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Return to the centralization of health care financing in the form of a “single payer” insurance system

Ragozin Andrey V.  (PhD in Medicine Head of the Center of problems of organization, financing and Interterritorial relations in healthcare of the Institute of regional economics and interbudget relations, financial university under the Government of the Russian Federation (Moscow))

Grishin Vladimir V.  (Professor, Doctor of Economics Chief scientific associate of the Center of problems of organization, financing and Interterritorial relations in healthcare of the Institute of regional economics and interbudget relations, financial university under the Government of the Russian Federation (Moscow))

Decentralization of management and financing of national health care systems is a global trend of recent decades. This process has its own economic, social, and political logic - however, it has not yet proved its effectiveness and created the problem of resource allocation between regions. The authors give arguments in favor of abandoning the concept of the so-called. "per capita financing" in favor of a new trend towards the recentralization of national health systems. The most effective approach seems to the authors to be the centralization of financing in the format of the “single payer” insurance model.

Keywords:healthcare, distribution of resources between regions and territories, centralization, decentralization, recentralization, per capita financing.

 

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Citation link:
Ragozin A. V., Grishin V. V. Return to the centralization of health care financing in the form of a “single payer” insurance system // Современная наука: актуальные проблемы теории и практики. Серия: ЭКОНОМИКА и ПРАВО. -2022. -№10. -С. 77-81 DOI 10.37882/2223-2974.2022.10.31
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