The Government approved the report on the implementation of 2018 Compulsory Health Insurance Fund (CHIF) budget which will be submitted to the Seimas. Last year, the revenue and expenditure of the CHIF budget amounted to 1,8 billion euros. This not only ensured uninterrupted reimbursement of healthcare costs from the CHIF budget but also made it possible to increase the rates for treatment services. And this, in turn, enabled raising salaries for medics, payment for the new hitherto uncompensated treatment services, reimbursement of a bigger number of essential medicines for the patients.
Last year, most of the funds of the CHIF budget, i.e. around 1,2 billion euros, were allocated for healthcare services. Nearly 311 million euros were spent on medicines and medical aids, more than 54 million euros were spent on medical rehabilitation and sanatorium treatment, 11,8 million euros – on orthopaedic appliances, 97,7 million euros – on health programs and other health insurance costs.
Last year, from the 1st of May, new basic prices of healthcare services reimbursed from the CHIF budget were recalculated and approved. They were increased in a differentiated manner but at least by 10%. The total of 99,5 million euros was additionally allocated for this purpose from the CHIF. The additional funds earned by the healthcare facilities were used to increase the salaries of health care professionals. Last year, during the period from May to December, the salaries of the staff of healthcare facilities (before tax), compared to the period from July 2017 to April 2018, on average increased by 159 euros (18%). Statistics suggest that in the second half of the last year the average salary of doctors in Lithuania was 1873 euros and that of nurses – 958 euros.
In 2018, funding for primary healthcare continued to increase, giving priority to new services for which the incentive bonus is paid, and to good performance results. Given the frequency of visits to the doctor and the incidence of chronic illnesses, the new age groups of the population were approved and the annual base prices of the individuals in each age group were recalculated.
Last year, expensive inpatient services were replaced by day inpatient, day surgery, and appropriate outpatient services without compromising the quality and safety of these services. In 2018, the volume of outpatient surgery, day surgery, day inpatient, monitoring and admission-emergency services provided was 2.6 times higher than that of inpatient active treatment services.
Last year, a total of approximately 1.43 million outpatient surgery, day surgery, day inpatient, monitoring and admission-emergency services (combined), and approximately 549 thousand inpatient active treatment services were provided.
In 2018, 42 new generic drugs for the treatment of infertility in women and men, bronchiectasis, chronic viral hepatitis C, oncological diseases, and type 2 diabetes mellitus were started to be reimbursed.
Last year, compared to the total amount of the costs of purchasing reimbursable medicines, a part of reimbursements paid by the patients for the reimbursable medicines also decreased. In 2018, this part made up 14.4%, in other words it decreased by 4.7% (in 2017, this part made up 19.1%). The average reimbursement paid by the patient per one prescription decreased from 4.99 euros (in 2017) to 3.90 euros (in 2018), i.e. over the year the average reimbursement decreased by about 22%.
Last year, around 1.17 million patients used reimbursable medicines and medical aids, i.e. around 41.9% of the total population of Lithuania. The aging population and the increasing scale of provision of outpatient healthcare services result in increasing administration and use of reimbursable medicines.
The NHIF invites you:
Your questions are welcome by email firstname.lastname@example.org or phone: local (8 5) 232 2222, international +370 5 232 2222