Thai Health Minister Stands by Stability of 30-Baht "Gold Card" Scheme

Photo courtesy of Bangkok Post

Public Health Minister Somsak Thepsutin has reassured the public of the financial stability of Thailand's renowned 30-baht "gold card" Universal Healthcare Coverage scheme, which has been pivotal in providing healthcare to millions. During a National Health Security Office (NHSO) board meeting, Somsak revealed that hospitals participating in the scheme currently hold reserve funds totalling 46 billion baht, even after accounting for liabilities.

Addressing apprehensions about budget deficits in some hospitals, Somsak acknowledged criticisms aimed at the compensation structure of the scheme. Critics argue that reimbursements under the scheme often don't reflect actual treatment costs, potentially straining hospital budgets. In response, Somsak clarified that the NHSO, in the 2024 fiscal year, reimbursed for approximately 220 million out of 304 million outpatient visits. Additionally, hospitals receive income through various other channels, including the Social Security Fund, civil servant benefits, and direct public payments.

Despite the widespread success, Somsak noted that only 13 hospitals registered under the scheme reported negative reserves. However, he assured that this doesn't signify a systemic issue, stating, "We are investigating other possible causes and will send teams to these hospitals to assess and resolve their issues."

In an effort to enhance transparency and efficiency, NHSO Secretary-General Dr. Jadet Thammathataree announced plans to bring in globally recognised auditing firms such as PwC, EY, Deloitte, and KPMG. These firms will conduct a thorough review of the NHSO's budget allocation system, guided by a directive from the health ministry. The audit is intended to assess the essential benefits and explore potential cuts, particularly concerning non-communicable diseases (NCDs). Results of this comprehensive review are expected within three months.

A new committee is set to be established to scrutinise cost structures and reimbursement rates across public healthcare funds, aiming to protect hospitals from financial strain. This committee will work closely with the Social Security Office and the Comptroller General’s Department, under the leadership of Finance Minister Phichai Chunhavachira.

Dr. Wichai Chokewiwat, a member of the NHSO board, confirmed that financial distress afflicts only a small number of hospitals under the scheme. "With 46 billion baht in net reserves, we are not just stable — we are thriving," he affirmed. While acknowledging the disparity in reimbursement rates, with the gold card scheme offering lower compensation compared to other public healthcare programmes, he highlighted its vital role in managing healthcare for the largest demographic segment in Thailand.

The ongoing measures aim not only to ensure the scheme's ongoing success but also to address financial issues proactively, securing its future as a cornerstone of Thailand's public health system.

  Adapted by ASEAN Now from The Thaiger 2025-06-06