Russia

In March-April, MTRC introduced a number of changes in the educational seminars on reimbursement systems in the Czech Republic and England and released additional modules about reimbursement of in-vitro diagnostic tests in Russia and Turkey.

The Russian DRG system was updated for the year 2020. The main changes concern increase in the number of DRG groups, revision of the content of DRG for cases of radiation therapy, increase in the coefficients of the relative cost-intensiveness of DRG for cases of surgical treatment on the "Oncology" profile and revision of the coefficients of the relative cost-intensiveness of DRG according to the "Oncology" profile.

In June of 2019, order on changes of procedure for the development of standards of health care was issued regarding the development of health standards based on approved clinical recommendations.

Technical overviews include details of application processes for procedure codes and payments (e.g. DRG), inclusion into health benefit catalogs. Overviews are available as presentations in Acrobat PDF.

Seminars on hospital reimbursement system for the Netherlands and Russia were added to the online school, as well as the webinar for the Austrian system. MTRC online school is the most cost-effective way to learn about reimbursement systems in a structured way.

On the 1st of October of 2018, the Russian Ministry of Health has released the Order № 665n about the extension of the list of transplantation objects with inclusion of hematopoietic stem cells.

Minister of Health announced that it is planned to re-equip 609 vascular surgery centers. In parallel, about 30 departments will be upgraded to the level of the regional vascular centers, which will increase their capacity. Ministry plans that these efforts will help to double number of primary coronary interventions in acute coronary syndrome in Russia.

Russian Ministry of Health approved the Order #260, which introduces a national program for modernization of equipment of pediatric ambulatory clinics and out-patient department of pediatric hospitals in 2018-2020 years. The budget of the program is 411 mln euros.

The rules describe types of telemedicine systems used, type of care to be eligible for telemedicine services, interaction of medical personnel using telemedicine systems, approach for remote monitoring of condition of patient, and approach for documenting and storing information obtained using telemedicine technologies.

The program will cover the period of 2018-2025 and will focus on improvement of provision of health care services, introduction of innovations and other aspects of health care system. Overall budget of the program is 4.7 bln. euros. The program can create a window of opportunity for financing of innovative equipment and devices in Russia.

The Nomenclature is used to code all health care interventions in public sector. It is a foundation for payment using Russian diagnosis-related groups. Nomenclature will come into force 1st of January 2018.

Joint Orders of Ministry of Industry and Trade and Federal Agency for Technical Regulation and Metrology issued a number of standards outlining technical requirements for organizing of state procurement of a number of medical devices, including ventricular assist devices, implantable neurostimulators, means of protection of medical personnel from radiation, and pacemakers.