​It is necessary to re-analyze the way hospitals are financed, says Minister Alexandru Rafila, who proposes to create a working group of representatives of the Ministry, the National Health Insurance Fund (CNAS) and experts from different fields to find a solution where there is funding based on real costs and performance each hospital.

“We have the management activities of the hospital, the types of services that the hospital offers, and it should develop in a healthy way, and these funds that come from CNAS should cover the activities. We had an example in Oradea District Hospital, where there is a surplus of own revenues month after month, because the hospital can also earn its own revenues. So, it also depends on management skills. On the other hand, in Romania, the method of financing hospitals needs to be revised, and we have been in discussions with CNAS since last year, so that we can finance medical care in hospitals as close as possible to the cost of services, and that hospitals are paid for performance. The Prime Minister intervened on this occasion. There are hospitals that carry the main burden of the health care system, they deal with the most difficult and expensive cases, and they are financed very similarly to hospitals that usually send patients to other places,” Rafila said on Thursday in parliament, according to Agerpres.

The Minister of Health believes that “this must be stopped”: “We are open and together with the financier, CNAS, to form a working group together, of course, with specialists from different fields and to have the funding of hospital medicine activities based on, on the one hand, on real costs, and on the other hand, on the actual performance of each hospital in terms of patient treatment. If we pay equally for performance and non-performance, then of course there will not be enough funds for hospitals, which bear the main burden of the health care system.”

On Thursday, the Minister of Health took part in a conference organized by the National Alliance for Rare Diseases on the occasion of the International Day of Rare Diseases in Parliament.

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