Счётная палата Республики Молдова опубликовала отчет по исполнению бюджета Фонда обязательного медицинского страхования (ФОМС) за 2024 год. Аудит выявил серьёзные нарушения в управлении средствами и аккредитации медучреждений, пишет Noi.md.
Бюджет и траты
Изначально ФОМС был утверждён в размере 15,42 млрд леев и увеличен до 15,97 млрд леев. Более 98% средств пошли на оплату медуслуг, особенно стационарных — на них пришлось 51,8% бюджета.
Без аккредитации, но с финансированием
Серьёзным нарушением стала деятельность 43 медучреждений (государственных и частных), работавших без действующих аккредитационных сертификатов. Продолжительность незаконной деятельности доходила до 400 дней, что противоречит квалификационным требованиям.
Финансирование без расчёта
На страхование 1,5 млн неработающих граждан (дети, пенсионеры, инвалиды и др.) было выделено 6,85 млрд леев без экономического обоснования — расчёты не базировались на реальных данных о бенефициарах.
Неточности и дубли в данных
Аудиторы зафиксировали ошибки в информационных системах CNAM: медучреждения сообщали о госпитализациях и рецептах в некорректных или неопределённых случаях.
Статистика и реальность не совпадают
По договорам ПМСП в реестрах числилось 3,34 млн человек, тогда как по официальной статистике население страны составляло 2,42 млн. Это может указывать на фиктивное прикрепление пациентов.
Счётная палата рекомендует усилить внутренний контроль, пересмотреть методику расчётов и механизм заключения контрактов. Реакции со стороны Минздрава или CNAM пока не последовало.
Самые интересные новости Гагаузии и Молдовы в телеграм-канале GRT!
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