Advanced Search

The Decision 538/qd-Ttg Of: Approves The Project Of Implementation Of The Roadmap Toward Health Insurance For The Entire Population Of The Period 2012-2015 And 2020

Original Language Title: Quyết định 538/QĐ-TTg: Phê duyệt Đề án thực hiện lộ trình tiến tới bảo hiểm y tế toàn dân giai đoạn 2012-2015 và 2020

Subscribe to a Global-Regulation Premium Membership Today!

Key Benefits:

Subscribe Now for only USD$40 per month.
DECISION on approval of the project implementing the roadmap toward health insurance for the entire population of the period 2012-2015 and 2020 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ the PRIME MINISTER pursuant to the law on organization of the Government of 25 December 2001;
Pursuant to the law on health insurance, November 14, 2008;
Considering the recommendation of the Minister of health, decision: article 1. Approval of the project implementing the roadmap toward health insurance for the entire population of the period 2012-2015 and 2020 with the main content as follows: i. the GOAL of PROJECT 1. Common goal: expand the coverage of medical insurance in proportion of the population to join health insurance, about the scope of the medical service are beneficiaries and reduce the rate of pay from the pocket money of people using health services; ensuring the benefits of health insurance participants; toward health insurance for the entire population, contribute to stable financial resources for the work of the people's health care towards fairness, efficiency, quality and sustainable development.
2. Specific objectives: a) increased the rate of the population to join health insurance: continued to maintain the target groups have joined a health insurance rate 100%; expand the group objects to achieve by 2015 the rate over 70% of the population participate in health insurance, by 2020 had over 80% of the population participate in health insurance.
b) improving the quality of clinical practice of medical insurance, guarantee the rights of participants health insurance under the provisions of the law, meet the needs of patients who participated in medical insurance.
c) incrementally innovating financing mechanisms towards the direct investment for the beneficiary medical services through support to join a health insurance, ensuring the balance of the medical insurance fund-chi, striving to reduce the rate of medical spending directly from the pockets of households falls below 40% by 2020.
3. The target of the local coverage on the basis of the objective of the scheme, the province, the city of centrally determined specific targets each year, held to the rate of the population to join health insurance over 70% in 2015 and over 80% by 2020. For the province, the city has reached and exceeded the target of this right from 2012 shall continue to maintain and expand the rate of health insurance coverage depends on the actual conditions of the locality.
II. SOLUTIONS in the solution of this project implemented in the period 2012-2015. After 2015, the goals and the solution will be adjusted on the basis of the project implementation process for the 2012-2015 period and implementation of the new regulations of the law on amendments and supplements to some articles of the law on health insurance.
1. Build and improve medical insurance policies-research, modify, Supplement medical insurance Law the Parliament in 2014.
-Research, additional amendments to the legal text on medical insurance and the other legal texts concerned, ensuring the implementation of the health insurance policy, including: The legal text about the doctor, healing, medicine, medical equipment , preventive medicine and hospital fees, financial autonomy, human resources in the business units public health, socialization in health; at the same time to promote the construction and development of medical programs, the project of reducing the overload of hospitals, the project of improving the quality of clinical practice, family doctor scheme.
2. strong political commitment and the participation of the political system made the route covered health insurance for the entire population in the "social security guarantee" is one of the strategic tasks of socio-economic development of the country. Join the health insurance benefits and is the responsibility of every citizen, and is the responsibility of the State and society as a whole. Party committees at all levels, Government, agencies, organizations, unions must clearly define the mission and direction in implementing the law on health insurance.
The Agency staff of the party building and the Politburo issued the resolution, an indication of the political Department of social insurance, health insurance tied to objective medical insurance covered the entire population; at the same time, in coordination with the Ministry of health and social insurance Vietnam intensify checks, reviews and urging Party committees at levels to implement the resolution, the party's directives about medical insurance.
The Chief organs of the Congress in cooperation with the Ministry of health and social insurance in Vietnam made the monitoring policy, the laws of the State of health insurance, reviews results, effective policy enforcement, law on health insurance and the implementation of the roadmap to health insurance the whole population.
The Government issued the written direction to all levels, ministries and the test, urging the implementation of medical insurance policy, considering it is one of the central tasks in the implementation of policy, legislation and social security.
Every year, the people's Council levels should build the resolution on implementation of the health insurance policy at the local, putting the target made health insurance into compulsory targets of socio-economic of each locality.
The people's committees of provinces and cities under central to take the target implementation plan, the roadmap for health insurance the whole population on the socio-economic development program of the society, the city, taken seriously developed criteria for health insurance in the new rural development programme; directed the departments, sectors, district-level people's committees, commune in the scope of his powers mission taken seriously, in full the provisions of the law on health insurance.
The unions, social organizations according to function, the task of propagating, campaigning members join medical insurance, while enhancing the mobilization of the resources of society, of each individual to support community participation for health insurance.
3. increase the proportion of health insurance coverage for the group object has reached over 90% coverage rate shall continue to maintain the rate of coverage and solutions enhance the quality of care, increase access to medical services at the same time continue to implement the policy advocacy solutions , law on health insurance.
For some groups of objects have participation rates of low health insurance, along with the general solution as propaganda policy, legislation on major medical insurance, participation, strengthens the appeal of health insurance, the Organization of health insurance agents ensure people in need have access to information about health insurance and facilitate the involvement of health insurance with a solution specifically tailored to each target groups as follows: a) groups of workers in enterprises-inspection, checking the implementation of policy, the law on health insurance in the State enterprises, private, handle the offending business.
-Building mechanism for collecting medical insurance premiums on time (closed cycle), a form of currency matching activity of the enterprise, the authority for approval.
-Research, proposed the mechanism used to fund health insurance clinics, health facilities consolidation within the Agency, Enterprise, meet the demand for health care workers in the workplace.
b) People in households and poor access-regulated members must join medical insurance under household.
-The 100% support Government close to the people in the vicinity of poor households are living in difficult and particularly difficult in the mountainous provinces of the northern and Central Highlands according to regulations of the Prime Minister; people in households are living in poverty access 62 poorest district in the country according to the resolutions of the Government and the communes of 30a especially hard as stipulated in decision No. 135/1998/QD-TTg dated 31 July 1998 from the Government; people in households that have poor drainage first 5 years.
c) students, students

-Identify the responsibility of the school in coordinating implementation of the law on health insurance, the rights of patients and health care, the sanctions violate the administration of health insurance; the work of school health care.
-Study on raising the premium support level of medical students, students from the State budget up to 50% of the minimum level of health insurance premiums.
-Develop and improve the quality of medical school: construction, additional content and standard medical school work, policy on the use of the Fund for health insurance clinics at the schools the State bodies are competent to decide. Secured in medical schools have at least 1 staffing level from intermediate upwards, using health care Fund health insurance in the school rules, do not use the Fund to pay the salaries for medical personnel.
-Build programs, and training medical staff in school, provide human resources for the school to recruit enough officers who are dedicated to medical school.
-Enhance infrastructure investments to ensure the school medical room are as a rule, effective operations, quality, meet the requirements for primary health care to students, students.
-Build development plan health insurance for students, students of the school, bringing the criteria for participation rates for health insurance is one of the evaluation criteria of the Department of education and training, the school.
d) households, agriculture, forestry, fisheries, the average standard of living having matches-policy advocacy, law on health insurance to people out on the right and responsibility to participate in health insurance, the level of play and the responsibilities of medical insurance premiums, the policy of State support when taking medical insurance , the responsibilities of the Committee and related bodies in the Organization, mobility guides participate in health insurance.
-Construction, the Government issued regulation criteria households, agriculture, forestry, fisheries, match industry had average annual living standards.
-Join the health insurance in the form of household, applied to all members in the household and make reduce the closed level under the provisions of the health insurance Law, construction coordination mechanisms and specific plans and annual targets on the mobilization of households participating in medical insurance.
DD) Group volunteer medical insurance-policy advocacy, law on health insurance, the right and the responsibility to participate in health insurance, the level of play and the responsibilities of medical insurance, the rights of patients, the sanctions administrative violations in the field of health insurance; join the mobilization for health insurance, registration instructions to join health insurance.
-Guide how to register to join the health insurance and the coordination mechanisms between the agencies, organizations involved in the implementation.
-Research proposals have support mechanisms for health insurance rates for workers and informal sector participation mechanism in the form of household.
e) Group of children under 6 years-policy advocacy, law on health insurance, rights are granted health insurance card and the rights of patients are children under 6 years of age, parent's Guide, guardian sign the original hospital for children under 6 years of age.
-Adjust, additional guidance documents list, handed over a list of children under 6 years between the peoples Committee granted the communes, wards and towns with labor, invalids and Social Affairs and the social insurance agency.
4. Improve quality and meet the needs of the doctor cure health insurance (the Ministry of health to build a private scheme by each sector) a) improve the quality of clinical health insurance the health insurance policy must be done step by step and in sync with the consolidation , improving the quality of clinical health insurance, reform administrative procedures, improving morale, attitude, ethics to ensure service quality and satisfaction of the patient have medical insurance card in both systems the basis examination of State and private :-directing the Organization of the examination, inspection, checking, monitoring, ensuring that the full benefits of participants health insurance under the provisions of the law.
Strengthen quality management in hospitals, construction sets the standard as the basis of hospital quality check, evaluate the quality of clinical services. Enhance patient care. Improving the quality of treatment, reducing the number of days of treatment in a reasonable manner.
-Administrative procedure reform in examination, in the payment of medical expenses, create favorable conditions for the patient when to see a doctor. Expand the types of outpatient treatment and implementing a number of new service models in clinical practice (satellite hospital, family doctor). The application of information technology in hospital management, clinical management of medical insurance.
-Construction studies health care services package initially, the range of benefits and medical insurance level consistent with socio-economic conditions, the stability of the health insurance fund, the system of provision of services and health care needs.
-Build additional policies, provide drugs for the sick medical insurance towards meeting the needs of patients, healing, safe medicine use, reasonable, in line with the affordability of the health insurance fund; build the mechanisms to control drug prices paid medical insurance.
-Building policy support satellite hospital and transfer techniques for online below. Build and implement models of family doctors. Building legal institutions perform distance healing clinics through the information technology system (telemedicine).
b) equipment investment, build, renovate and expand the infrastructure-network + examination and reviewing, amending and supplementing the overall development planning of networks of clinics all over the country and locality; development planning network of specialists to complete the hospital network, ensuring the structure and rates of hospital bed fit between the technical and specialist in 2020.
+ Development of preventive medicine with the participation of several ministries to address the urgent health problems of the community, to the increase of the infectious diseases such as cancer, cardiovascular, diabetes mellitus..., the risk factors for adverse health effects such as the lack of clean water environmental pollution, ... in order to reduce the disease burden, reduce the cost of healthcare.
-The Central Hospital and the big city + continued investment, expanding the network of clinics to meet the requirements of health care quality and patient, especially healthcare facilities through the implementation of the project of reducing the load of the hospital; strengthen implementation of socialized medical work, diverse forms of patient organizations to meet the needs and the quality examination and the increasing health of the people.
+ Upgrade, expansion and new construction to increase rapidly the number of beds to hospitals are currently severe overload in the central route and the cities of Hanoi, Ho Chi Minh City.
-Hospital system + satellite network forming a satellite Hospital of some of the Central Hospital, the last line of the city hospital in Hanoi and Ho Chi Minh City in 5 specialty groups: cardiovascular, Oncology, orthopaedics, obstetrics, Pediatrics at the General Hospital and the online specialist. Investment, upgrade, expand beds to hospitals as hospital satellite of the specialist group on the hospital.
+ Formation of the hospital network satellite of the provincial hospital in the district. Improving clinical practice in hospitals, satellite, step by step reduced the patient moved up on.

-Strengthen the capacity of the hospital medical equipment reinforcement, the infrastructure for the nursing program associated with the rural township. Continue implementation of decision No. 47/2008/QD-TTg dated April 2, 2008 and decision No 930/QD-TTg dated 30 June 2009 of the Prime Minister about the construction, upgrade the provincial hospital, the district via government bonds.
c) capacity to provide online health services under-constructed and enacted regulations divide and transit technical expertise, ensure suitable rules of professional competence examination facility, in the payment of the cost of health insurance clinics , enhance training, fostering investment in equipment, facilitating the development of techniques in order to enhance the bottom-line clinical quality at the base.
-Strengthen the direction, training and technical transfer, make technical transfer form packages from online on line under through the election of officers on training under the line down or bottom-up route to school officials in the upline or indirectly through a system of information technology to increase the capacity for the line under limited, moved up on patients.
-Build and develop the network of family doctors: construction project to develop models of family doctors, bringing the family physician model integrating network of medical facilities available to manage and deliver health care services for individuals, families. Ahead piloted the family doctor system in Hanoi, Ho Chi Minh City and some other central cities.
-Enhance the capacity of the communal clinics build standard + technical and physical facilities, equipment to meet the needs of the initial examination of health insurance participants, ensuring 100% of clinics organized township hospital medical insurance in 2015;
+ Increase the proportion of doctors with medical stations work, ensuring 100% achieved by 2015 has clinics physicians work;
+ Promoting the work of the original health care, additional functions for the management of township clinics and treatment of some diseases are not contagious; There are mechanisms that encourage participants registration health insurance health insurance hospital originally at medical stations.
-Building mechanism suitable to the private medical establishments, including private clinics are eligible to join the health insurance clinics.
d) ensure human resources-build policies to attract human resources for health facility online, give priority to the satellite hospital, district, township clinics;
-Building regulations policy responsibility for the social service of the medical practitioners, healing.
5. promote the work of preventive medicine and primary health care-prevention of infectious diseases: implementation of national target programs, vaccination programs, the community and individual solutions in the prevention of infectious diseases, build specific deployment plan movement "patriotic hygiene and improve people's health".
-Prevention of infectious diseases: the deployment of effective national target programme on prevention of some diseases are not contagious, concentrate on media activities, educational practice habits, lifestyle is beneficial for health, enhance fitness, along with measures for medical professional to manage well the non-contagious diseases in medical facilities and in the community copper.
-Prevention of malnutrition: complete the Mission in the national target programme on prevention of malnutrition and the prevention of overweight, obesity in children.
-Continue to condition, strengthen the network of reproductive health care, maternal, child health; strengthen the investment budget for the mountainous province, the region of remote areas to improve the health of mothers, children and perform "the Millennium goal of reducing maternal mortality and child mortality".
6. promote advocacy, popular health insurance legislation-Vietnam social insurance is responsible for clues in organizing propaganda activities on health insurance policy, as a private project to build on the work of the media, propaganda.
-Propaganda content, form + content and innovative enhancement information, advocacy, campaigning, education with a variety of forms to increase awareness of the Commissioner to grant the party, Government, agencies, organizations, unions and all the people on the significance, the importance of health insurance and the obligation of each of the people involved in health insurance and the security policy medical insurance. Strengthening the responsibility of the party committees at all levels, the Government in the leadership, direction and implementation of the Organization's health insurance policy, implementation of the law on health insurance.
+ Promoting the work of information, advocacy, campaigning extensively in people about medical insurance policies, transforming and enhancing the understanding of policy, the law on medical insurance on the way: the role of health insurance in the social-economic development and ensure social security; benefits of health insurance for every people and with society as a whole; How to join health insurance through a health insurance agent, person or organization represented, or at the social insurance agency; use reasonable health insurance card; reach health facilities through technical expertise.
-The work of the media, the propaganda should be conducted with all groups, including Governments, unions, schools, branch, party members ... and perform regularly, with many forms of fit, insure the object of media full access to information about medical insurance policy and how to join.
-Social insurance of Vietnam is responsible for estimating the annual advocacy funding from the Fund for the local switch management aims to make propaganda. In addition to funding social insurance plan Vietnam annually, the local initiative support, additional funds to reinforce the propaganda activities of the medical insurance policy at the local level. At the same time encourage the mobilization of the resources of society in the direction of socialization of propaganda activities in health insurance.
7. financial mechanisms and innovative payment method the cost of the doctor, cure health insurance (Health Ministry has a separate scheme)-restructuring health budget towards State guarantees basic budget section, as the minimum funding for scientific research, preventive medicine , a part of the basic construction funding, the costs for providing the services operation of the hospital will be secured from the source currency examination and treatment for health insurance.
-Continue the process of implementation of the conversion mechanism of State budget levels tied to adjusted the prices of medical services, implementing the budget level form of transfer to the State for the basis of the provision of services to give the beneficiaries through forms of health insurance, in line with the socio-economic conditions of each stage-ensuring the project budget source buy health insurance for the poor, ethnic minority regions in difficulty, children under 6 years old and the other social policy object and level of support close for some objects such as poor Accessibility, students ... The study, the proposed increase in the rate of annual funding allocation for the local mobilization are many medical insurance participants.
-Modify, supplement reviews healing services, towards the right, PC computer enough elements constitute costs of the service.

-The examination fee payment: the gradual Change of payment methods by service fees by the payment methods as capacity or in the case of the disease. Accelerating the construction and encourage the patient base make payment according to the conditions, the diagnosis, the productivity.
-Construction of the mechanism of financial encouragement or health insurance rates (same level as lower pay for many consecutive years not using health insurance cards to patients) to people who have health insurance card enhances the sense of a work wellness, disease prevention , using reasonable medical insurance card.
-Study on construction of medical insurance benefits package consistent with the level of medical insurance premiums, meet the requirements of care, improve people's health, and to ensuring the Fund balance and the sustainability of the health insurance policy.
8. Strengthen inspection, test-the Ministry of Health implemented the Ombudsman function specialization of health insurance; inspect, test, handle complaints and violations, accusations about health insurance nationwide.
-People's Committee has the responsibility to inspect, test, handle complaints and violations, accusations about health insurance in the province.
-The ministries, the people's committees of all levels strictly implement the measures sanctioned by Decree No. 92/2010/ND-CP on January 17, 2011 the Government's regulations on sanctioning administrative violations in the field of health insurance.
9. Strengthening governance and organization system made health insurance a) the management of the State for health insurance-study, construction management models, implementation of medical insurance to ensure effective, efficient and consistent quality with Vietnam's political conditions social, economic,.
-Strengthening the capacity to manage state on health insurance, health insurance established in the Department of health; strengthening capacity, the implementation of health insurance from central to local; enhance capacity building training, professional quality service for staff working on health insurance.
b) Organization make medical insurance policies-research, innovation organization, the mechanism of action of the Board of management of social insurance for Vietnam to enhance the efficiency, quality, consistent with the conditions of practice.
-Research, proposed the establishment of the Agency the health insurance examiner, ensure objectivity, fairness and efficiency (in terms of cost control, quality examination, treatment, the rights of the parties involved).
-Recommending officers are dedicated to social insurance, health insurance, social organization of health insurance agents in order to develop audience participation: continued health insurance agent contract with the principal of the school to do the task agents collect student health insurance , students of the school; in collaboration with the people's committees of communes, wards and towns to make the propaganda and advocacy of health insurance for those who voluntarily join medical insurance.
-Continue to support the cost of issuing health insurance cards to beneficiaries for the object state budget supports the entire health insurance rates. Strengthen the responsibilities of the social insurance agency for the protection of the rights of medical insurance participants. Propose solutions to increase the accessibility of people with health insurance policies.
10. Balance and conservation of Health Insurance Fund – step by step medical insurance level consistent with people's ability to contribute, of the State budget on the basis of the provisions of the law on medical insurance to ensure health insurance fund balance.
-Amend the regulations on the management and use of the health insurance fund to the health insurance fund to the stable, sustainable development towards regulating the health insurance fund balance under reasonable rates, ensure improving the quality of clinical practice and strengthen the responsibility of the local in the management , effective use of the health insurance fund.
-Strengthen the health insurance examiners in both quantity and quality; innovation evaluation method towards the assessment to focus and expand the implementation of inspection of records the payment of treatment under the national health insurance; enhance the application of information technology systems in the assessment of medical insurance.
11. The application of information technology in management information system of construction and medical suitability. Strengthen the deployment of information technology application in the management and administration; upgrade system software, information management, medical insurance assessment, statistics, reports the work of examination and treatment of health insurance in the country, contributing to improving the quality of management, reduce administrative procedures. Specific solutions include:-From 2013, the study used health insurance cards as smart card or health insurance cards have a picture for some little change object (such as public servants, retired persons, ethnic minorities, etc.) (Social insurance in Vietnam to build a private scheme). Coding of technical services, medication management and to provide database to build policy.
-Open source software building to apply for a social insurance agency and the basis of examination and treatment; build shared databases and information sharing between the insurance industry and the medical society.
12. scientific research and international cooperation.
-Evaluation studies on the impact of health insurance with health financing, voluntary participation and understanding health insurance, patient satisfaction, health insurance cost analysis-effective medical services, serves for policy formulation and improve how organizations carry health insurance.
-Promote scientific research, international cooperation, sum up practical experience regarding: payment methods, health insurance under household, the type of medical insurance, organization and implementation of management system of medical insurance.
III. IMPLEMENTATION of the project "implementation of the roadmap toward health insurance for the entire population of the period 2012-2015 and 2020" that impact the work of health care of the entire population, financial mechanisms for sustainable health, ensure social security, need to have the participation of all the political system in the direction , direction, implementation and no consensus, in response of the whole society.
1. Establishment of the Steering Committee in Central-Minister of health: head of Department.
-Health Minister: Deputy Head of Standing Committee.
-The General Director of social insurance in Vietnam: Deputy Chief.
-The Commissioner, including: leadership ministries such as social insurance of Vietnam, the Ministry of finance, Ministry of labor, invalids and Social Affairs, the Ministry of planning and investment, Ministry of education and training, the Ministry of the Interior, the Ministry of information and communications; other members belonging to the organizations, mass society (Vietnam Fatherland Front, the Vietnam General Confederation of labour, the Chamber of Commerce and industry of Vietnam, the Vietnam Women's Union, the Vietnam farmers Association, Central Communist Youth League, the young physician Vietnam Society and other ingredients suggested by the head of the Prime Minister to decide when necessary.
2. establish local Steering Committee

Based on the functions and tasks of the people's committees of all levels, based on the provisions of the current law and the contents of this scheme, the local Steering Committee established by the Chairman of the provincial people's Committee, the city's prefect, Director of the Department of health, the Director of the social insurance , the city's Deputy, members of the Committee are representatives of departments, sectors, institutions, relevant local unions. The Steering Committee has the task of building the project implementation plans consistent with socio-economic conditions of the local.
IV. ASSIGNING RESPONSIBILITY to the Ministry of health and social insurance in Vietnam in cooperation with ministries, relevant departments are responsible for establishing the Steering Committee Chief of project implementation the roadmap toward health insurance for the entire population of the period 2012-2015 in Central and guide the Steering, the Steering Committee established at the provincial level; construction planning, content, program activities for Central Steering Committee and guided the Organization, active in the provincial Steering Committee.
The ministries, the organization concerned is responsible for coordination with the Health Ministry, social insurance for Vietnam in the implementation of the project.
1. The responsibility of the Ministry of industry, the ministries, the organization concerned is responsible for coordination with the Health Ministry, social insurance for Vietnam in the implementation of the project.
a) Ministry of health-building program, specific plans to implement the solutions according to each project phase; direction, guidance, urge, inspection, test, evaluate the results of the project.
In collaboration with the Ministry of planning and investment to put health insurance targets the entire population on the target system, the national plan approved by the Prime Minister; the Committee guides the people of the province, the central city in the people's Council the same level through health insurance targets the entire population of the localities in the social-economic development annually, 5 years.
-Hosted, in cooperation with the Vietnam social insurance and the Ministry of industry, relating to research, build, modify, supplement the legal text on medical insurance (laws, decrees, circulars, etc.); issued the list of drugs, medical supplies, technical services in clinical medical insurance; research, proposed the establishment of the inspection agency independent health insurance, ensuring objectivity, transparency and efficiency in the operation of health insurance examiner.
-Implement the solutions to improve clinical quality, patient demand for health insurance and prevention solutions, improving health.
-Deploy and guide the implementation of Decree No. 85/2012/ND-CP dated 15 October 2012 of the Government "About the mechanism of action, the financial mechanism for the business units and public health consultation service, the healing of the patient base, public healing"; modify, supplement reviews currency part towards hospital charges calculated correctly, the computer is enough; innovation, applied to the payment method to pay accordingly.
-Continue to implement the conversion state budget level mechanism tied to the agenda of medical service price adjustment, to make moving forms of State budget level for the provision of services to the base level for beneficiaries through forms of health insurance, in accordance with the actual conditions of each stage of development.
-Building policy support health insurance rates for some objects. The study, the proposed increase in the rate of medical expenditure allocation annually, including support to continue to expand the audience to join a health insurance for the local mobilization are many medical insurance participants.
-Inspection organizations, examine the policy of medical insurance.
-Construction of the project of reducing the overload of hospitals, the project of improving the quality of clinical, hospital satellite project, the project of family doctor ....-in collaboration with the Vietnam social insurance plans and advocacy organisation, the popular policy, the law on medical insurance for all target groups , all over the country.
b social insurance) Vietnam-hosted, in cooperation with the Ministry of health building project plan, guide the construction plan, the local organizations make development targets specific health insurance of each group object. Monitor and promote the implementation of the targets covered health insurance of each locality. Before 2013, the focus taken aim of increasing participation rates for health insurance at the local participation rate health insurance low below 50% of the population.
-Chairing, in coordination with the ministries concerned organized advocacy, policy, common law on medical insurance for all target groups, all over the country.
-Promote administrative reform: agent-health insurance card has the professionalism, for health insurance participants, suitable conditions for each region; application of technical progress in the work of the release card, charge, patient registration, payment of examination fees for medical insurance, medical insurance, fund management, ensure convenient, reduce troubles for medical insurance participants.
-Hosted, in cooperation with the ministries make the solutions related to health insurance for the target groups, especially groups of object: Reach poor, students, workers in enterprises ...-build a plan to consolidate the Organization, apparatus, professional enhancement human resource development, to meet the requirements of service.
-Build the project: advocacy, policy, common law on health insurance; the application of information technology in management of medical insurance.
c) Finance Ministry in collaboration with the Ministry of health, the study proposes additional amendments to the legal texts relating to health insurance policies.
-Capital source layout to ensure full, timely medical insurance funds and the support level of medical insurance premiums for the group object.
-Hosted, in cooperation with the Ministry of health and the ministries concerned implement the solutions related to the mechanism of currency, health insurance premiums; the closed level support; card funding of the group object.
-Hosted, in cooperation with the Vietnam social insurance, the ministries concerned, the Ombudsman examined the management and use of the health insurance fund.
d) Ministry of labor, invalids and Social Affairs-building, the Government issued regulation criteria households, agriculture, forestry, fisheries, match industry had average annual living standards.
-To propose specific solutions on the policy, mechanism, how organizations make identifying the object, list, object management (poor, poor access, households, agriculture, forestry, fisheries, matches the average living standards, having a child under 6 years old ....), the mechanism of currency, health insurance, medical insurance card for the group object.
DD) the Ministry of education and training-hosted, in cooperation with the Ministry of health, Vietnam social insurance and the ministries made the solution of development, improve the quality of school health work and building development plan criteria for health insurance in each institution training, implementation of solutions related to expand health insurance for students according to the regulations.
-Directing the Department of education and training, the Academy, the University, College and professional level in the whole country to fulfill seriously the health insurance Law; put target join medical insurance reached 100% is a standard to national standard schools recognized for the elementary school, middle school, high school and is one of the criteria the emulation for the Department of education and training, the school.
e) Ministry of information and communication

-Direct the press, radio, television an annual construction plan advocacy, policy, common law on health insurance, make sure the propaganda made frequent, good quality, highly effective.
-Collaboration with the Vietnam social insurance, the Ministry of health and the ministries concerned made the task of the media, with many forms of propaganda, the contents match the group object according to the rules.
-Construction of the mechanism of implementation of the free propaganda for the health insurance policy.
g) Ministry of Interior presided over and coordinate The relevant departments to build the organizational policy of appropriate medical insurance, guarantee the professionalism, high specialization, consistent with the level of extended health coverage.
h) Ministry of defence, in coordination with the Ministry of health and the ministries involved in the implementation of the project. Policy formulation and direction to implement health insurance policy for the objects in the people's army, according to the roadmap and the appropriate steps, consistent with the characteristic activities of the armed forces.
I) Ministry of public security, in coordination with the Ministry of health and the ministries involved in the implementation of the project. Policy formulation and direction to implement health insurance policy for the objects in the public security people management according to the roadmap and the appropriate steps, consistent with the particularities of activity.
k) Ministry of planning and investment – in collaboration with the Ministry of health, Vietnam social insurance and the ministries involved in the implementation of the scheme; build the project in the field of health insurance under this scheme, the appraisal of projects according to the regulations.
-Consistent with the Health Ministry putting the health insurance targets the entire population on the target system, the national plan.
l) Inspector of government functions, base tasks: organizing the inspection policy of health insurance legislation and inspection service jobs due to the Prime Minister.
m) conducted the audit tasks according to the provisions of article 10 of the medical insurance Act.
2. The responsibility of the local a) Provincial Council, the central city in construction annual resolutions on implementation of the health insurance policy locally, as economic indicators-the local society; enhanced monitoring of the implementation of the policy on medical insurance and the implementation of health insurance for the entire population of the departments in the local.
b Provincial Committee), city in Central-Government, responsible to the Prime Minister on the implementation of the targets covered in annual health insurance locally. Plans, directs, organizes the implementation at local scheme to achieve its objectives. Annual periodic reports the results of the project of the Ministry of health to General, reported the Prime Minister.
-Directing the relevant authorities in the propaganda mission, common law policy of health insurance.
-Put your goals, plan, the rate of medical insurance coverage is a norm in the programs, plans of social-economic development in long term and the short term of the local implementation of the goal of health insurance the whole population in the new rural program.
-Host implementing solutions for developing engaged audience of health insurance, focusing on the task: reviewing, approving the list of participants health insurance because of the State budget to support the full and partial support of the level of medical insurance premiums; list of members of the household, agriculture, forestry, fisheries and matchsticks have the standard of living of average construction and coordination mechanisms, plans and annual targets in this object group is lobbying to join medical insurance.
-Ensure funding support for policy objects participate in medical coverage under the rules; at the same time have the responsibility of directing the management and effective use of health insurance funds locally.
-Directing the implementation of the inspection, test and process violations in the implementation of the law on health insurance, local businesses of competent management.
3. The liability of the Organization, mass: a) the Vietnam Fatherland Front:-coordination of policy advocacy, law on health insurance, American people, Union members, members join medical insurance.
-Mobilizing resources to support the participation of the people's health insurance.
-Coordination of monitoring, evaluation policy implementation of the law on health insurance and the deployment of the project.
b) Vietnam General Confederation of Labor:-coordinating advocacy on policy, laws for health insurance for the workers, the employers.
-Mobilization of people employers, employees comply with the provisions on medical insurance.
-Join the monitoring, inspection, check health insurance participation in enterprises and proposed mechanisms, the policy of health insurance for workers.
c) Vietnam Women's Union:-coordinating advocacy on medical insurance policy, the women membership levels and their families actively participate in health insurance.
-Advised proposals involved the construction of policies related to health insurance for women in the policy of the law on health insurance and health care, tied to the goal of gender equality and the advancement of women.
-Coordinating the monitoring, reviews the implementation of the policy, the law on medical insurance and the deployment of the project.
d) Vietnam: farmers-advocacy, education for officers, members of the farmers ' level of medical insurance policy, the farmers and their families participate in health insurance, particularly focused on the near-poor households, households and farmers have on average living standards were State budget supports health insurance rates.
-Mobilization of resources in support of farmer households participate in health insurance.
-Coordinating the monitoring, reviews the implementation of the policy, the law on health insurance.
DD) Central Communist Youth Union Ho Chi Minh-advocacy, education for Union members, youth, students, student health insurance policy.
-Mobilize Union members, youth participate in health insurance.
e) Of Vietnam Medical Association:-participate in the activities of research, policy formulation, legislation on health insurance, improve the quality of clinical practice.
-Advocacy, mobilization members make good policy, the law on health insurance, the Member and family members join medical insurance.
g) other organizations based on the functions and tasks of the Organization, participate in advocacy activities, lobbying, mobilizing, supporting families, individuals in the community to join the health insurance.
V. FUNDING To IMPLEMENT The ACTIVITIES Of The PROJECT 1. The funds from the State budget to close and partially support the level close to the target groups-the period from 2012-2015, expected% rate the State budget supports health insurance premiums compared to the health insurance fund revenues from about 40.6-45.5%. Financing the State budget increased under the year as follows: in 2013, about 4,817 billion; by 2014, about 6,448 billion and the year 2015, about 8,034 billion to support health insurance in terms of the level of medical insurance premiums do not change.
-The period 2016-2020, the State budget supports health insurance premiums follow new regulations of the law on amending and supplementing certain laws for health insurance.
2. Funding to implement the project

Funding to implement the project content is retrieved from the source budget often genera and other legitimate sources for the following principal activities: advocacy; manage, make a list and issued medical insurance cards to the audience; check, monitoring; research, reviews; seminars, conferences, trainings; training and capacity building.
Article 2. This decision has the effect since the date of signing.
Article 3. Ministers, heads of ministerial agencies, heads of government agencies, the Chairman of the provincial people's Committee, central cities and heads of agencies, relevant units responsible for the implementation of this decision.