The President of the National Health Insurance House, university professor Dr. Horațiu-Remus Moldovan, announced that the financing of hospitals in Romania will soon be based on the performance and real needs of patients. The measure aims to eliminate waste and encourage accountability in the use of public funds.
Horațiu-Remus Moldovan announces that hospitals will be evaluated according to performance PHOTO: Archive
During a video conference with the directors of the 43 health insurance companies in the country, the CNAS president discussed the new indicators that will form the basis of hospital financing. The legislative changes recently adopted by the Parliament and validated by the Constitutional Court allow a more balanced redistribution of funds, depending on the actual activity of the medical units.
“Hospitals provide vital services, but the reality is that, in some places at least, their structures have remained unchanged for 50 years and are out of touch with people’s real, current needs. Romanians deserve functional hospitals, with staff who understand what the medical act done with responsibility and respect for the patient means, and the indicators for funding hospitals have only one purpose: to reflect performance, not inertia, not old habits“, said associate professor Dr. Horațiu-Remus Moldovan.
The President of CNAS emphasized that it is “abnormal that some doctors operate emergencies all night, while other on-call lines exist only out of habit”.
Reorganization of departments and cooperation between hospitals
Each hospital will have to evaluate its activity and decide which departments will be kept, resized or reorganized. In the case of medical units with underutilized wards, they will be able to form consortia to offer together the services that patients in the area need.
According to the CNAS president, patients must know that “every leu from health insurance contributions goes where it counts: in treatments, sanitary materials, medicines and fair salaries for medical staff”.
“Let’s get out of the administrative comfort zone”
At the end of the discussions, Horațiu-Remus Moldovan asked the directors of the insurance companies to send a clear message to the hospital managers: to look for real solutions for the efficiency of the activity and the improvement of medical services.
“CNAS, through the county health insurance companies, will offer support to every hospital that wants to become more efficient in the coming months. We all want fairness and accountability in spending public money, which means getting out of the administrative comfort zone and to find the right solutions for patientssolutions such as, for example, the blood negotiation of each contract for sanitary materials, equipment and consumables”said Moldovan.
He added that “nobody wants to close hospitals, but we can’t tolerate waste either”. “I believe we can all be responsible, because tens of thousands of lives depend on our work and attitude every day! Let’s look at things from the patients’ perspective too!“, concluded the CNAS president.
