2024-05-28 01:37:36
Evidently the Ministry of Well being intently screens the evolution of hospital bills, demonstrating that their management is a matter of main significance for the State.
This truth is confirmed by the “alarm” that was sounded in the previous couple of days, on the event of the “inflated” bills proven by the hospitals through the month of April, with the management of the ministry exhibiting sturdy reflexes. The problem was instantly placed on the desk, within the context of a teleconference with the administrations that befell just a few days in the past, with the intention of creating whether or not the expenditure has “escaped” justifiably or not. In keeping with the data, the rise was extreme, reaching charges of 50-100% in some hospitals. Directors are mentioned to have attributed the spike to the truth that April coincided with the Easter and Could Day holidays, resulting in a backlog of orders from their pharmacies.
Insider sources report that the Deputy Minister of Well being, Marios Themistokleous, has requested the directors to ship the info on the consumption of the roughly 65 most costly medication (in packages/portions), per 30 days, for the primary 4 months of the years 2023-2024 as and the variety of sufferers to whom they had been administered. On the identical time, the administrations have been requested to proceed with a listing of the shares of this explicit group of medicines. One other query that is still to be answered is whether or not the rise in spending in April will seem as a corresponding lower within the month of Could.
In any case, the time-frame for the mission is till tomorrow, Friday (24/5), and – after the info has been analyzed – a brand new assembly of the governors with the management of the Ministry of Well being will comply with, within the presence of the president of the Nationwide Central Well being Procurement Authority ( EKAPY), Ari Apostolou. It’s recalled that with current legislative rules, EKAPY was institutionalized because the central administrator for all hospital medication (in opposition to 20% of the overall expenditure), additionally enterprise the issuing of rebates (obligatory reductions) and clawbacks (obligatory returns).
The “loop” of the clawback tightens
The primary cause for concern in regards to the improve in spending is the corresponding improve in clawback, i.e. the return of the surplus price range for medication from the pharmaceutical business to the state. Already, refunds have reached unimaginable ranges, with the pharmaceutical business lengthy elevating the problem of enterprise viability and affected person entry to mandatory medication.
Though it’s nonetheless too early to attract conclusions about how pharmaceutical spending will transfer till the tip of 2024, the forecast is ominous for this yr as properly, as it’s estimated that complete returns (clawbacks and rebates) for corporations will exceed 4 billion euros, in comparison with 3.6 billion euros in 2023.
In reality, the issue in hospital pharmaceutical expenditure is especially acute, as corporations contribute 80% to medicines which can be exterior closed budgets and 64% to those who have accomplished negotiations (this proportion is translated as a mean low cost within the context of a closed price range ).
The Ministry of Well being has launched a sequence of measures to cut back pharmaceutical spending, a few of that are already being applied, and their effectiveness stays to be seen, as it will likely be mirrored within the numbers. Up to now, information on the evolution of the expenditure through the first months of the yr haven’t been disclosed, nonetheless, the Minister of Well being, Adonis Georgiadis, has said his intention to tell the businesses accordingly. Nevertheless, as he mentioned in an interview with Insider, the aim for this yr is to cut back returns by 300 million euros, contemplating that the image from the primary 4 months leaves room for optimism for its achievement.
Supply insider.gr