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Ekonomia

The health scandal deepens, KLSH discovers the megatheft of 845 million lek, this is how the concessionaire is paid for unfinished work, the concessions and the list of drugs are hotbeds of abuse

The health scandal deepens, KLSH discovers the megatheft of 845 million lek,

The health scandal deepens, where abuses of Albanian taxpayers' funds have already become a trend. The chief auditor of the HCSA, Selime Bregu, at the presentation table of the report, "Mandatory Health Care Insurance Fund - Does the scheme cover real health care needs", developed by the Together for Life Association, within the "Transparency and Accountability" project in the Health Sector" supported by NED- National Endowment for Democracy, brought to attention the key issues identified by the KLSH institution. The strongest problem remains the concessions, one of which is paid a full 845 million lek to cover the population with medical control, for an unfinished job. "Among the main problems, KLSH has found the biggest problems in concessions. Starting from their beginnings, it has proposed changes in the formulation of concession contracts, which have been and have not been taken into consideration by the Fund and all actors that include the fund (Ministry of Health and Ministry of Finance). Starting from the concession of the basic package that covers the population with medical control, where the problem has been identified in the first place with regard to unfinished cases which are fully financed from the fund's budget and at the same time benefit from VAT, which means that the health service is excluded from VAT. Both of these have not been corrected over the years. About 845 million Lek are paid to the concessionaire, and for these packages that are not realized, it is proposed to finance their minimum and fixed expenses. We go ahead and pay for unfinished business.” Mrs. Bregu adds that, beyond the partnership contracts, other contracts such as sterilization, dialysis, and that of tests, which have the same problems as chechk up, have been analyzed, not serving patients under the motto "Health for all".

drugs

 "Regarding the list of drugs, a range is included and after a regulation, since 2021 the list is not indexed and a new list is not brought back. KLSH has recorded a significant amount of drugs that have no consumption. It means that this list should urgently be improved and new alternatives that serve the population, mainly cancer patients, should be reviewed." Also, the chief auditor Bregu stated that in the performance audits carried out in the Oncology hospital and in some regions, significant problems with the patient register are noted, although the budget is "trumpeted" as historical. "There is no information about the sick, how they moved, updating the registry, there are many problems both in the oncology department, as well as in the FSDKSH and in general. We have a ceiling on reimbursement services, this may indeed be a way of control, but it does not serve the patients, because by putting a limit on the expenses they cannot spend more than that. But by revising the list and introducing new alternatives, making it more adequate then the fund will enable an updated list that will be able to serve the patient, as well as effectively using public funds. Our aim is to monitor the scheme, which we actually receive from our contributions, but that the budget goes to the right place and at the right time, because if we do not update the list of drugs, health packages, or contract revisions concessionaires, many years have passed since 2015 that we have been saying the same thing and despite the fact that FDSKSH accepts over 90% of the recommendations from KLSH, it does not act", Bregu concludes her speech.

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