The Ministry of Finance summed up nine months of work of the Social Health Insurance Fund after the fund was transferred to the ministry's oversight. The priority task was to curb financial losses and ensure the targeted use of funds, the ministry noted. This was reported by Qazaqyia.kz citing Sputnik Kazakhstan.
Results of nine months
Based on the results of nine months of work, channels of funding leakage were identified and closed, and financial losses worth 23.4 billion tenge were prevented.
"Within the framework of opened criminal cases, more than 7.9 billion tenge of illegally paid funds will be returned to suppliers," the statement said.
AI-based anti-fraud
The ministry noted that the use of new tools, including AI-based anti-fraud, makes it possible to identify signs of violations before money is transferred and to prevent unjustified payments.
"The saved and returned funds are directed to paying for medical care. For the Ministry of Finance, it is fundamental that the results of control are reflected in real changes in the work of clinics and in the accessibility of treatment," the statement said.
First changes in clinics
The first changes are already under way, and medical organizations have felt the flow of funding, the Ministry of Finance reported.
The ministry organized a phased departure for medical organizations from restrictions on the volume of care in the form of applying a linear scale. This will expand opportunities for providing planned care to the population and will help reduce hospitals' accounts payable.
68 medical organizations identified
"The fund has moved from establishing the total amount of debt to analyzing the reasons for its occurrence for each problem clinic," the Ministry of Finance noted.
Across the country, as specified by the ministry, 68 medical organizations with overdue accounts payable were identified.