REFORMING THE FINANCING MECHANISM OF MEDICAL INSURANCE IN RUSSIA
Issues of the effective financing the health system remain relevant for many countries, includ-ing Russia. The reform of the national health care system continues, and after switching to single-channel financing, not only its advantages but also its shortcomings became visible. The main objective of insurance medicine is to increase the interest of health workers in the final results of their work - to treat patients. However, this task is obviously associated with financing, providing for the renewal of equipment and tools, upgrading the skills of medical workers and purchasing all necessary drugs. This article is of an overview nature and is aimed at considering the specifics of financial flows in the system of compulsory medical insurance with its single-channel financing. The article analyzes and systemizes strengths and weak-nesses of single-channel financing of medical services in the framework of compulsory health insurance. The main conclusion is the authors` opinion that the role of insurance companies in the system of compulsory medical insurance is to analyze accounts of medical organizations and transfer money to their accounts, while the responsibility for the results of treatment is completely borne by medical workers.
Keywords: health care, compulsory medical insurance, financing of public expenditures.
Highlights:
• a scheme of cash flows in health care with its one-channel financing is illustrated;
• the advantages of single-channel financing are revealed;
• the directions and principles for functioning of financial flows in the system of com-pulsory medical insurance (OMC) with its one-channel financing are disclosed.
Elena A. Razumovskaya, Doctor of Economics, Professor of Finance, Currency Circulation and Credit Department, Ural Federal University named after the first President of Russia B.N. Yeltsin; Professor of Social and Economic Sciences Department, Ural Law Institute of the Ministry of Internal Affairs of the Russian Federation, Professor of Financial Markets and Banking Department, Ural State University of Economics, Professor of the Applied Econom-ics Department, Technical University of Ural Mining and Metallurgical Company, Ekaterin-burg; Julia V. Istomina, a senior lecturer, leading document manager, Ural Federal University named after the first President of Russia B.N. Yeltsin, Ekaterinburg; Denis Yu. Razumovsky, a Master`s degree student, Ural Federal University named after the first President of Russia B.N. Yeltsin, Ekaterinburg; Valeria V. Fomenko, a lecturer, Ural Law Institute of the Ministry of Internal Affairs of the Russian Federation, Ekaterinburg.