Insurance profiteering a plague


Update: June, 29/2017 – 10:52

Health insurance profiteering is still common in private hospitals and health clinics, with medicine improperly prescribed and purchased, leading to an imbalance of. the healthcare fund. — Photo

HÀ NỘI – Health insurance profiteering is still common in private hospitals and health clinics, with medicine improperly prescribed and purchased, leading to an imbalance of. the healthcare fund, health experts have said.

The statement was made at the dialogue on legal policies on health insurance between Việt Nam Social Insurance and Việt Nam Private Hospitals Association held yesterday. The dialogue was a chance for representatives of private hospitals and health clinics to highlight difficulties in implementing the amended Law on Health Insurance.

Deputy general manager of Việt Nam Social Insurance Phạm Lương Sơn said that since the amended regulations were implemented two years ago, the number of hospitals providing health insurance services and patients increased greatly.

Figures from the organisation showed that 365 private hospitals and health clinics signed contracts to provide health insurance services in 2015, and this number increased to 444 in 2017.

In 2015, the fund paid VNĐ2.8 trillion (US$123 million) to more than 6.5 million insurance card holders. In 2016, the fund paid VNĐ6.6 trillion ($290 million) to more than 16.6 millions cald holders, with this year’s number expected to rise strongly – VNĐ1.58 trillion ($69 million) for 4.2 million card holders within the first three months.

However, there were shortcomings in health insurance services at private clinics.

Nguyễn Tá Tỉnh, head of the organisation’s Medicines and Medical Equipment Unit said that clinics persisted in selecting, purchasing and using drugs and medical supplies that were not cost-effective.

Some private hospitals held drug bidding, but the selection of contractors remained ineffective.

For example, 92 types of drugs sold at Vinmec International Hospital cost more than at Saint Paul Hospital with total difference value of VNĐ2.8 billion.

Some facilities prescribed expensive drugs or offered many medical techniques for health insurance holders to attract more patients.

Dương Đức Tuấn, director of the Centre for Health Insurance Coverage and Multi-level Payment in the north agreed, saying that some services were unnecessarily prescribed and the prescriptions were often repeated.

At the conference, Việt Nam Social Insurance signed a co-ordination agreement with Việt Nam Private Hospitals Association to solve difficulties and improve the effectiveness of the implementation of the health insurance regulations. – VNS

This entry was posted in Bảo hiểm sức khỏe - Health insurance, Giá thuốc - Drug price, Y tế - Health care and tagged , by Trần Đình Hoành. Bookmark the permalink.

About Trần Đình Hoành

I am an attorney in the Washington DC area, with a Doctor of Law in the US, attended the master program at the National School of Administration of Việt Nam, and graduated from Sài Gòn University Law School. I aso studied philosophy at the School of Letters in Sài Gòn. I have worked as an anti-trust attorney for Federal Trade Commission and a litigator for a fortune-100 telecom company in Washington DC. I have taught law courses for legal professionals in Việt Nam and still counsel VN government agencies on legal matters. I have founded and managed businesses for me and my family, both law and non-law. I have published many articles on national newspapers and radio stations in Việt Nam. In 1989 I was one of the founding members of US-VN Trade Council, working to re-establish US-VN relationship. Since the early 90's, I have established and managed VNFORUM and VNBIZ forum on VN-related matters; these forums are the subject of a PhD thesis by Dr. Caroline Valverde at UC-Berkeley and her book Transnationalizing Viet Nam. I translate poetry and my translation of "A Request at Đồng Lộc Cemetery" is now engraved on a stone memorial at Đồng Lộc National Shrine in VN. I study and teach the Bible and Buddhism. In 2009 I founded and still manage on positive thinking and two other blogs on Buddhism. In 2015 a group of friends and I founded website CVD - Conversations on Vietnam Development ( I study the art of leadership with many friends who are religious, business and government leaders from many countries. In October 2011 Phu Nu Publishing House in Hanoi published my book "Positive Thinking to Change Your Life", in Vietnamese (TƯ DUY TÍCH CỰC Thay Đổi Cuộc Sống). In December 2013 Phu Nu Publishing House published my book "10 Core Values for Success". I practice Jiu Jitsu and Tai Chi for health, and play guitar as a hobby, usually accompanying my wife Trần Lê Túy Phượng, aka singer Linh Phượng.

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