled persons; - persons registered as unemployed; - persons studying and living in residential institutions; - persons enrolled in full-time education in the organizations of technical and professional, postsecondary, higher education, as well as postgraduate education in the form of residency; - persons who are on leave in connection with childbirth, adoption of newborn child, to care for child under the age of 3 years; - disabled pregnant women and disabled person who actually raises child up to the age of 3 years; - pensioners; - person serving a sentence in prisons, exception of minimum security institutions; - the persons contained in temporary detention facilities and investigative detention facilities. It should be noted that volume of medical care provided in the framework of MSMI will not depend on the amount of the Deposit in the SMIF. It is sufficient that these payments were made regularly.
In accordance with the already existing in the Kazakhstan practice, it is proposed the control of receipts in the SMIF to consolidate the state revenue Committee of the Ministry of Finance of RK. According to experts, the introduction of MSMI will significantly increase the level of medical care in the country; will also be opportunity to increase the salaries of doctors. The hospital will be able to purchase high quality equipment and expensive medicines. MSMI will allow the person to be examined and if necessary, to receive treatment, not allocating cash from its budget.