Rozmir vneskіv on compulsory medical insurance of the working population is being solidified. Healthy nutritional benefits and pay insurance premiums

Insurance- Tse zahist of main interests of physical and legal issues in case of present sing sums (insurance losses) for penny funds, which are formed from insurance deposits, which are paid by them. In this way, it is necessary to establish between the insured insurer (between the client and the company), which transfers the payment of insurance premiums by the client, from which the company forms a special insurance fund, appointments for payment of insurance coverage (security) to the client in the event of an accident.

The fallow type of the insurance object is divided into:

    Special insurance - the objects of risk and value (the main interest of the insurer), for life, health, work.

    Mine insurance - an object of risk and interest, connected with citizens, worries and orders of the mine.

    Vidpovidalnosti insurance - an object of risk and interest related to the insured person of a child of a child or a physical person of a legal entity.

In 1991, the most strategic direct development of the health care of the state was praised by the Law "On medical insurance of the population Russian Federation”, behind which a new stage of reforming the health care was born - the introduction of obligatory language medical insurance, direct security of the constitutional rights of the inhabitants of the population and the provision of cost-free medical assistance

Medical insurance- a kind of special insurance, in which objects have values, connected with people's health.

At the basis of medical insurance lies the principle - the introduction of regular contributions by potential health care workers to the future possible vitrates. As subjects of medical insurance act: insured individuals, insurers, insurers, medical installers.

insurance covers- ce legal entities and children physical individuals, yakі stowed insurance contracts from insurers, or є insurers by virtue of law.

insurance companies- legal entities, yakі zdіysnyuyut medіnіu іnsurovannya і mаyutіu іn іnіtії na vіdіvіsya vіdіdіvnі medіvannymi - insurance medіchі organіzії.

insurance- A person, at the cost of which a contract of insurance is being negotiated: reasonably populated, non-practically populated.

insurance risk- that possibility (transferring) is overwhelmed, which is necessary for an insurance operation, that transferring the need for an insured special medical assistance.

Sum insured- signed by the insurance contract or established by law a penny sum, depending on the amount of the insurance contribution and the insurance payment, which is not transferred by the agreement and legislative acts otherwise.

Insurance deposit- Fee for insurance, if the insurer claims to pay the insurance to the insurer, it is necessary before the insurance contract or according to the law.

Medical insurance policy- A document certifying the contract for the medical insurance of the population.

Insurance drop- Podіya, scho umovlyuє nebhіdnіє otrimannya insured special medical assistance, in the event that the insurer zobov'yazuєєєzabezpechite її nadannya її nadannya that payment in the order that on the minds, appointed by the Federal Law.

Insurance coverage– payment of medical expenses incurred by the insured person for medical assistance in accordance with the territorial HMI program.

Medical assistance- A complex of visits, which includes medical services, organizational and technical visits, preventive visits, medical care, aimed at satisfying the needs of the population in support of health.

medical service– zahіd or a complex of zakhodіv, directing to the prevention of illnesses, their diagnosis and likuvannya, which may be self-sustaining that vartist.

Medical insuranceє a system of mechanisms for public health, an economic basis for establishing financing for special insurance funds.

Medical insurance - the price of new economic benefits in the protection of health in the minds of the market, so that such a system of health protection and social security would be created, as it would actually guarantee all residents of the Russian Federation a freely accessible qualification medical assistance independent of their social status and equal income.

In this way, for a medical insurance company, an insured depression is not a disease, but an unfortunate depression that calls for health to the point of pokodzhennya, but vitrati is connected with the necessary medical assistance, which is included before the insurance program.

Also medical insurance - all insurance costs for medical services in case of illness. Find out about paying for the fees that are due from the rebuking at the doctor's office, the doctor's appointment. Medical insurance covers only a part of the losses, maddened by the risk of illness, but for the insurance of the income, spend the period of timchasovoi non-practice.

In the Russian Federation, medical insurance is available in two types: obov'yazkovym (ZMS) and voluntary (VHI).

Basic principles of medical insurance in the Russian Federation:

The fate of the hulks in the ZMS system is shattered;

equal rights of insurance;

Bezkoshtovnіst at the boundaries of the HMS system (for residents of the community);

Rozmezhuvannya renovating between the budget and the budgetary fund;

Continuing the ZMS system, as well as the VHI system supplemented to it;

Agreements between participants of the ZMS system;

The principle of public solidarity - if the "wealthy" pay for the "poor", the "young" - for the "old", the "healthy" - for the "ailing";

The principle of irreversibility of paid contributions;

The principle of the right to choose the insurance of the LPZ and the doctor (today, the right to be exercised is not the same in the world);

Presence in the system of independent organizations - medical insurance organizations;

Financing of the LPZ on the basis of the removed license;

The main role of the state is that it imposes the rules of the gri, controls its dotrimannya, and also takes an active part in the financing of the HMS system.

The main meta CMI is used for capitalization of expenses and crediting for the expenses of selected expenses for medical assistance and in guaranteed expenses

Purpose of health insurance- Guarantee the residents of the community at the time of vindication of the insurance premium medical services for the money of accumulated expenses, financing of preventive visits.

Krіm tsgogo, pіdvishchit yakіst that expand obsyag medical help for help:

    a radical increase in allocations for the protection of health;

    material congestion of medical practitioners in final results;

    economic impact of enterprises in saving the health of workers;

    economic congestion of the skin of a person in the preservation of his health.

In this manner, the ZMS system should be viewed from two points of view. From one side, tse warehouse part of the sovereign system of social defense order with pensions and social insurance, for the rest - ZMS є financial mechanism for the provision of additional funds to the budget allocation of funds for the financing of health care and payment of medical services.

On the supply of insurance companies, which was called by the “hot line” phone, Katerina Dmitrivna Garicheva, the head of the Department for the organization of administration of insurance payments and the contraction of the fencing of the Pension Fund of the Russian Federation in St. Petersburg and the Leningrad region,

For what form are the statements about the release of a rozrahunka rahunka at the jar? How has the agreement on electronic documentary filing been laid down?

Organizations - payers of insurance payments to goiters shall notify in writing the authority that controls their payment, for the cost of acknowledgment of the vodkrittya (closing) of bank accounts. It is necessary to do so for seven days from the day of opening (closing) the rahunka (subparagraph 1 of paragraph 3 of article 28) federal law dated July 24, 2009 No. 212-FZ ()).

Do not obkladayutsya with insurance contributions to the state to help, which are paid in accordance with the legislation of the Russian Federation, legislative acts of the subjects of the Russian Federation and decisions of representative bodies of the municipal self-regulation. In addition, there is a need for help with unemployment and social insurance (subparagraph 1 of paragraph 1 of Article 9 of the Federal Law of July 24, 2009 No. 212-FZ). Under what legislation does not recognize the status of additional assistance, it’s stale, if you pay them - whether it’s a penny of robots, budgetary expenses, or expenses of state budgetary funds.

In this rank, to help with the timing of non-practice, as for the first two days, the workers are paid for the account of the robots, sovereign assistance, as established by the legislation of the Russian Federation

One type of activity of the organization was transferred to UTII, the other one is transferred from the global system of taxation. How can such a time be paid to practitioners, who are employed in both types of work, to increase insurance premiums?

The rate of insurance premiums to the Pension Fund for 2010 is r_k for payers, as they work on the global system of subsidy, 20% more. For insurers who pay UTII - 14% (paragraph 1 and subparagraph 2 of paragraph 2 of Article 57 of the Federal Law of July 24, 2009 No. 212-FZ).

Otzhe, vipati, narakhovanі on the merit of physical osіb, occupied in both types of vicariousness, slid razmezhovuvaty and vrakhovuvat okremo at the bases for narahuvannya insurance premiums for the "delivered" and for the sizable labor.

The organization pays UTII and is engaged in the sale of trade goods. Can you win the right to win lower tariffs?

For okremikh categories of payers, yakіblyayut in payments and іnshі wines and individuals, for 2010 rіk introduced lower rates of insurance premiums (subparagraph 2 of paragraph 2 of Article 57 of the Federal Law dated 24.07.2009 No. 212-FZ). You can’t stop the payers who are engaged in the selection and (or) sale of commercial goods, mineral syrovin, other brown copalins, as well as other goods in the form of closed transfer (Decree of the Order of the Russian Federation of 28.09.2009 No. Tse obezhennya expand less on:

  • community organizations of the disabled;
  • organizations, statutory capital some of them are made up of contributions from public organizations with disabilities and in some of them the average number of people with disabilities should be no less than 50%, and some of them salary for FOP - not less than 25%;
  • Install, stvorenі zadlya dosyagnennya osvіtnіh, cultural, lіkuvalno-ozdorovchih, fіzkulturno-sports, Naukova, іnformatsіynih that іnshih sotsіalnih tsіley and takozh s metoyu nadannya pravovoї that іnshoї Relief іnvalіdam, dіtyam-іnvalіdam that їhnіm dad, єdinimi vlasnikami Lane yakih Je gromadskі organіzatsії disabled people

Usі іnshі organіzаtsії, zokrema transferred to the payment of UTII, can zastosovuvat lower tariffs of insurance payments regardless of whether the goods are to be sold and (chi) sold.

Starting from 1 September 2010, the robot providers will be repaid to the Pension Fund of the Russian Federation insurance contributions from the expansion of 20%; tі, who work on UTII and STS - 14%. How do they stink?

Tariffs introduced for 2010 were established by Article 57 of the Federal Law of July 24, 2009 No. 212-FZ: 20% - for payers on the primary system of subsidy, 14% - for transfers to UTII and zastosovuyut USN.

The amount paid by the robot provider is used to finance the insurance and accumulative part of the worker's labor pension in this way (clause 2, article 33 of the Federal Law No. 167-FZ ()): 20%:

    • for children born in 1966 and older - 20%;
    • for those born in 1967, the age of the people is younger - 14%;
    • 14%:
      • for financing the insurance part of the labor pension:
        • for children born in 1966 and older - 14%;
        • for those born in 1967, the age of the people is younger - 8%;
        • for financing the accumulative part of the labor pension:
      • for osib 1966 the age of the people is older - nothing;
      • for osіb 1967 the age of the people is younger - 6%.

Reinsurance insurance contributions shall be insured on the individual special allowance (IPS) of the insured person, take part in the formation of pension capital for the insurance part of the labor pension and add to the pension increase (Article 6 of the Federal Law in 01.04-FZ No. 27-FZ). In order to increase your future pension, you can become a participant in the voluntary program of the state funded pension savings, transferred by the Federal Law of April 30, 2008 No. 56-FZ ().

What is required for the 1st quarter of 2010 at once from the form RSV-1 (paper rosette) to submit statements on a magnetic nose? If so, then where can you get the program?

Form RSV-1 can be presented in electronically with a paper-carrying accompaniment, or filed in electronic form with the ECR (paragraph 10 of Article 15 of the Federal Law of July 24, 2009 No. 212-FZ).

The PC program “Razrahunok for paid and paid insurance premiums” (“PU_RSV”) and the coding of the report from electronically formatting the forms of quarterly rates RSV-1 and RSV-2 on the side of the PFR branch in St. security." In addition, this program can be taken from your territorial administration of the PFR.

Why is it necessary to pay and pay contributions to the Pension Fund of the Russian Federation and funds of HMI from the salary of a citizen of the Republic of Belarus? (With the practitioner, a non-linear labor agreement was laid down; he has the status of a time-of-hours resident and has been on the territory of the Russian Federation for over 180 days; IPN and insurance certificate of sovereign pension insurance is not available.)

The insured persons are citizens of the Russian Federation, as well as permanently or temporarily living on the territory of Russia, foreign citizens and individuals without community, who work for labor contracts or civil law contracts 2001) No. 167-FZ ()).

Also, registration in the system of obov'yazkovogo pension insurance (OPS) is carried out by foreign citizens, who may have the status of a permanently chimney scho living in the Russian Federation. Territorial bodies of the Pension Fund of the Russian Federation consider the legal basis for issuing insurance certificates by them.

Sumi payments for other wine cities under labor and civil law contracts, including those under copyright agreements, who have been paid for punishment permanently or temporarily living in the Russian Federation foreign hulks, podatkovuyutsya insurance contributions to the OPS and ZMS.

How do you think the RSV-1 form has a basis for scaling up insurance premiums for OPS and for ZMS, so you don’t stink? For example, if a citizen of the Republic of Belarus is not a resident (the organization does not pay contributions to the compulsory health insurance), and may have a policy of obov'yazkovy medical insurance (the organization does not pay contributions to compulsory medical insurance).

Starting from 1 September 2010, the sums of payments and other wine cities for labor and civil law contracts, including those for contracts of authorship, paid for by the merit of foreign hulks and osіb without hulkiness, like timchasovy perebuvayut on the territory of the Russian Federation, insurance payments on obov'yazkove pensions and medical insurance do not earn money and do not pay off (subparagraph 15 of paragraph 1 of Article 9 of the Federal Law No. 212-FZ).

In this rank, your account has been given a base for raising insurance premiums for OPS and ZMS - one.

Can an individual entrepreneur work in the guise of a FIU as a robot supplier?

Knowing the registration form of an individual business - robotic giving a link from the attached activity to get through on the presentation of the statements from the EUGRIP. The date of such a withdrawal is the date of making a valid entry to the register.

In this rank, as an individual undertaking having pinned its duty, and about the record was made to ЄDRІPu, it is not necessary for you to be considered in appearance before the FIU. As if the wine is continuing activity, it is known from the appearance as a robotic giver of neobov'yazkovo, it is like a wine is not used by workers.

Individual acceptance can be assigned to work. What documents need to be filed before the FIU and taken for the taxable authority?

From the moment of registering the activity of a physical individual as an individual subsidiary, and until the moment of registering it, the bulk of the goiter must be paid at the same time to the FIU. It is necessary to notify the territorial body of the Pension Fund of the Russian Federation for three days from the date of the adoption of such a decision (Subparagraph 3 of Clause 3 of Article 28 of the Federal Law of July 24, 2009 No. 212-FZ).

At once, the pinnica of Dіlnosti to Kіntsya Ryradovyovy Perigod іndivіdualniy Pіdprzyєmets Zobov'zhnikov until the day of the applied to the rely-resident (support) body of VІDPOVII Отальной тата потатов to district administration of the PFR "Rosurenok for insured by the ones of insurance fees" (Form RSV-2) for perigode sidel up to the day of filing the appointed rozrahunka inclusive. The payment of insurance premiums due to this insurance payment is due on the 15th calendar day from the date of the first filing (clauses 6 and 8 of Article 16 of the Federal Law of July 24, 2009 No. 212-FZ).

A statement about the submission of statements of an individual (personalized) form and the payment of insurance premiums for the registration (tax) authority can be taken from the territorial authority of the PFR with a special application after the filing of a vischezgadan rozrahunka and payment of insurance premiums.

Individual subsidy zastosovuє simple system of subsidy and not zdіysnyuє to pay for the merit of physical osіb. What rates can I pay for insurance contributions in 2010?

Individual payments, if not expected to pay and other wines to physical persons, paying insurance contributions to the Pension Fund of the Russian Federation and funds of the HMI at the expense, which are determined by the insurance rate (paragraph 2 of Article 13, paragraph 1 of Article 209 of Article 14 of the Federal Law. The payer determines independently, rozrahunkovym way, like the minimum wage, established by federal law on the basis of the financial rock, the amount of which contributions are paid for, and the rate of insurance contributions from the sovereign state budgetary fund, 12 times more (paragraph 2 of article 13, paragraph 16 of the federal law dated July 24, 2009 (No. 212-FZ).

For all payers of insurance premiums, the Crimea is quiet, that zastosovuyut treasury special regimes, in 2010 the following tariffs will apply:

  • PFR - 20.0%;
  • federal MHIF - 1.1%;
  • TFOMS has 2.0%.

Reduced rates of insurance premiums for special modes of transfer are less quiet, who wish to pay and іnshі vineyards and physical persons, zokrema for іndivіdualnyh pripriєmtsіv - robodavtsіv (subparagraph 2 of paragraph 2 of Article 57 of the Federal Law of 24.07.2009-FZ No. 2).

Why is it necessary for an individual to see the VAT on the recognized payment for the hour of repayment of payments for payment orders?

From the norms of Chapter 21 of the Tax Code of the Russian Federation, there is no time limit for transactions from the transfer of individually compensable obov'yazkovih payments to the budgets of state budgetary obov'yazki funds from the calculation of MPE is not allowed. Therefore, the payer's commissioner does not need to see the VAT in the column "Assigned to payment".

At the same time, respect is given to the need to clarify the need to stop the legislation of the Russian Federation on taxes and the choice to fall within the competence of tax authorities.

Insurance- Tse zahist of main interests of physical and legal issues in case of present sing sums (insurance losses) for penny funds, which are formed from insurance deposits, which are paid by them. In this way, it is necessary to establish between the insured insurer (between the client and the company), which transfers the payment of insurance premiums by the client, from which the company forms a special insurance fund, appointments for payment of insurance coverage (security) to the client in the event of an accident.

The fallow type of the insurance object is divided into:

    Special insurance - the objects of risk and value (the main interest of the insurer), for life, health, work.

    Mine insurance - an object of risk and interest, connected with citizens, worries and orders of the mine.

    Vidpovidalnosti insurance - an object of risk and interest related to the insured person of a child of a child or a physical person of a legal entity.

In 1991, the strategist's strategist directly, the Division of Vitchiznyannyh Oboroni was healthy enough of the law "About the Medichen insured Muddyan Rosіyskoji", Okorni Okoroni's well-being reformed. Oboroni is a healthy - the monitoring of the obverse of the Certifications.

Medical insurance- a kind of special insurance, in which objects have values, connected with people's health.

At the basis of medical insurance lies the principle - the introduction of regular contributions by potential health care workers to the future possible vitrates. As subjects of medical insurance act: insured individuals, insurers, insurers, medical installers.

insurance covers- ce legal entities and children physical individuals, yakі stowed insurance contracts from insurers, or є insurers by virtue of law.

insurance companies- legal entities, yakі zdіysnyuyut medіnіu іnsurovannya і mаyutіu іn іnіtії na vіdіvіsya vіdіdіvnі medіvannymi - insurance medіchі organіzії.

insurance- A person, at the cost of which a contract of insurance is being negotiated: reasonably populated, non-practically populated.

insurance risk- that possibility (transferring) is overwhelmed, which is necessary for an insurance operation, that transferring the need for an insured special medical assistance.

Sum insured- it is prescribed by the insurance contract or established by the law of a penny sum, on the basis of which the insurance contribution and the insurance payment are established, as it is not transferred otherwise by the contract or by legislative acts.

Insurance deposit- Fee for insurance, if the insurer claims to pay the insurance to the insurer, it is necessary before the insurance contract or according to the law.

Medical insurance policy- A document certifying the contract for the medical insurance of the population.

Insurance drop- Podіya, scho umovlyuє nebhіdnіє otrimannya insured special medical assistance, in the event that the insurer zobov'yazuєєєzabezpechite її nadannya її nadannya that payment in the order that on the minds, appointed by the Federal Law.

Insurance coverage– payment of medical expenses incurred by the insured person for medical assistance in accordance with the territorial HMI program.

Medical assistance- A complex of visits, which includes medical services, organizational and technical visits, preventive visits, medical care, aimed at satisfying the needs of the population in support of health.

medical service– zahіd or a complex of zakhodіv, directing to the prevention of illnesses, their diagnosis and likuvannya, which may be self-sustaining that vartist.

Medical insuranceє a system of mechanisms for public health, an economic basis for establishing financing for special insurance funds.

Medical insurance - the price of new economic benefits in the protection of health in the minds of the market, so that the creation of such a system of health protection and social security, as a real guarantee to the general population of the Russian Federation, would be freely accessible to qualified medical assistance independently of their social income.

In this way, for a medical insurance company, an insured depression is not a disease, but an unfortunate depression that calls for health to the point of pokodzhennya, but vitrati is connected with the necessary medical assistance, which is included before the insurance program.

Also medical insurance - all insurance costs for medical services in case of illness. Find out about paying for the fees that are due from the rebuking at the doctor's office, the doctor's appointment. Medical insurance covers only a part of the losses, maddened by the risk of illness, but for the insurance of the income, spend the period of timchasovoi non-practice.

In the Russian Federation, medical insurance is available in two types: obov'yazkovym (ZMS) and voluntary (VHI).

Basic principles of medical insurance in the Russian Federation:

The fate of the hulks in the ZMS system is shattered;

equal rights of insurance;

Bezkoshtovnіst at the boundaries of the HMS system (for residents of the community);

Rozmezhuvannya renovating between the budget and the budgetary fund;

Continuing the ZMS system, as well as the VHI system supplemented to it;

Agreements between participants of the ZMS system;

The principle of public solidarity - if the "wealthy" pay for the "poor", the "young" - for the "old", the "healthy" - for the "ailing";

The principle of irreversibility of paid contributions;

The principle of the right to choose the insurance of the LPZ and the doctor (today, the right to be exercised is not the same in the world);

Presence in the system of independent organizations - medical insurance organizations;

Financing of the LPZ on the basis of the removed license;

The main role of the state is that it imposes the rules of the gri, controls its dotrimannya, and also takes an active part in the financing of the HMS system.

The main meta CMI is used for capitalization of expenses and crediting for the expenses of selected expenses for medical assistance and in guaranteed expenses

Purpose of health insurance- Guarantee the citizens in case of indemnification of the insurance premium for the removal of medical services for the cost of accumulating money, financing of preventive visits.

Krіm tsgogo, pіdvishchit yakіst that expand obsyag medical help for help:

    a radical increase in allocations for the protection of health;

    material congestion of medical practitioners in final results;

    economic impact of enterprises in saving the health of workers;

    economic congestion of the skin of a person in the preservation of his health.

In this manner, the ZMS system should be viewed from two points of view. On the one hand, the warehouse part of the sovereign system of social protection is entrusted to pension and social insurance, and on the other hand, compulsory medical insurance is a financial mechanism for the provision of supplements to the budget allocation of funds for financing health care and payment for medical services.

Until recently, more than a third of sovereign funds accumulated in the HMS system in a blaze, more than a third of sovereign funds, directed to the protection of health. In the rest of the years, the situation began to change. Chastka koshtiv ZMS In 2004, the average for the state finances of health protection was 48%. Alternately, the value of this indicator for various subjects of the Russian Federation varies from 16% (Komi-Perm'yatsky AT, Republic of Tiva) to 94% (Samarskaya Oblast).

According to the data of the Federal Fund for Health Insurance, from the total number of people insured under Health Insurance, the cob population in 2004 was 40.6% practicable, impractical - apparently 59.4%3.

Medicha insured Prazyuyuchnya Dzhukovyzhy Zdіysnuznuya for Rahunov Sadkoviki Surgery (єDine Social Food, єdyku, Scho Stegulous Software Jobs, Oppulsional Systems, єDine Feed Systems for Duplication Duplication, єdin Saillagorical Supplied Substitua), Yaki. rub. Insurance contributions to the HMI of the non-practical population are paid from the budget of the subject of the Russian Federation and from the budgets of the Russian Federation; In 2004, 56.9 billion krb became the fate of the stench. Budgetary funds for insurance payments for the ZMS of the non-working population in 2004.

Vidpovidno up to the dignified law on medical insurance, the insurers of the non-practical population can act as the authorities of the sovereign power of the subjects of the Russian Federation and the organs of the medical self-regulation. Vіdpovіdno contributions to the insurance of the non-practical population can be charged from regional and municipal budgets. In 2004, in 51 regions of the Russian Federation and in the Baikonur metropolitan area, insurance contributions to the HMI of the non-working population were taken from the regional budget, in 24 regions of the Russian Federation - both from the regional and from the municipal budget, and in 13 regions of the Russian Federation - only from local budgets. In this manner, in most regions, the insurers from compulsory medical insurance of non-practical citizens act only as regional authorities. To this end, the new legislation on delimitation re-importantly transferred the function of organizing the HMS to the fate of non-practical citizens from the competence of state authorities of the constituent entities of the Russian Federation in 2006.

In 2004, in 32 regions of the Russian Federation, financial assistance was provided for medical assistance to unemployed pensioners, also taking the fate of the Pension Fund of the Russian Federation. Additional financing was 6.5 billion rubles, 580 rubles for 1 pensioner from the budget.

  1. Financing the health care of the Krasnoyarsk Territory.

Dzherelami finances protect health:

    budget expenses

    create a system of obov'yazkovogo social insurance;

    koshti, acquired in the form of paid services;

    other needs.

Figure 5. Structure of health care financing in the Krasnoyarsk Territory, 2004

In 2004, the health care organization of the Krasnoyarsk Territory won 11,238.2 million rubles in financial sums.

5431.3 million rubles were taken away from the budget for the cost of expenses, 2184.9 million rubles were taken without compensation for payments for the non-proportionate population.

The actual revenue share of the budget of the Compulsory Medical Insurance Fund amounted to 5,358.0 million rubles, which is 101.8% of the approved sum and 122.9% in 2003 year.

The main part of the income of the HMIs was made up of taxable incomes of 52.3% and non-taxable incomes of 42.5%. The share of free payments will be 5.3%, which includes subventions of the Federal Fund for HMI - 1.0 thousand rubles and the sum of the Pension Fund of the Russian Federation - 4.3 thousand rubles.


Figure 6

The main part of the taxable income from the budget of the Fund by establishing a single social tax (hereinafter - ЄSP) - 96.5 rubles.

In 2004, 2704.0 million rubles, or 102.6% of the hardened sumi, were collected in the amount of income from the ESP. By the end of 2003, the amount of ESP overhead increased by 375.2 million rubles or by 16.1 thousand rubles. The cost is due to the increase in the salary fund in the region by 16.3% (given to the State Statistics Committee).

The main part of the ESP came from the payrolls of Krasnoyarsk m. - 38.2%, Norilsk m. - 21.0%, Achinska m. - 4.0%, and Zaliznogirsk m. - 3.9 wt.

In early 2004, before the budget, the Fund received insurance premiums for HMI of the non-working population, with the compensation of arrears for 2,184.9 million rubles and 100% of the amount approved by the budget. Since 2003, the amount of insurance premiums for the ZMS of the non-working population has increased by 22.5 thousand.

In 2004, the amount of free payments was transferred to the sum of 267.7 million rubles, in fact, the amount of money spent was 282.7 million rubles, or 105.6 thousand rubles. Free income from state budget funds, zokrema:

    54.0 million rubles to the Federal Fund for Obligatory Social Insurance, as a way of directing the financial minds of the activity of territorial funds of HMI. The Regional Fund allocated the sum of subventions to the total obyasi for the financing of the HMI Program;

    228.6 mln. rubles to the Pension Fund of the Russian Federation from the fundraiser 580 rubles. 394 232 individuals per vivrena.

Krym tsgogo, the protection of a healthy region won additional money from the total amount of 608.2 million rubles:

    with the help of paid services - 594.1 million rubles;

    other branches – 13.9 million rubles;

    sponsorship assistance - 1.6 million rubles;

    charitable donations - 12.2 million rubles.

Consolidated expenditures for the protection of health in 2004 were invested in 11,238.2 million rubles.

Table 2

The structure of financing the health care of the Krasnoyarsk Territory

Dzherela finance

To the edge of the budget (vіdsotki)

absolute amount, million rubles

absolute amount, million rubles

absolute amount, million rubles

absolute amount, million rubles

absolute amount, million rubles

1. Budgetary coins,

federal budget

Regional budget

including payments for inefficient population

Municipal budget

2. Budget funds

3. Consolidation of the budget

4. Income from paid services

5. Other dzherela

6. Usogo vitrate

7. Budget edge (total)

At regular prices

Per capita standard at reasonable prices, rub.

Per capita standard at equal prices, rub.

The increase in the cost of health care by 27.1% as of 2003 is due to the increase in the salary of medical practitioners by 1.33 times, and it is clear before the decision of the Order of the Russian Federation on the indexation of articles of cost. At equal prices, the increase in financing became less than 14.9 thousand dollars.

The cost per inhabitant in 2004 was 3,622.6 rubles, which was 2.5 times higher than in 1999. At equal prices, the cost per bag in 2004 increased by 64.5 rubles, the total was equal to 1999.

Rozmіr finansuvannya zdorov'ya schodo to the budget of the region for the rest of the five years kolivavsya in 16.7% in 2001 roci to 25.5% in 2000 roci, in 2004 roci becoming 19.9%.

For financial resources, a lot of money is borrowed from the budget and money from the budgetary fund of HMI - 94.6 rubles.

The role of other sources in the formation of the resource base is insignificant - 5.5% of the cost of spending on health care: 5.3% of the cost of paid services and 0.2% for the costs of other resources.

The TMR in 2004 was sold at a cost to the budget of the region and cost of the HMI from the world 10,559.6 million rubles against the approved cost of the SGBP of 9,632.3 million rubles by 109.6%, which is due to the adjustment of municipal budgets in the fourth quarter of 2004 .


Figure 7. The structure of financing of health care in the Krasnoyarsk Territory for types of medical assistance in 2004 for the PMR

For the cost of expenses, the HMS is financed, you see that the profiles of medical assistance, the appointment of PMG, the cost of paying wages, medical fees, the cost of food, the soft inventory and other come in, approved in the prescribed manner. In 2004, 49.2% (5198.9 million rubles) of all financial benefits were channeled for this purpose by the State Guarantees Program.

For budget expenses, socially significant institutions are financed, profiles of medical activity, and others are established, to support the maintenance of the health care system, to support the government’s health care. From the budget, 50.8% of investments (5360.7 million rubles) were financed by the State Guarantees Program, 31.4% of the money was spent on LPZ, which is used in the system of obov'yazykovogo social insurance.


Figure 8. Dzherela financing of health care in the Krasnoyarsk region in 2004 for SGP

For the structure of financial expenses, 60.6% of the fund pays for the payment of expenses for new expenses, 13.5% is spent on the delivery of medicines, 7.6% for payment public services, 4.1% - for food ailments, 10.0% - for morning meals and other state needs, capital expenditures in 2004, the total amounted to 4.2 tons.

45.9% of the cost of living expenses falls on the payment of expenses of the budget, 16.4% - on payment of utility bills, 11.9% on medical expenses, 10.0% - on other expenses, expenses for morning sickness that application, 9.0% - on capital glass.

In the open-ended financing agreement in the HMI system, 58.0% were charged for paying for medical practitioners, 19.7% were charged for paying for medical practitioners, 16.5% were charged for paying for medicines, transferring care and other medical costs, " Eating products - 5.0 tons.

The amount of money spent on "Payment for Prats" was 2,966.7 million rubles, compared to 2003, the amount of money spent increased by 28.8 thousand rubles.


Figure 9. Structure of health care financing in the Krasnoyarsk Territory in 2004 for the statutes of the Pridnestrovian Moldavian Republic for the budget of the budget

Costs for the article "Medicines, bandaging care and other medical care" amounted to 844.9 million rubles and increased by 8.1 rubles in 2003. Vitrati spent 255.2 million rubles on "Kharchuvannya Products", or 96.6% until 2003.


Figure 10. Structure of health care financing in the Krasnoyarsk Territory in 2004 for statti vitrat PMR for rahunok koshtiv

Stationary assistance

Starting from the first fierce year 2004, the tariffs for medical services were indexed by 1.16 times for “Medicines, dressing expenses and other medicinal products” and “Food products” at the expense of higher revenues to the budget of the Fund for the budget of the Pension Fund Russian Federation.

As a result of the work carried out on the competitive selection of wholesale post-employees at medical facilities, it was possible to reduce the purchase prices for food products, medica- tional benefits and medical grades by 14 hundred rubles.

5204.3 million rubles were spent on the financing of inpatient care, 3028.3 million rubles for the HMI system, or 49.3% of the total cost of medical assistance given under the State Guarantees Program.

In 2004, there was a rise in the adoption of financial support for inpatient care in the development of inpatient-replacement technologies and outpatient clinics, as well as less vitrate ones. Since 2003, the share of inpatient assistance in the case of indiscriminate financial obligations has decreased by 1.4 hundred rubles.

In the MHI system, 40.0% of inpatient medical assistance is provided by medical institutions of the Moscow level for a sum of 1,228.2 million rubles, 34.0% - by medical institutions of the clinical level for 1,017.8 million rubles, 26.0% are central district and dilnichnimi likarnyami.

Actual expenses for 1 lіzhko-day become 512.4 rubles, for the HMS system - 430.1 rubles.

Variety of medicines for 1 lіzhko-day added 84.3 rubles, for the compulsory medical insurance system - 91.1 rubles, variety of food products - 38.2 and 34.6 rubles per day. The analysis of vitrates for the equal amount of medical assistance in the HMS showed that the cost of 1 lіzhko-day and the varity of medicines for 1 lіzhko-day found in clinical likarnyah and become 499.6 rubles and 140.1 rubles per day.

Outpatient care

2729.4 million rubles were spent on the financing of outpatient and polyclinic assistance, 1787.7 million rubles were spent on HMI, or 25.8% of the total cost of medical assistance, given under the State Guarantees Program. The cost of one administration of medicines for 1 administration amounted to 7.42 rubles and 6.7 rubles in total.

Hospitalization assistance

105.5 million rubles were spent on the financing of hospital roseaminary assistance, 68.7 million rubles were spent on the cost of medical assistance, and 1.0% of the total cost of medical assistance, paid under the State Guarantees Program.

For a long period of time, it is necessary to carry out the replacement of in-patient medical aid in the development of in-patient rozamine technologies, as a smaller window, a way to organize visits to re-distribute the flow of ailments, to change the lizhkovy fund in health-care hospitals.

The actual average cost of 1 day of rebuking at day hospitals was 178.0 rubles, at HMS - 169.5 rubles. The number of medications for 1 day of rebuking was 51.21 rubles and 61.0 rubles per day.

Shvidka dopomoga

528.9 million rubles were spent on the financing of Swedish assistance, 222.1 million rubles in the HMI, or 5.0% of the total cost of medical assistance given under the State Guarantees Program.

Witrati for 1 week spent 429.45 rubles and 333.1 rubles for HMS. Variety of medicines for 1 week added 10.95 and 11.8 rubles. obviously.

Supplementary costs, which have come to medical establishments, such as payment for medical services at a higher rate, for the improvement of the security of the licuval-diagnostic process, for the provision of more expensive high-tech and planned types of medical assistance, including the implantation of piece water snow, cataract extraction with implantation of an intraocular lens (IOL).

In 2004, 236,018 non-working pensioners were proscribed for old age, of which 3,304 pensioners received targeted high-tech medical assistance. 601.9 million rubles were allocated to pay for medical assistance given to pensioners for old age, including:

    inpatient assistance - 420.1 million rubles;

    outpatient clinic - 173.7 million rubles;

    hospital accommodation - 8.0 million rubles.

17.1 million rubles were allocated for targeted high-tech medical assistance.

The program of addressing high-tech medical assistance to impractical pensioners for old age allowed the famous doctor to: remove the call for the treatment of cataracts, the treatment of chronic legenous obstruction and the cessation of nebulizer therapy; change the line to the implantation of piece water to the rhythm and endoprosthetics of the kulsha loam, really increase the ability of rural residents to receive high-tech medical assistance.

VІDPOVYDUDE TO PROGRAMS OF CONTRIBUTION GARANT DOPMENTS SO 1 MEDICHNY MEDICAL DOPMENTS OF THE COLOR, YAKI, IS RADIED TO SHORVYUNY, FOR YOUR STRUCTURE WITH DEPARTMENT 30.07.94 №890 Visno Пільги з Лікаской забенченнинненненне .

In 2004, 25.3 million rubles were allocated to finance medical care from the medical care.

During the spring - early 2004, 76,692 prescriptions were paid for, 30,142 individuals were awarded the right to be provided with medical care on a drunken mind.


Figure 11. Structure of income from paid services in 2004

One of the sources of the resource base for the protection of health is paid services, which in 2004, in turn, 594.1 million rubles were collected from VHI. (In 2003 - 493.2 million rubles) or 5.3% of the total expenditure on the protection of a healthy region (in 2003 - 5.6%), including income from voluntary medical insurance - 11.9 million rubles (In 2003 - 15.1 million rubles).

Up to date 2003 vartisniy obyag of paid services increased by 1.2 times, while income from VHI changed by 21.2 vіdsotkіv. The decrease in the income of VHI is explained in the order of the rules for giving this kind of paid services.

Table 3

Financing of the Central Programs of the Krasnoyarsk Territory

born 1998-2004

Rocks of implementation of target programs

Equal to the budget

federal budget

regional budget

local budgets of the territory

approved

finance

% financing

approved

finance

% financing

approved

finance

% financing

approved

finance

% financing

for the period 1998-2002

approved

finance

% financing

approved

finance

% financing

Vaga's main pet paid services 2004 falls on medical examination (29.0%), therapeutic and orthopedic dental assistance (20.0%), laboratory follow-up (9.0%), services of a narcologist (6.0%), consultations of specialists (3.0%), operations (2.0%), functional follow-up (2.0%), ultrasound (2.0%), procedures (1.0%). Other income (27.0%) - services of a dermatologist, psychologist, physiotherapy, splitting, contact correction of the eye, holcoreflexotherapy, alternative medicine, laser therapy, service services.

Okremі directly protect and improve the health of the population of the Krasnoyarsk Territory is financed by the implementation of the health care programs. So, in 2004, 333.1 million rubles were taken from the additional budget of all rivnas.

In 2004, 70.6 million krb came from federal health programs.

In the rest of the year, the situation changes due to the financing of major programs from the budget of the federal budget. In 2004, 70.6 million rubles were allocated for the implementation of federal health programs. This index exceeds the date of 2003 by 0.7%, and the date of 2002 by 33.0%.

Since 2003, there has been a significant increase in the supply of cerebrovascular drugs within the framework of the “Cubic Diabetes” program and vaccines within the framework of the “Vaccinoprophylaxis” program. The volume of deliveries was significantly reduced under the programs: "Anti-SNID", "Children with disabilities", "Healthy child", "Needkladni come to fight tuberculosis in Russia". No money was seen on the financing of the program "Prevention and treatment of arterial hypertension in the Russian Federation."

Under the Anti-SNID program, diagnostic test systems and drug preparations were withdrawn in the amount of 2.7 million rubles (3.1 times lower than in 2003).

Under the program "Healthy Child" the supply of liquor food, vitamins, contraceptives, sanitary vehicles, food, methodological aids for doctors and medical benefits for the amount of 3.0 million rubles (0.8 times lower than in April 2003) was provided.

For the "Children with Disabilities" program, hearing aids were confiscated in the amount of 0.17 million rubles (0.6 times lower in June 2003).

Under the program “Never come to fight tuberculosis in Russia”, the supply of anti-tuberculosis drugs amounted to 21.9 million rubles (0.8 times less than in 2003).

Within the framework of the “Vaccinoprophylaxis” program, vaccines and immunobiological preparations were obtained for the amount of 35.0 million rubles, which is 1.5 times higher than in June 2003.

Under the program "Cubic Diabetes" we took away 7.7 million rubles worth of insulin, which outweighed the deliveries of 2003 by 1.1 times.

In 2004, the financing of regional financial programs was approved for 180737.0 ths. rub., In addition to the protection of health 177709.0 yew. rubles, for lighting - 1158.0 thousand. rubles, international programs - 1870.0 thousand. ruble Regional programs have been mastered in the amount of 177,254.0 thousand rubles, 98.1% of the total sums.

The program "Protection of Healthy Mothers and Children in the Krasnoyarsk Territory" for 2002-2004 is planned with a total of 232,379 thousand rubles. rubles, the regional budget has approved funding for 53,274.0 thousand rubles. rubles (22.9%). In reality, the program was funded by 65.0% of the approved budget funds (34,642.1 thousand rubles), the program was mastered by 24,139.3 thousand rubles. rubles, chi 45.3 vіdsotkіv.

In 2004, the program was financed and mastered by 99.6% of the costs transferred from the regional budget, from the distribution of 12805.4 thousand. ruble Prydbano obladnannya, medical preparations for the service of the protection of motherhood and childhood. Tse made it possible to protect over 4000 protianemia cases, to reveal and eliminate 69 fetuses from congenital diseases and chromosomal diseases.

The introduction of a new facility (fetal heart monitors, sets for primary resuscitation of newborns) made it possible to improve the medical assistance to women and newborns in rural areas. With the arrival of a new car, the availability of specialized help for newborn children by the resuscitators of the resuscitation team at the Regional Children's Clinical Center of the Regional Children's Hospital increased. Over 400 newborns were transported from the flat beds of the Krasnoyarsk metro station and adjacent territories to the resuscitation department of the KDB. Distribution of contraceptives to women of the social risk group reduced the incidence of venereal disease infection and the number of abortions (by 7.0%).

For the interregional regional program “Rehabilitation and health improvement of children and youth in the Krasnoyarsk Territory”, adopted for 2004 by the Rozmіrі 87.7 thousand. rubles, 64.8 thousand rubles were approved for the regional budget. ruble The regional center for prevention and control of SNID and infectious diseases conducted a medical examination of the specialists of the regional specialized camps for the sum of 64.8 thousand. rub., which made it possible to ensure the vikonnanny of dignified legislation in the process of pracevlashtuvannі to childish health-improving mortgages.

The program "Stabilization and development of health protection in the Krasnoyarsk Territory" for 2002-2004 was approved by the obligatory 692287 yew. ruble During the implementation period, the regional budget approved financing from the expansion of 240,273 thousand. rubles, - 34.7 thousand rubles. The program was funded by 82.2% based on approved budget funds (197,409.8 thousand rubles), 174,355.0 thousand rubles were spent. rubles, chi 72.6 vіdsotkіv.

In 2004, the program was financed and mastered by 97.8% of the costs transferred from the regional budget, from the distribution of 84850.4 thousand. ruble

As part of the implementation of the region's target program "Invisible Come in to Fight Tuberculosis in the Krasnoyarsk Territory" in 2004, a batch of modern anti-tuberculosis drugs was given in the amount of 35,000.0 thousand. ruble The cessation of current anti-tuberculosis drugs and drugs in suprovidal therapy made it possible to reduce the number of medical aids for tuberculosis, to reduce epidemic indications for tuberculosis.

25 ambulances were delivered for municipal health care mortgages to the amount of 5400.0 thousand. rub., Obladnannya for medical outpatient clinics in the region to the sum of 10226.1 yew. rub. .rubl. This made it possible to increase the availability of medical assistance to the rural population of the region, to improve the provision of primary medical and sanitary assistance for residents of the most distant and importantly accessible territories, and also to allow the development of health care in these areas.

For rakhunok koshtіv krayovoї tsіlovoї prog "Vaktsinoprofіlaktika" in 2004 rotsі zdіysnyuvalisya zakupіvlі vaccine against sibіrki, rubella, gemofіlnoї іnfektsії, vіrusnih gepatitіv A i V, Grip, tuberkulіnu, lіkuvalnih sirovatok i bakterіofagіv for the amount of 12230 rіven zahvoryuvanostі, іnvalіdizatsії that smertnostі Kindergarten is the grown population in infectious diseases, cured by specific prophylaxis. The program was mastered and financed for 99.7 thousand rubles. Come in within the framework of the implementation of the program "Vaccinoprophylaxis" allowed: stabilizing infection with viral hepatitis B; prevent spalakhov's illness of children in the fires viral hepatitis A, hemophilic infection; ensure 100% hospitalization of children in 13 years of age with immunization against tick-borne encephalitis, vaccination against influenza of medical practitioners, as a way to give help to sick people for influenza; avoid getting sick when you are bitten by creatures.

For the regional national program "Anti-SNID" in 2004, anti-rus drugs were donated in the amount of 9524.5 thousand. rubles, after approving allocations from the regional budget, 94.9% of the funds were disbursed. The rate of increase in morbidity due to VIL-infection decreased by 30%. 39.2% were informed about the risk of infection and the risk of VIL-infection child population 63.3% of adults, 10.8% of adults. At 42.8%, the primary screening of the population was financed, at 100% - confirming the diagnosis of VIL-infection and prevention for everyone who needs it and new people.

According to the regional program “Comprehensive approach to increase drug addiction, alcoholism and alcoholism in the Krasnoyarsk Territory” for 2004, the transfer of cash from the world was 8850.0 ths. rubles, 8800.8 thousand rubles were approved from the regional budget, 8641.5 thousand rubles were financed and mastered (98.2%). In 2004, a lot of medicines were provided for the treatment of ailments for drug addiction, chemical reagents for the diagnosis of drug addiction in biological environments of people for the sum of 949.1 thousand. ruble Purchased property for the sum of 3714.5 thousand. rubles, paid for the work of carrying out a major overhaul of the regional state government's health care facility "Regional Narcological Dispensary" in the sum of 2979.0 ths. ruble This made it possible to bring the level of sanitary standards and rules of admission to the regional narcological dispensary, to increase the quality of diagnostics of drug and alcohol addiction, to expand the range of narcotic drugs and psychotropic speeches, which can be identified and programmed for drug rehabilitation.

In 2004, 240.0 ths. ruble 270 sets of feces-sechopriymachiv for 111 ailments with a “stomy” were provided for the qi cost, which made it possible to improve the quality of life of 47 residents of the Krasnoyarsk metropolitan area and 65 residents of the Krasnoyarsk Territory.

10045.0 ths. rubles, approved financing for the total amount of 3000.0 ths. ruble During the period of implementation, the program was funded by 97.8% (2934.2 thousand rubles). In 2004, the program was funded by 99.6% of the funds transferred from the regional budget, 93.4% of which was mastered. A well-known roci has a good chance of obtaining medical recognition for patients, so they can be transferred to inpatient treatment at the Regional Hospital for Military Veterans in the amount of 934.2 thousand. ruble

2150.0 ths. rubles, approved financing from the view 1070.0 ths. ruble For the entire period of implementation of the program, 50.8% was funded (543.4 thousand rubles), the cost was fully mastered - office equipment was supplied for the MUZ "Kansky child house" and the KDUZ "Regional specialization of children's houses in Sosnovoborsk". Kdbannya Diagnostica Taszіyny Oblinjannya for KDZZ "Kraviy Specіalisoi Budina Ditini m. Sosnovinsky" TA CDNZ "Kraєviy Specіalisories Budina Ditini m. Mosnusinska" Disvolilo Svatori Ukodi for a brushing out the horizons from D_tei, Yaki I am looked around at the scatter to the dityachiy-dieta. In the process of development and skill, a method was developed for the development of mental health and fine motor skills in children with nervous and mental pathology; Methods for developing and improving the cystic-mucosal apparatus for treatment and prevention of scoliosis and flatness in children with neuro-orthopedic pathology.

37373.3 ths. rubles, approved financing from the rozmіrі 630.0 ths. ruble During the period of implementation in 2003-2004, the program was funded by 82.0% (516.8 thousand rubles), the cost was fully utilized, and the money was allocated for the rehabilitation center for children with disabilities of the Krasnoyarsk Regional Children's Hospital. New methods have been developed to develop handicap skills in children (smartly trim the head, roll over, pull up, get up, walk), physical functions (remembrance, respect, misery), social skills (smartly trim the spoon, pen, dress up skinny), primary skills. In 2004, 646 children underwent rehabilitation at the regional rehabilitation center: 463 children with diseases of the central nervous system (children's cerebral palsy, traces of craniocerebral and neonatal injuries) and 183 children with neuro-orthopedic pathology Children from the territory of the region made up 48% of all children, 52% lived near Krasnoyarsk metro station. The effectiveness of rehabilitation was 98.8% (in 2003 - 97.7%, in 2002 - 95.8%).

Within the framework of the target program “Providing the life and health of the Krasnoyarsk Territory” for 2004, 46,981.2 thousand rubles were approved. rubles, financed and mastered 46,902.3 ths. rubles (99.8%). Granted for regional pledges for the protection of health in the sum 19,049.7 ths. rubles, the establishment of municipal mortgages for the protection of health by 21,579.1 thousand. rubles, paid for the work of carrying out a major overhaul of the regional mortgages for health protection in the amount of 6273.5. The investment made it possible to improve the material and technical base of the pledges of health protection, to increase the availability of specialized medical assistance to the residents of the Krasnoyarsk Territory.

The municipal budgets of the municipalities and districts of the Krasnoyarsk Territory also finance health care programs. In 2004, 78.6 million rubles were spent on the country, which is 30.3% more than the previous year.

In 2004, donations to the Fund for the implementation of regional health programs amounted to 2.0 million rubles and were allocated for the Zelenogirska city's health program "Prevention and improvement of the effectiveness of treatment of ailments from heart diseases." During the period of implementation of the program, the first disability due to ailments of the circulatory system decreased from 382 cases by 10 thousand. population in 2002 roci to 352 in 2004 roci. There were no lethal results in a severe mid-life myocardial infarction in the pilot patient.

 
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