Zenchenko N. The financial-economic mechanism of functioning of health insurance in the region.

In the thesis of scientific and methodological approaches, and practical advice on the formation of financial-economic mechanism of the functioning of health insurance in the region after the introduction of compulsory state social insurance. Defined compulsory subjects of social health insurance: the insurer - the Social Fund of obligatory medical insurance; policyholders for different categories of the population are legal entities that pay wages (compensation), retirement, financial security and assistance, local government bodies. To provide insured medical insurance program as part of compulsory social health insurance are health care providers of any organizational-legal forms of ownership and departmental subordination, which have a license to carry out this activity, accredited and entered into a contract with the Fund. The essence of financial and economic mechanism of the health insurance in the region as a combination of financial and economic methods, tools and instruments that are based on the regulatory and information affect the relations in the system of health insurance in the specific conditions in order to harmonize the interests of the state, business entities and population in terms of medical care. Designated task, object and subject of this mechanism is disclosed by its structure. The choice of method for calculation of the contribution for obligatory state social health insurance during his administration. Made forecast of this index for the period up to 2040 points to the possibility of further reduction, while increasing the amount of payments per insured person. In order to adequately assess regional characteristics and disparities developed a method of determining the level of preparedness of the region to the introduction of health insurance by means of integral indices. A model of financial-economic mechanism of the health insurance in the region, implementation of which will ensure the effectiveness of the system to satisfy the financial and economic interests of both patients and health care providers.