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Public Health Ministry to pilot healthcare anywhere scheme in some provinces early next year


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Public Health Ministry to pilot healthcare anywhere scheme in some provinces early next year

By The Nation

 

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Anutin Charnvirakul

 

The Public Health Ministry plans to pilot the “Bt30 Healthcare Anywhere” scheme in Bangkok and lower Northeast provinces at the beginning of next year.

 

Public Health Minister Anutin Charnvirakul also said that the Bt30 universal healthcare scheme can still be used even though the National Health Security Office (NHSO) has cancelled contracts with 64 clinics and hospitals in Bangkok for alleged overbilling. He said the rumour that people had lost their right to use the Bt30 scheme had been started by those who lost their contracts with NHSO.

 

“Under the new Healthcare Anywhere scheme, people will not have to worry about large hospitals being overcrowded. We have prepared guidelines to facilitate both service providers and customers,” he said.

 

Meanwhile, Dr Sakchai Kanjanawatana, NHSO secretary-general, said his office will provide details of the new scheme to the minister soon.

 

He expects the scheme to be piloted in Bangkok and lower Northeast provinces, such as Buri Ram, Surin, Chaiyaphum and Nakhon Ratchasima.

 

“The scheme should be started either in January or April next year,” he said.

 

Source: https://www.nationthailand.com/news/30394944

 

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-- © Copyright The Nation Thailand 2020-09-22
 
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19 hours ago, scubascuba3 said:

Finally, I mentioned this years ago, obviously should be nationwide. Poor people come to Pattaya for work but aren't covered for healthcare, and too busy and don't have the knowledge to switch province

They can go to Banglamung Hospital in North Pattaya for free medical treatment. 

Edited by micmichd
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The problem is the financing and staffing.

 

Currently hospital budgets are based on the number of people living  in their catchment area.

 

Make it any hospital and this will nto work, there will be huge shortfalls in some hospitals (to the point of collapse) and excesses in others that sit almost idle.

 

They will have to shift to a reimbursement basis rather than capitation basis budget (and staff) allocation. That is not impossible to do but it is much more complicated and the transition in particular is apt to be rough with many hospitals running out of funds in the first year or two.

 

Alternatively could retain the capitation basis and just go by the prior year's caseload, or some hybrid system of the two, but that also will; mean huge shortfalls in some hospitals in the first year.

 

It is far from simple.  A better approach might be just to set up a system whereby people can temporarily register their presence in other than their home province...and streamline the process of changing house registration.

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