According to the All-Russian Union of Insurers, insurance organizations in the system of compulsory medical insurance in the result of 2017 found violations in 20% of cases of treatment of citizens and saved about 2% of its expenses for the budget of the Federal Compulsory Medical Insurance Fund (FOMS). According to the organization, shortly, the government will begin discussing what is more important for the system - expanding the powers of insurers or criticism, which was previously sounded in their address.

However, a full-scale reform of the role of insurance organizations in the MHI system can start only in the autumn, after the report of the Accounting Chamber on their work - while the White House is more important than increasing the retirement age.

In 2017, insurance organizations in the MHI system conducted about 30 million examinations of medical assistance cases. They found violations in almost 20% or 6.3 million cases of treatment. The majority (3.2 million) make up the weak or inadequate services provided by medical organizations.

Another 2.4 million cases are poor quality medical care, which includes copious amounts of assistance to patients with oncological, cardiovascular and neurological diseases, which are the most frequent causes of death.

In 1 million cases, insurers stated that failure to perform the necessary diagnostic and treatment procedures led to a deterioration in the patient's condition.

For this work, according to the results of the year, insurers received about 1% of the amount of compulsory health insurance funds transferred to pay for medical care (at the expense of the MHIF in 2017, 1.65 trillion rubles is 16 billion rubles). At the same time, based on the results of medical and economic control, insurance companies prevented the misuse of about 1.8% of budget funds to pay for medical care, and, based on the results of the examinations, another 0.7%.

As the vice-president of the ARIA Dmitry Kuznetsov said during the International Conference of the ARIA in St. Petersburg, the growth of critical statements regarding the role of insurance organizations in the healthcare system contradicts the vector indicated by the country's leadership for the development of insurance medicine. "We sent a letter to the First Deputy Prime Minister and Finance Minister Anton Siluanov with a request to form an interdepartmental working group to discuss issues related to the phased implementation of insurance principles in the MLA," he recalled.

"The work of such a group in the government in the future will be very in demand, because disagreements about the role of insurers have existed for many years, and with the arrival of the vice-premier for social issues Tatyana Golikova, they can become acuter," a source in the government said.

Criticism of the work of insurers over the past few years has indeed increased, and in particular, the Accounting Chamber took part in it, and at the end of 2016 accused the insurers of failing to protect patients’ rights over the past three years ( for more details, see “Kommersant” on December 19 2016 ). In early 2018, several initiatives that toughened the requirements for the work of insurance organizations in the health sector were released by the Ministry of Health ( for details, see “Kommersant” on February 28 ). At the end of May, during the SPIEF, both Mrs. Golikova and the head of the Ministry of Health Veronika Skvortsova promised the OMC system greater centralization for more efficient work, which may also indirectly require reform of the insurers’ work.

However, unlike the reform of the pension system, which the government planned to carry out shortly (according to Kommersant, while there is still no specific decision on retirement age – it is expected next week), the reform of the insurance component of CHI is unlikely to begin before 2019. Kommersant was informed by the press service of the Accounting Chamber that the department’s auditors plan to present their analysis of the work of insurers in the OMC system only in the autumn – it is likely that it will start the reform.

However, despite the delayed start of reform of structural issues in the healthcare sector, yesterday the government once again announced a significant increase in spending on it. President Vladimir Putin in a straight line said that the national program to combat cancer would cost the budget 1 trillion rubles. Until the year 2024. This means that the MHI system will receive about 100-150 billion rubles a year. Additional funds.

On April 11, within the framework of the Business Club of the Kommersant Publishing House, a discussion was held on “Investing in Health: Prospects for the Development of Preventive Medicine and Healthy Habitat Programs” with the participation of the Director General of the National Medical Research Center for Cardiology of the Russian Ministry of Health, RAS Sergei Anatolyevich Boytsov, who presented the draft Strategy for the formation of a healthy lifestyle for the population, prevention and control of non-communicable diseases for the period until 2025.

A healthy lifestyle is not just words, for many, it becomes the norm, a habitual daily stereotype of behavior. Medicine, the sports and beauty industry, the food and light industry, referring to the principles of a healthy lifestyle, form the mainstream of modern society, in which one of the indicators of success is maintaining oneself in good physical shape. Workability becomes a synonym for health, and an excellent appearance adds value to the candidate in the labor market.

Modern digital technologies, preventive medicine, healthy food, sports, peace of mind are the faithful helpers of people in the struggle for health. And here it is essential to distinguish the actual benefits from the imaginary, imposed advertising slogans, for an hour very aggressively invading the mind of the consumer.

The dialogue between the state and business in this matter is not easy to build. Laws that limit the impact of harmful substances, the sale of unhealthy foods and beverages, both those that have been adopted and those that are only being discussed, despite the apparent benefits, cause many heated debates and discussions. Arguments for and against, economic and social expediency, demographic problems, immediate or delayed, long-term benefits – all these issues have become the subject of discussion among the participants in the debate.

General Director of FGBU “National Medical Research Center of Cardiology” of the Ministry of Health of Russia, the chief freelance expert on medical prophylaxis of the Ministry of Health of Russia S.A. Boytsov, presenting the draft of the Strategy for the formation of a healthy lifestyle of the population, the prevention and control of noncommunicable diseases for the period until 2025, noted that despite the reduction in mortality in Russia, it remains high. The main factors that reduce life expectancy and affect mortality are obesity, smoking, uncontrolled high blood pressure.

At the same time, studies confirm that prevention and adherence to the rules of a healthy lifestyle – quitting smoking, proper nutrition, salt restriction and physical activity significantly affect health and reduce mortality. The importance of the measures proposed in the draft Strategy cannot be overestimated, because the problems of reducing mortality, saving people and increasing life expectancy are now acuter than ever.

Changes that are already in place and will be introduced for producers and consumers of food, alcohol and tobacco are designed to create conditions for strengthening the principles of a healthy lifestyle, increasing the adherence of consumers to goods and services, increasing the responsibility of businesses in improving quality and meeting the high standards of the product.