The move came after the Vietnam Social Securitydecided that in 2018, private hospitals and healthcare clinics that wanted tosign a contract with the agency to examine people with health insurance cards,would have to show a legal document proving their quality under the ministry’sstandards.
Le Van Phuc, deputy head of the agency’sdepartment for health insurance implementation, said that basedon the classification, the agency could exactly calculate the rate ofhealth insurance fees it had to cover for a patient treated at a privatehospital or healthcare clinic instead of a public hospital or healthcareclinic.
A health insurance cardholder has to registerone public hospital or health clinic to receive treatment before they startedto use the card. However, patients were sometimes examined and treated atprivate hospitals and healthcare clinics instead of public hospitals andhealthcare clinics as registered.
Additionally, private hospitals and healthcareclinics also want to examine and treat patients with health insurance cards.Thus, they need to be classified at levels equal to public hospitals andhealthcare clinics so that the insurance agency can calculate the fees theywould cover, depending on the quality of private hospitals and healthcareclinics.
Deputy Minister Nguyen Viet Tien said that themove was believed to assist private hospitals and health clinics to competefairly with public hospitals and healthcare clinics.
Under the ministry’s decision No 6062/QĐ-BYTissued late December, the criteria to classify a private hospital includes thenumber of sickbeds, the structuring of doctors and nurses, the quality of staff- and the quality of infrastructure and facilities. Private hospitalswould be classified at four levels. The highest rate is level one.
For example, a private hospital will be rankedlevel one if it has more than 400 sickbeds, the number of nurses is double thenumber of doctors, 60 percent of heads of hospital departments graduatewith Ph.D degrees - and its facilities and infrastructure meet standards.
A private hospital will be ranked level two ifit has 100-400 sickbeds, the number of nurses is not double the number ofdoctors and 20-60 percent of the heads of hospital departments have MAdegrees.
A private hospital ranked level three would haveto have 30-100 sickbeds, the number of nurses was not double the number ofdoctors and only 20 percent of heads of its departments have MA degrees.
Other private hospitals belong to level four.
In the meantime, all private healthcare clinicshave been ranked level three.
It is estimated that the country has about 170private hospitals, more than 30,000 private healthcare clinics and more than 76million health insurance cardholders.-VNA