Federal Compulsory Medical Insurance Fund (Russia) Overview

The Federal Compulsory Medical Insurance Fund (FCMIF) is a vital component of Russia's healthcare system. It's a mandatory health insurance fund that covers a significant portion of the population.

The FCMIF was established in 1993 and is managed by the Ministry of Health of the Russian Federation. It's a decentralized system with separate funds for each region.

The FCMIF is primarily funded by employers, with some contributions also coming from employees and the government. This funding model ensures that most Russians have access to healthcare services.

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The Federal Compulsory Medical Insurance Fund in Russia has a rich history dating back to 1993, when it was established to provide medical insurance coverage to all citizens.

It's worth noting that the fund has undergone several reorganizations and changes since its inception, with the most significant one being the adoption of the law on compulsory health insurance in 1996.

The fund's performance has been impressive, with over 90% of the Russian population covered under the compulsory medical insurance program as of 2020.

This high coverage rate is a testament to the fund's effectiveness in providing accessible and affordable healthcare to the Russian people.

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In 2022, Ilya Balanin took on a significant role in the Russian healthcare system. Ilya Balanin was appointed as the new head of the Federal Compulsory Health Insurance Fund (FFOMS) on April 26, 2022.

The change was made official by a decree signed by Prime Minister Mikhail Mishustin.

In 2022, the Federal Compulsory Health Insurance Fund (MHIF) achieved a surplus of 122.36 billion rubles. The MHIF budget for 2022 received over 2.9 trillion rubles, which is 5.1% more than approved in the law on the budget of the Compulsory Health Insurance Fund.

The MHIF expenses in 2022 were executed at 99.4% of the total planned values, amounting to 2.797 trillion rubles. This is a significant increase in the amount of funds allocated for compulsory medical insurance of some categories of citizens.

140 billion rubles were allocated from the federal budget in 2022 for medical care for cancer patients. Almost 110 billion rubles were spent on providing high-tech assistance that is not part of the compulsory medical insurance program.

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The MHIF also transferred 47.5 billion rubles from the federal budget to compensate for the shortfall in budget revenues of the fund in connection with the establishment of reduced rates of payment of insurance premiums for compulsory medical insurance for certain categories of insurers. This is 33.9% more compared to the previous reporting period.

Federal clinics will be funded through the MHIF.

The State Duma adopted a bill on November 18, 2020, to finance clinics subordinate to federal executive bodies through the Compulsory Health Insurance Fund.

Federal clinics will be funded through the MHIF. This is a significant change, as it means they won't be relying on insurance medical organizations for financing.

The MHIF is the Compulsory Health Insurance Fund, which plays a crucial role in funding healthcare in Russia.

On November 18, 2020, the State Duma adopted a bill that made this change possible.

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The Federal Compulsory Medical Insurance Fund in Russia is governed by a federal law that outlines its budget and financial operations. The law was approved by the Federation Council on November 22, 2023.

The law sets the predicted total amount of budget receipts for 2024 at 3 738 679 381.6 thousand rubles, with 486 601 103.9 thousand rubles coming from interbudget transfers from the federal budget. The total amount of expenses is set at 3 885 765 031.4 thousand rubles, resulting in a budget deficit of 147 085 649.8 thousand rubles.

The law also approves sources of internal financing for the budget deficit for 2024, 2025, and 2026, and outlines the distribution of budgetary appropriations for sections, subsections, target articles, and groups of expense types of classification of budget expenses.

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In 2014, a massive embezzlement scheme was uncovered in Russia, resulting in the theft of 250 million rubles.

The scheme was orchestrated by a high-ranking government official, who used their position to embezzle funds from a state-run company.

This scandal highlighted the need for stronger anti-corruption laws in Russia, with many calling for greater transparency and accountability in government.

The official in question was later arrested and charged with embezzlement, but the incident raised questions about the effectiveness of Russia's existing legislation.

In the aftermath of the scandal, there were calls for reforms to the country's governance structure, including the creation of an independent anti-corruption agency.

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The Federal Law of Russia is a crucial aspect of the country's governance. It's approved by the Federation Council, with the latest one being on November 22, 2023.

The law sets the main characteristics of the budget for the Federal Compulsory Health Insurance Fund for 2024. The predicted total amount of budget receipts is 3,738,679,381.6 thousand rubles.

This includes 486,601,103.9 thousand rubles from interbudget transfers received from the federal budget. The total amount of expenses is 3,885,765,031.4 thousand rubles.

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The law also approves the sources of internal financing for the budget deficit of the Fund for 2024 and the planning period of 2025 and 2026. These sources are outlined in Appendix 1 to the Federal Law.

The distribution of budgetary appropriations for Sections, subsections, target Articles, and groups of expense types of classification of budgets expenses is also approved. This is outlined in Appendices 2 and 3 to the Federal Law.

Subventions from the Fund's budget are sent to the budgets of territorial funds of compulsory medical insurance. The distribution of these subventions for 2024 is outlined in Appendix 4 to the Federal Law.

Provision of subventions is performed after transfer in accordance with the established procedure in the Fund's budget from the budget of the subject of the Russian Federation. The amount of monthly insurance premium for compulsory medical insurance of the idle population is transferred.

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The Federal Compulsory Medical Insurance Fund in Russia has been making waves in recent years. In 2019, the Fund's assets reached 1.4 trillion rubles, a significant increase from the 1.1 trillion rubles in 2018.

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The Fund's growth can be attributed to the mandatory health insurance system, which has been in place since 2005. This system requires employers to contribute a portion of their employees' salaries to the Fund.

The Fund's assets have been used to cover a wide range of medical expenses, including hospital stays, surgeries, and prescription medications. In 2019, the Fund paid out over 1 trillion rubles in medical expenses, a significant increase from the 800 billion rubles in 2018.

The Fund's growth has also led to an increase in the number of medical services available to Russians. In 2019, the Fund covered over 90% of all medical procedures, including preventative care and emergency services.

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