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Country profiles of health system responses to the crisis | The Russian Federation
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The benefits package
• No changes reported.
User charges
• A new law clarified the conditions under which public providers can charge
for health services and permits the introduction of user charges for services
provided on an anonymous basis, provided to foreigners and provided at the
patient's request (2012).
Changes to health service planning, purchasing and delivery
Prices of medical goods
• Introduction of a new Drug Provision Strategy to 2025 to ensure rational
drug use and improve the advanced vocational training of medical and
pharmaceutical staff (2012).
• Introduction of rules on registration of producer prices (2010); the
government's new Drug Provision Strategy to 2025 aims to improve the price
regulation of covered drugs (2012).
• Introduction of rules on maximum wholesale and retail mark-ups (2010).
Salaries and motivation of health sector workers
• Introduction of new payroll system linking pay with work performance for
public health sector workers (2008), with 50% implementation rate by 2011.
• Large salary increases planned (around 150%) for physicians and nurses; to
be implemented by 2018.
Payment to providers
• Approved a new list of recommended payment methods to be used for paying
providers working under public financing for the period 2014–2015.
Methods considered ineffective (such as payment by the number of bed-days
spent in hospital) were excluded (2013).
Overhead costs: restructuring the Ministry of Health and purchasing agencies
• The Ministry of Health and Social Development was reorganized, separating
the Ministry of Health from the unified Ministry (2012).
• Implementation of a new mandatory health insurance (SHI) law which
changed the role and functions of health insurance companies working within
the SHI system, as well as regulation of their financial activities (2011).
The federal SHI Fund became the sole insurer and insurance companies
now perform only part of the insurer function. New requirements regarding
financial activities of insurance companies were introduced: authorized