Year ’22, the Golden Card Fund enhances efficiency, controls the disbursement of 9.3 hundred thousand cases.
Today (26 September 2021) Dr. Jadet Thammathatchaaree Secretary-General of the National Health Security Office (NHSO) said at the meeting of the National Health Security Board (NHSO Board) on September 6, which Mr. Anutin Charnvirakul Deputy Prime Minister and the Minister of Public Health (MOPH) was the chairman of the meeting.Adjustment of the efficiency of the administration of the National Health Security Fund and measures to control the disbursement to be correct in the case of services that pay compensation according to the list (Fee Schedule) as proposed by the NHSO
Dr. Jadet spoke about the administration of the National Health Security Fund. (Gold Card Fund) that NHSO has a system to check the disbursement of compensation for accuracy both before and after compensation payment according to the list Due to the problem of compensation disbursement in the past year, NHSO has adjusted the system to focus more on the examination before paying compensation for service fees. This is to improve the efficiency of the National Health Security Fund administration and increase measures to control and limit disbursement to be correct. by organizing a check system before paying compensation as follows: 1. System to verify the identity of the service recipient. (authentication) before receiving the service 2. The system checks disbursement information according to the specified service conditions (1st Adjudication) with a preliminary program. In the event that the program cannot be verified Will send information to the staff for a diagnostic examination (2nd Adjudication) In the case of a large amount of inspection data or a high cost, AI and verification systems will be used to operate. A service with a lot of unusual information.
The secretary-general of the NHSO said that the post-audit inspection will be carried out by the auditor as before. (Pre-authorization) by a medical specialist specializing in diseases and quality of service audit (Quality of care audit) by professional associations
“The NHSO places importance on accurate and prompt disbursement. in order for the service unit to be fully compensated according to the provision of public services At the same time, it increases the efficiency of budget management. In order to comply with the intent of establishing the Golden Card Fund which adjusting the measures to control the disbursement of service fees this time It will be beneficial to all parties,” said Dr. Jadet.
side Dr. Krittiya Sriprasert, MD. Fund management expert NHSO said that for fiscal year 2022, NHSO has set a target of reviewing 936,182 compensation disbursements, of which 936,182 issues are divided into service items in case of payment according to items or Fee Schedule of 814,180 issues No. NHSO. G. has highlighted this year, covering 9 major categories (62 sub-items) as follows: 1. Outpatient Services (OP) Bangkok 2. Critical Illness Emergency Services (UCEP) 3. Specific Case Services (CR) such as chemotherapy, radiotherapy, cochlear implants, drugs, J.2, and outpatient services anywhere. 4. Health promotion and disease prevention (PP) services such as services for pregnant women Unsafe contraception and termination services Cervical cancer screening service and glasses for children with impaired vision 5. Rehabilitation services such as equipment for the disabled and rehabilitation services 6. Hemodialysis service 7. Services in case of COVID-19, including screening, quarantine, emergency sickness, crisis in case of COVID-19 Hospital fees and care for COVID-19 patients at home and in the community 8.Control service Prevention and treatment of diabetes and 9. Examination of patients outside the rights of local authorities.
“The disbursement of compensation that is not in the above checklist There will be other measures to control, for example, the postal drug delivery service is a link to information with the Thai Post Co., Ltd. services for AIDS and HIV patients. It is a link to the data with the NAP program, etc.,” said Dr. Krittiya.
sticks to every situation from
Line @Matichon here
