Compulsory Social Health Insurance to reduce people’s spending on healthcare by 2 times — Lyazat Aktayeva on introduction of insurance medicine

Friday, 13 September 2019, 12:57:36

President Kassym-Jomart Tokayev, in his Address to the people of Kazakhstan, paid special attention to the introduction of Compulsory Social Health Insurance. The system will start from Jan. 1, 2020. Moreover, as the Head of State emphasized, free medical care will remain available to every Kazakhstani. Vice Minister of Healthcare Lyazat Aktayeva told what exactly will change in the healthcare system in an exclusive interview with PrimeMinister.kz.

— Lyazat Meirashevna, the issue of introducing medical insurance has a two-year history. The Fund itself earned in July 2017, but the launch of the system was postponed twice. And finally, the President announced the transition to insurance medicine. What is the country's willingness?

— We can say that we had a good enough preparatory period for working with self-employed citizens, updating their status, preparing information systems and legal acts, for training medical workers. Over the years, all the shortcomings that took place earlier were eliminated. Today, the healthcare system is in a high level of readiness for the implementation of insurance system.

The fund during this time has already become a full-fledged single payer of medical services within the guaranteed volume of free medical care, worked out the procurement procedure to the smallest detail, and developed a high-quality base of suppliers — medical organizations. And this despite the fact that today deductions and contributions are made only for employees, and only recently began to be made self-employed. Branches have been created, teams have been formed, the procurement of medical services that will be implemented in the system of compulsory medical insurance has also been introduced.

The only thing that remains for us to complete by Jan. 1, 2020 is to update the status of citizens, to keep records of the insured or uninsured. And the second is to perfect the system of separate accounting of medical services in free and insurance packages. For this, we need medical information systems.

— You mentioned the actualization of the status of citizens. According to the latest data from the Ministry of Healthcare, about 600 thousand people remain out of data. How much is it?

— This is only 5% of the population who do not yet realize all the benefits that the compulsory health insurance system provides. In any case, we are aware of the potential risk that the health insurance system may face tomorrow because of these citizens. Therefore, it is now very important for us to convey to the population all the obvious advantages of insurance medicine and their risks of non-participation. We conduct outreach in this direction, and we think that by the end of the year we will engage them in the insurance system.

If you look from the other side, we show a fairly high level of involvement — 95% of the population, with 80% recommended by international experts, with whom developed countries switched to insurance medicine. This is a kind of indicator that we have already exceeded. Moreover, many countries have introduced a purely insurance model, while in our country it is socially oriented. That is, we maintained the guaranteed volume of free medical care, which minimized the risk of non-receipt of medical care by the population. This was clearly indicated by the Head of State in his Message, this is guaranteed by paragraph 2 of Article 29 of the Constitution of the Republic of Kazakhstan and Article 34 of the Code "On the Health of the People and the Health Care System."

— Sep. 1, the Project was launched in pilot mode in the Karaganda region. What does it provide?

— Before a full-scale launch, we had to test the system in order to eliminate and fix all the flaws. A project office has been created in the region, which will conduct daily monitoring. We will also go there on a weekly basis, meet with health workers, heads of the Health Departments and raise all relevant questions for us on the spot, what else needs to be improved so that the transition to insurance medicine will be painless for the country.

As part of this pilot, we provided the opportunity for all local residents, regardless of their participation in the system, to undergo preventive examinations and receive rehabilitation assistance until Dec. 31.

— The president noted that over three years, including insurance funds, an additional 2.3 trillion tenge will be allocated for the development of healthcare. What funding is supposed to provide guaranteed free volume of medical care?

— In fact, the volume of financing of the guaranteed volume of medical care will remain at the same level as it is now. This is about one trillion tenge per year. The money that comes to the insurance package will be in addition to the existing amount of financing. It is due to this that we are talking today about increasing volumes, improving the quality and accessibility of medical care.

— What medical services will remain in the free package, and what can be obtained only in the insurance?

— All emergency assistance entered the guaranteed volume of medical care. That is, if the patient has any complaints, the temperature rises, pain appears, he goes to the doctor and, regardless of the insurance status, receives medical care for free. Primary health care, ambulance and palliative care, air ambulance - all this remains in a guaranteed package.

But the free package also provides a complete list of medical care for socially significant diseases and 25 major chronic non-infectious diseases, such as diseases of the cardiovascular system, respiratory system, oncology, diabetes mellitus, and mental disorders that give high disability and mortality. In this case, consultative-diagnostic, hospital-replacing, planned inpatient care, outpatient drug support, and medical rehabilitation for tuberculosis will be free of charge. The same services will be available in the insurance package for all insured. For this package to expand further it is important that our population actively participates in the health insurance system and makes monthly contributions and deductions to the system.

At the same time, we say that for 15 privileged categories, including children, pensioners, disabled people, mothers with many children, the state will pay. Whereas hired workers, employers, individual entrepreneurs, self-employed, independent payers will pay for themselves.

— You talked about the advantages of the system. What exactly is it about?

— There are so-called expenses of the population, when citizens independently, from their own funds, pay for treatment, diagnostic services and expert advice. Including guaranteed free services. This was due to underfunding of the industry. As a result, we received an increase in pocket expenses of the population in the total expenditures on health care up to 40%. While international experts say that we can talk about the sustainability of the health care system if the costs of the population do not exceed 20%. This has become the main prerequisite for the transition to insurance medicine.

The insurance should reduce private costs by half, which, in turn, will increase the availability of medical care. And the competitive environment in which medical organizations will operate will increase the quality of this assistance.

— As far as we know, in fact the system will work not from Jan. 1, but from April 1. During these three months, will Kazakhstanis be able to receive medical care in an insurance package?

— That's right. Until this period, all citizens will be considered conditionally insured. But in April, with insurance, they will need to pay off the debt for the first three months. Therefore, we clearly declare that the medical insurance system will fully work as of Jan. 1, 2020.

— Thanks for the interview!


News feed
08 December 2019, 23:12
Video Digest: Results of Prime Minister Askar Mamin’s working trip to Shymkent and Turkistan region
07 December 2019, 19:44
Berdibek Saparbayev instructs to assist in resolving issues of socially vulnerable segments of the population
06 December 2019, 18:07
Current oil production at large oil refineries remains high — Ministry of Energy
06 December 2019, 17:13
Oil market situation is stable — Ministry of Energy
06 December 2019, 16:34
Oil production plan to be exceeded in 2019 — Ministry of Energy
06 December 2019, 13:39
Government discusses issues of increasing effectiveness of pension system
05 December 2019, 15:44
Askar Mamin kicks off new projects in Turkistan
05 December 2019, 13:58
Press conference to be held on development of oil and gas industry
05 December 2019, 12:43
Economy of simple things: Askar Mamin launches production of textiles and food in Shymkent and Turkistan region
04 December 2019, 17:29
Prime Minister Askar Mamin holds meeting of National Qualifications Council
04 December 2019, 17:19
Prime Minister Askar Mamin holds board meeting of Kazakh Invest
03 December 2019, 12:19
113 investment projects worth 4.4 trillion tenge under development and implementation in agro-industrial complex — Ministry of Agriculture
03 December 2019, 10:51
We must eliminate dependence on imports of socially significant food products – Askar Mamin
03 December 2019, 10:46
Government reviews tax and customs administration issues
03 December 2019, 10:41
Government considers draft State Program for Development of Regions until 2025
03 December 2019, 10:34
Tax amnesty for SMEs and individuals led to payment of 23 billion tenge of tax debts — Smailov
03 December 2019, 09:49
Seventeen thousand specialists received preferential budget loans for purchase of housing under the program "With a Diploma – to the Village"
03 December 2019, 08:05
Askar Mamin meets with President of International Association of Athletics Federations Sebastian Coe
03 December 2019, 07:58
Askar Mamin meets with Governor of Qatar Central Bank Abdulla Bin Saoud Al Thani
29 November 2019, 18:00
Government session to be held Dec. 3 in Ukimet Uyi
29 November 2019, 13:33
Prime Minister Askar Mamin opens road ring around Nur-Sultan
29 November 2019, 10:58
Askar Mamin holds negotiations with largest business community in France
29 November 2019, 09:35
Berdibek Saparbayev holds meeting on child safety
28 November 2019, 18:11
Prime Minister Askar Mamin holds meeting of National Commission for Modernization
28 November 2019, 14:55
Prime Minister Askar Mamin reviews preparations for a meeting of Foreign Investors' Council chaired by the President of Kazakhstan
27 November 2019, 17:42
Head of Government holds third meeting of Dialogue on Investment Cooperation between Kazakhstan and the EU
27 November 2019, 17:27
Prime Minister Askar Mamin holds meeting on development of construction industry
27 November 2019, 15:03
Public Service Center in your pocket, amendments to labor legislation, excise taxes on gasoline — how Government Tuesday took place
26 November 2019, 14:33
Askar Mamin receives Head of Rosatom State Corporation Alexey Likhachev
26 November 2019, 14:23
Which categories of employees will get salary increase in 2020?
26 November 2019, 12:39
Level of industrial injuries decreased by 13% in 2019 — Ministry of Labor and Social Protection of the Population
26 November 2019, 12:15
Marat Tazhin appointed ambassador extraordinary and plenipotentiary of the Republic of Kazakhstan in the Czech Republic
26 November 2019, 11:54
Since early 2019, enterprises increased salary of 1.2 million employees by 32%
26 November 2019, 11:12
Government for Citizens State Corporation provided over 24 million public services in 10 months
26 November 2019, 09:53
Government considers labor regulation issues
26 November 2019, 09:53
Prime Minister Askar Mamin set the task to bring availability of internet public services to 90%
26 November 2019, 09:49
In 2020, digital literacy rate of population to increase to 80% — Askar Zhumagaliyev
25 November 2019, 12:35
Yerzhan Yerkinbaev appointed chairman of Kazakh Tourism National Company 
25 November 2019, 11:51
Government session to be held Nov. 26 in Ukimet Uyi
22 November 2019, 16:41
Children's rehabilitation: What will change after implementing compulsory social health insurance
22 November 2019, 11:45
Prime Minister Askar Mamin holds negotiations with President of the Swiss Confederation Ueli Maurer
22 November 2019, 08:23
Prime Minister Askar Mamin holds a board meeting of Baiterek National Holding
21 November 2019, 22:10
Video Digest on results of Prime Minister Askar Mamin’s working trip to Mangystau region
21 November 2019, 21:44
“Sea Gates” of Kazakhstan and mining industry: Development of Mangystau region
20 November 2019, 15:16
When providing gas, utility meters will be given to each consumer for free — Akimat of Nur-Sultan
20 November 2019, 13:58
Ministry of Energy on cost of gas: Our goal is to form the lowest and affordable price for the population
20 November 2019, 13:52
Saryarka gas pipeline to be completed Dec. 31, 2019 — Zhurebekov
19 November 2019, 17:29
Single exporter support portal to be launched in December 2019
19 November 2019, 17:20
From producing to entering foreign markets: QazTrade to launch Export Acceleration Program in 2020
19 November 2019, 17:00
Prime ministers of Kazakhstan and Azerbaijan launched construction of fiber optic links along the bottom of the Caspian Sea
19 November 2019, 16:26
Developing new program and launching single portal: How QazTrade organizes export promotion work
19 November 2019, 15:43
Press conference to be held on progress of Saryarka gas pipeline construction as part of the Five Social Initiatives
19 November 2019, 15:29
Five areas of new housing program, results of pilot project on health insurance and food prices — as discussed at the Government session
19 November 2019, 09:50
Alikhan Smailov attends meeting of the Council of Eurasian Economic Commission
18 November 2019, 17:57
Who can get soft loan to purchase housing under 5-20-25 program and how to do it
18 November 2019, 16:33
E-Qurylys Unified Information System to be introduced in 2020 as part of new Nurly Zher program
18 November 2019, 16:21
Askar Mamin holds a meeting of Council on Improving Investment Climate
18 November 2019, 16:09
Olzhas Smagulov appointed deputy head of the Office of the Prime Minister of Kazakhstan
18 November 2019, 15:09
New Nurly Zher program: Housing waiting lists to be formed based on level of population’s income
18 November 2019, 13:33
Ministry of Trade and Integration announces mechanisms of preventing growth of prices for socially significant goods
18 November 2019, 13:15
Medical services becoming increasingly available — Ministry of Healthcare about results of pilot on implementation of compulsory social health insurance in Karaganda region
18 November 2019, 12:02
Kazakhstan and Uzbekistan adopt roadmap for enhancing cooperation in agriculture
18 November 2019, 11:37
Beibut Atamkulov speaks about five main areas of new 2020-2025 Nurly Zher Housing Program
18 November 2019, 10:31
It is important to prevent increase of prices for socially significant food products — Askar Mamin
18 November 2019, 10:19
Government considers country's readiness for implementation of compulsory social health insurance
18 November 2019, 10:02
Government reviews implementation of Nurly Zher State Program and sets goals for 2020-2025
17 November 2019, 20:15
Building microdistricts, opening new enterprises and updating medical equipment — how is North Kazakhstan region developing
16 November 2019, 17:25
Prime Minister Askar Mamin visits North Kazakhstan Region on a working trip
16 November 2019, 15:36
Government session to be held Nov. 18 in Ukimet Uyi
16 November 2019, 10:56
Askar Mamin participates in foresight session of ADB and Kazakhstan on improving country’s competitiveness
16 November 2019, 04:37
Pavlodar region: Increasing industrial production and focusing on entrepreneurship
15 November 2019, 20:11
Prime Minister Askar Mamin makes a working trip to Pavlodar region
15 November 2019, 18:30
The task of the state is to help young people realize their potential — Saparbayev
15 November 2019, 16:30
About 11 million Kazakhstanis to receive CSHI medical services at the expense of state contributions — Aibatyr Zhumagulov
15 November 2019, 16:23
In first quarter of 2020, guaranteed volume of medical care and medical insurance services to be available to everyone
15 November 2019, 15:46
Today, 95% of Kazakhstanis participate in compulsory health insurance system — how are preparations for introducing medical insurance carried out in 2020?
15 November 2019, 14:59
Conference on Financial Market and Real Economy of Kazakhstan taking place in Almaty
15 November 2019, 12:55
Askar Mamin meets with President of Asian Development Bank Takehiko Nakao
14 November 2019, 18:16
Meeting of Management Council of Samruk-Kazyna Sovereign Wealth Fund chaired by First President of Kazakhstan
14 November 2019, 15:23
Askar Mamin meets with Deputy Prime Minister of Qatar Hamad bin Abdulaziz al-Kawari
14 November 2019, 10:55
National Museum of Kazakhstan presents Golden Warrior at exhibition in Athens
13 November 2019, 11:08
Berdibek Saparbayev gets acquainted with work of Paralympic Training Center
13 November 2019, 10:06
Fatima Zhakypova relieved as vice minister of education and science of the Republic of Kazakhstan
12 November 2019, 19:54
About 200 thousand people engaged in reconstruction and construction of roads
12 November 2019, 18:25
Prime Minister Askar Mamin meets with Head of IMF Mission in Kazakhstan Mark Horton
12 November 2019, 17:29
National Center for Roads Quality to control over 70 thousand km of local roads
12 November 2019, 16:05
Over 200 km of roads to be opened in collaboration with foreign companies before the year’s end — Ministry of Industry and Infrastructure Development
12 November 2019, 13:06
Askar Mamin opens forum "Space Days in Kazakhstan: Baikonur – the Cradle of World Cosmonautics"
12 November 2019, 12:39
Automotive gasoline production fully covers domestic consumption — Ministry of Energy
12 November 2019, 12:28
Gross meat production increased by 5.5% for 10 months of 2019 — Ministry of Agriculture
12 November 2019, 12:15
According to results of 10 months in 2019, growth observed in all sectors of manufacturing industry — Ministry of Industry and Infrastructure Development
12 November 2019, 11:44
Over 10 thousand Kazakhstanis received loans under 7-20-25 program — National Bank
12 November 2019, 10:50
Over 10 months, Kazakhstan's economy grew by 4.4%
12 November 2019, 10:43
For January-October 2019, revenues to republican budget increased by 17% — Ministry of Finance
12 November 2019, 10:38
Share of small and medium enterprises in GDP increased to 28.5% in 10 months of 2019 — Ministry of National Economy
11 November 2019, 19:29
Askar Mamin’s working visit to Turkey: negotiations with Erdogan, meeting of intergovernmental commission and business forum
11 November 2019, 14:02
Press conference to be held on construction and reconstruction of roads
11 November 2019, 13:56
Government session to be held Nov. 12 in Ukimet Uyi
09 November 2019, 13:10
Askar Mamin to attend meeting of Kazakh-Turkish Intergovernmental Commission and business forum in Istanbul
09 November 2019, 12:32
Improving quality of health and education systems: Government working group visits Pavlodar region
09 November 2019, 11:06
It is necessary to extend experience of Rodina agricultural firm to other peasant farms — Askar Mamin
08 November 2019, 10:01
Saparbayev instructs to establish uniform payments to veterans for 75th anniversary of the Victory
08 November 2019, 09:53
Forum of Interregional Cooperation between Kazakhstan and Russia: Trade increased by 3.5 times over 15 years
07 November 2019, 18:55
How to get affordable housing in Kazakhstan: 7-20-25, Baqytty Otbasy and Askeri Baspana
07 November 2019, 17:31
Aidyn Karimov appointed deputy head of the Office of the Prime Minister
07 November 2019, 17:28
Government session: Approaches to support SMEs and develop rural areas created and a list of new laws defined
07 November 2019, 12:22
Prime Minister Askar Mamin meets with leadership of France-Kazakhstan Chamber of Commerce
06 November 2019, 18:44
Minister of Trade and Integration Bakhyt Sultanov discusses reforms of World Trade Organization with his WTO colleagues
06 November 2019, 18:04
Nurbek Dairbekov appointed vice minister of agriculture of the Republic of Kazakhstan
06 November 2019, 16:40
Decree of the Government of Kazakhstan on rescheduling rest days in 2020
06 November 2019, 11:33
Over the years of implementation of Business Road Map–2020, more than 16 thousand small and medium enterprises funded
06 November 2019, 10:22
Government to submit 16 bills to the Parliament in 2020
06 November 2019, 10:19
Ministry of Justice of Kazakhstan presents list of bills planned for 2020
06 November 2019, 10:08
In 2020, 80 billion tenge to be allocated for modernization of rural infrastructure — Roman Sklyar
06 November 2019, 10:00
Askar Mamin: Implementation of Aul – El Besigi project to improve quality of life of 7 million rural residents
06 November 2019, 09:51
421 billion tenge to be allocated on implementation of Business Roadmap-2025 State Program
05 November 2019, 17:46
Nursultan Nazarbayev visits several objects in Turkistan region
05 November 2019, 13:26
Alikhan Smailov attends opening of II China International Import Expo in Shanghai
05 November 2019, 12:55
Government session to be held Nov. 6 in Ukimet Uyi
04 November 2019, 18:41
Video Digest on Prime Minister Askar Mamin’s participation in XVIII meeting of the Council of Heads of Government of the SCO Member States in Tashkent
04 November 2019, 18:20
Kazakhstan and China improving quality and level of bilateral cooperation
04 November 2019, 18:18
Berdibek Saparbayev holds a meeting on issues of maternal and infant mortality
04 November 2019, 15:20
National Museum of Kazakhstan to present exhibition of ancient and medieval art of Kazakhstan in Greece
04 November 2019, 14:27
Youth marathon "El Umiti" takes place in Aktobe
02 November 2019, 12:44
Askar Mamin meets with Premier of PRC State Council Li Keqiang
02 November 2019, 12:38
Askar Mamin presents package of initiatives for development of economic cooperation within SCO
01 November 2019, 17:30
Prime Minister of Kazakhstan Askar Mamin meets with Prime Minister of Afghanistan Abdullah Abdullah
01 November 2019, 17:22
Askar Mamin meets with President of Uzbekistan Shavkat Mirziyoyev
01 November 2019, 16:17
Tax wallet and bonuses of 0.5% — Ministry of Finance tells about planned digital innovations
01 November 2019, 15:01
Cost of cash registers to be excluded from tax base of business entities — Ruslan Yensebayev
01 November 2019, 13:41
94% cash desks operate online — Ruslan Yensebayev on accounting of income of business entities
01 November 2019, 11:41
Alikhan Smailov meets with US Ambassador Extraordinary and Plenipotentiary to the Republic of Kazakhstan William Moser and UN Country Team
01 November 2019, 09:17
Prime Minister Askar Mamin will take part in a meeting of the Council of Heads of Government of the SCO member states on Nov. 2 in Tashkent
31 October 2019, 18:52
There is no shortage of open wagons for coal shipment in heating season — Ministry of Industry and Infrastructure Development
31 October 2019, 18:08
Antimonopoly Committee takes measures to prevent price collusion in coal market
31 October 2019, 17:46
Video Digest following official visit of Prime Minister Askar Mamin to the Kingdom of the Netherlands
31 October 2019, 17:25
Coal price in regions ranges from 7 thousand to 19 thousand tenge per ton — Ministry of Industry and Infrastructure Development
31 October 2019, 17:09
Sergazy Omash appointed chairman of Committee on Geodesy and Cartography
31 October 2019, 17:06
Sixty-one million tons of coal delivered to domestic market of Kazakhstan
31 October 2019, 16:12
Press conference to be held on construction and reconstruction of roads
31 October 2019, 16:05
Press conference to be held on implementing online cash registers and tax incentives for business
31 October 2019, 13:01
Berdibek Saparbayev discusses preparations for 2020 Olympics in Tokyo
31 October 2019, 09:31
Roman Sklyar meets with William H. Moser, Ambassador Extraordinary and Plenipotentiary of the United States to the Republic of Kazakhstan
31 October 2019, 07:40
Prime Minister of Kazakhstan Askar Mamin met with Prime Minister of the Netherlands Mark Rutte and took part in Kazakh-Dutch business forum
30 October 2019, 19:05
How is selection for Presidential Youth Personnel Reserve taking place — participants' opinions
30 October 2019, 15:17
Cancelling address certificate: How will public services be provided
30 October 2019, 14:45
Third parties can receive address certificates only with permission of the citizen himself — Ablaykhan Ospanov
30 October 2019, 14:01
Press conference to be held on provision of coal to public utilities sector and population
30 October 2019, 13:15
Information on place of residence to be provided only by residents of border settlements — Ministry of Internal Affairs
30 October 2019, 13:13
Starting Nov. 1, government bodies will not require address information from citizens — Ablaykhan Ospanov
29 October 2019, 19:51
For 9 months of 2019, over 10 thousand microloans issued for implementation of business projects in the countryside
29 October 2019, 19:48
Since the start of Enbek program, 1.3 million people found jobs
29 October 2019, 19:25
Ministry of Commerce of Kazakhstan is preparing a major trade mission to Minsk
29 October 2019, 18:41
Increase in share of renewable energy sources will reduce greenhouse gas emissions by 15 million tons — Magzum Mirzagaliyev
29 October 2019, 18:38
By 2025, 2.6 million new jobs to be created in Kazakhstan – Ruslan Dalenov
29 October 2019, 18:33
XII WTO Ministerial Conference to be held in Nur-Sultan
29 October 2019, 17:54
Eighty-seven renewable energy facilities to operate in Kazakhstan by the end of 2019 — Ministry of Energy
29 October 2019, 17:32
Prime Minister Askar Mamin ordered to improve mechanisms of Enbek state program and to develop measures for facilitating labor market by 2025
29 October 2019, 17:30
In 2019, capacity of renewable energy sources in Kazakhstan doubled
29 October 2019, 17:16
Press conference to be held on canceling address reference
29 October 2019, 12:58
National Commission for Modernization chaired by prime minister reviewed implementation of the Head of State’s Address
28 October 2019, 18:36
Facilitating business conditions: How improvement of Kazakhstan’s position in Doing Business ranking affects development of small and medium business
28 October 2019, 17:58
Local and foreign investors use Doing Business rating for guidance — Madiyev on Kazakhstan's joining the TOP-25
28 October 2019, 17:00
Kazakhstan is ahead of Austria, Japan, Spain, France, Switzerland and the CIS countries in Doing Business ranking
28 October 2019, 15:49
Oct. 30, 2019, Prime Minister Askar Mamin to pay official visit to the Netherlands
28 October 2019, 14:54
Government session to be held Oct. 29 in Ukimet Uyi
26 October 2019, 14:33
Berdibek Saparbayev holds a meeting on preparing for celebration of Al-Farabi’s anniversary in Turkistan region
26 October 2019, 07:50
Askar Mamin participates in meetings of CIS and EAEU, and holds talks with Dmitry Medvedev
25 October 2019, 17:28
Berdibek Saparbayev discusses main issues in social sphere with residents of Shymkent
25 October 2019, 15:25
Press conference to be held on developing entrepreneurship and improving business climate in the country
© 2019 Press service of the Prime Minister of the Republic of Kazakhstan