From variability to uniformity: standardizing tariff agreements as a tool for improving the efficiency of the compulsory health insurance system

Abstract

Background. At present, the compulsory health insurance (CHI) system in the Russian Federation is lacking a standardized format for tariff agreements. This leads to significant variability in the structure of documents and, consequently, to errors, low transparency of tariff policy, and financial control difficulties.

Objective: To develop a unified form of tariff agreement in the Russian CHI system.

Material and methods. The research methodology was based on an integrated analysis of the regulatory framework and regional tariff agreements, followed by testing of the developed form in pilot Russian regions.

Results. A unified form of tariff agreement has been developed. This standardized form minimizes the administrative burden on participants in the CHI system, ensures transparency in tariff formation, enables comparative analysis of regional indicators, and optimizes the process of document approval by the Federal CHI Fund.

Conclusion. The introduction of the standardized form for tariff agreements and the digitization of their processing will significantly improve the efficiency of tariff policy management in the CHI system of Russia.