Ho Chi Minh City Hospital's 2,500 billion VND health insurance 'suspended': Requesting the Ministry of Health to resolve the matter once and for all

bảo hiểm y tế - Ảnh 1. — In just two years, 2023 and 2024, the Ho Chi Minh City Department of Health recorded that the Social Insurance agency has not paid the cost of exceeding the estimated health insurance examination and treatment expenses for hospitals with an amount of nearly 2,500 billion VND - Photo: THU HIEN

Vietnam Social Security recently sent a document to the Department of Health Insurance under the Ministry of Health regarding the cost of exceeding the estimated health insurance medical examination and treatment expenditure for hospitals in 2023 and 2024.

The document stated that Vietnam Social Security had received a dispatch from the Ministry of Health regarding the payment of costs exceeding the estimated cost of medical examination and treatment under health insurance and the failure to recover costs of technical services performed on medical equipment that had not completed the establishment of public ownership before March 4, 2023.

Regarding the cost exceeding the estimated expenditure and the budget for health insurance examination and treatment in 2023, Vietnam Social Security commented:

Vietnam Social Security has submitted a report to the Social Security Management Board on the financial settlement for 2023 and it was approved in Resolution No. 730. However, the resolution does not assign Vietnam Social Security to make an advance payment for expenses exceeding the 2023 budget estimate.

To address the cost of health insurance examination and treatment exceeding the budget, the Ministry of Finance has issued documents reporting to the Government leaders on the amount of health insurance examination and treatment costs that have not been paid, including the cost exceeding the budget for 2023 and 2024.

The Government Office also issued an official dispatch on the implementation of Decree 188. Deputy Prime Minister Le Thanh Long directed the Ministry of Health to coordinate with the Ministry of Finance, the Ministry of Justice and relevant agencies to develop a project to completely handle the backlog of health insurance medical examination and treatment expenses from 2025 and earlier.

It clearly states the current situation and proposes solutions to ensure feasibility, effectiveness, and compliance with regulations to overcome and thoroughly resolve the outstanding debt in settlement of medical examination and treatment costs of previous years, and reports to the Government for consideration in the third quarter of 2025.

Regarding the cost of exceeding the estimated expenditure and the budget for health insurance examination and treatment in 2024, the Ministry of Health has issued an official dispatch on reviewing the amount of excess expenditure for health insurance examination and treatment in 2024.

In which, the Ministry of Finance is requested to urgently direct the Vietnam Social Security to guide the social security of provinces and centrally run cities to preside over and coordinate with the health department and medical examination and treatment facilities to review and determine the medical examination and treatment costs covered by health insurance that have been appraised by the social insurance agency every quarter in 2024 exceeding the expected amount of payment, and to review the increased medical examination and treatment costs of medical examination and treatment facilities that have been warned.

However, the above document does not clearly guide the content of reviewing and determining the costs exceeding the estimated expenditure to be paid as requested by the Ministry of Finance, and is not clear enough for Vietnam Social Security to organize the implementation of detailed regulations and instructions for the implementation of a number of articles of the Law on Health Insurance.

Vietnam Social Security requests the Health Insurance Department to advise the Ministry of Health on the content of reviewing and determining the amount of health insurance medical examination and treatment expenses exceeding the expected amount paid by the health insurance fund, and include it in the project report to the Government to determine the amount of health insurance medical examination and treatment expenses in 2024.

At the same time, the Department of Health Insurance under the Ministry of Health will soon advise the leaders of the Ministry of Health to submit to the Government a definitive settlement of unsettled health insurance medical examination and treatment costs from 2025 and earlier, as announced in Official Dispatch No. 7282 of the Government Office.

The Ministry of Health recommends urgent implementation in accordance with regulations.

Recently, the Ministry of Health sent a document to the Vietnam Social Security under the Ministry of Finance regarding the payment of costs exceeding the estimated cost of health insurance examination and treatment.

Regarding the cost of medical examination and treatment under health insurance exceeding the 2023 budget. The Ministry of Health requested the Vietnam Social Security to urgently report to the Ministry of Finance and submit to the Government for consideration and approval of the cost of medical examination and treatment under health insurance exceeding the 2023 budget to pay for medical examination and treatment facilities, including those in Ho Chi Minh City.

Regarding the cost of medical examination and treatment under health insurance in 2024, the Ministry of Health requested the Vietnam Social Security to direct the social insurance agencies of provinces and centrally run cities to promptly implement in accordance with regulations.

As Tuoi Tre Online reported earlier, many hospitals in Ho Chi Minh City have not been paid for the cost of medical examination and treatment exceeding the health insurance budget for 2023 and 2024 with a total cost of nearly VND2,500 billion.

Some units are currently in debt for medicine and are unable to pay the companies, worrying about the impact on the unit's operations and patient rights.

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Source: https://tuoitre.vn/benh-vien-tp-hcm-bi-trèo-2-500-ti-dong-bao-hiem-y-te-de-nghi-bo-y-te-giai-quyet-dut-diem-20250814103643498.htm