Health Minister Stefan Konstantinov signed two National Framework Agreements for 2011, the Health Ministry said Wednesday. For the first time the National Health Insurance Fund (NHIF) signed separate agreements with the Bulgarian Medical Association (BMA) and the Bulgarian Dental Association (BDA) because of last year's amendments to the Health Insurance Act aimed at providing a more flexible mechanism for negotiation.
Preventive care is among the main priorities of the agreement for medical activities. In 2011, the cost of check-ups will increase from 7.70 to 8 leva and the cost under the Mother Healthcare Programme will increase from 2.20 to 5 leva, so as to motivate GPs to do these activities. Resources for primary non-hospital care are increased from 157 million leva to 169 million leva.
A total of 9 million leva from the increase of resources are to provide medical care after 8 p.m., as well as on non-working days and official holidays. More resources will be provided in 2011 for check-ups with specialists in non-hospital care. They are increased from 154 million leva to 171 million leva and a more flexible mechanism for redistribution of resources between different specialities is expected to be introduced.
The resources for hospital care are increased by 250 million leva, from 708 million leva to 958 million leva, thanks to which the cost of 185 out of 294 clinical pathways is also increased. The biggest increases are in the sphere of intensive cares, urology, neonatology, laser treatment and hematologic diseases.
A greater number of medicines will be covered by NHIF in 2011. Resources for medicines are increased from 320 million leva to 391 million leva.
The National Framework Agreement for dental treatment retains its basic parametres from 2010. NHIF's 2011 overall budget for dental activities is 94 million leva, or 3.3 per cent more that in 2010.