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Development of the system of state financing of Compulsory Health Insurance

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Objective: to study the potential for the development of financing the Compulsory Health Insurance (CHI) system in Russia.
Material and methods. Оur research estimates the amount of funds available in the CHI system based on fractal analysis and ARIMA modeling. The proposed approach makes it possible to determine the critical amount of funds in the CHI system. Once the limit is reached, the chance of violating the economic security requirements will increase.
Results. Аn increase in the volume of available funds in the CHI sector is expected in the mid-term perspective on the verge of quarter 1, 2023. The amount of funds required to pay for medical care for the respective period of time will increase by 0.77% quarterly.
Conclusion. Gaining additional funds might be possible by optimizing the internal networks for generating cash flows in the CHI system, as well as applying additional ways of financing medical care (particularly Voluntary Health Insurance policies). It would be practical to redistribute the functions of financing health care between the Federal Fund for CHI and its territorial branches. It is essential to review the role of health insurance companies in monitoring the health care quality by improving the communication with citizens.

About the Authors

А. V. Larionov
Financial University under the Government of the Russian Federation
Russian Federation

Alexander V. Larionov – PhD (Econ.), PhD (Public Administration), Leading Researcher, Center for Strategic Forecasting and Planning, Institute of Economic Policy and Economic Security Problems

RSCI SPIN-code: 8046-8320 

49/2 Leningradskiy Ave., Moscow 125167

S. V. Russkikh
National Research University “Higher School of Economics”
Russian Federation

Sergey V. Russkikh – MD, PhD, Lecturer, Faculty of Social Sciences

RSCI SPIN-code: 4853-7625 

11 Pokrovskiy Blvd., Moscow 109028

S. V. Maslennikov
Financial University under the Government of the Russian Federation
Russian Federation

Sergey V. Maslennikov – Junior Researcher, Department of Insurance and Social Economics

RSCI SPIN-code: 3517-9369 

49/2 Leningradskiy Ave., Moscow 125167


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For citations:

Larionov А.V., Russkikh S.V., Maslennikov S.V. Development of the system of state financing of Compulsory Health Insurance. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2021;14(4):480-492. (In Russ.)

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