Since the beginning of this year, the Social Health Insurance Fund has allocated 1.6 trillion tenge to healthcare providers under the guaranteed volume of free medical care and compulsory social health insurance. Nearly half of these funds were used to advance payments to clinics, reports infohub.kz.
According to information published on the Fund's official website, of the total amount, 864.4 billion tenge went to pay for services already rendered, while 731.8 billion tenge were advanced to medical organizations.
The Fund noted that acts totaling 1.186 trillion tenge have been accepted for payment, ensuring 53% execution of the annual financing plan.
To address delays in processing acts, the Fund has begun transferring payments to a new digital platform, Qalqan. Through fractional acceptance, confirmed volumes can now be paid for specific types of medical care without waiting for the closure of the monthly overall act, the Fund explained.
As of August 27, the first payments totaling 4 billion tenge have already been made through Qalqan.
Earlier, it was announced that the pilot of the Qalqan digital platform has been expanded to 16 medical organizations. The system is designed to integrate planning, procurement, monitoring, and payment for medical care. Full digitalization of all processes is planned to be completed by the end of this year.
Previously, it was reported that Kazakhstan is changing its approach to financial control in the compulsory social health insurance system. The reform of the system began in February of this year after the Social Health Insurance Fund was transferred to the Ministry of Finance. One of the key principles of the changes is shifting from post-payment audits to preventing violations before payments are made.