Position of the National Academy of Medical Sciences on the draft Resolution of the Cabinet of Ministers of Ukraine “Some issues of implementation of the program of state guarantees of medical care for the population in 2025”

The Association of Private Medical Institutions of Ukraine expresses its position on the draft Resolution of the Cabinet of Ministers of Ukraine “Some issues of implementation of the program of state guarantees of medical care for the population in 2025”, which is currently submitted for public discussion, and contains provisions that discriminate against private medical institutions.

The key is the fact that the Resolution is aimed at monopolizing the situation of specific medical institutions, thereby discriminating against the rights of small and medium-sized businesses, and also limits the rights of patients to free choice of medical institution.

The main problems of this document:

1. Restriction of access of private institutions to contracting with NSU:

• It established a requirement that institutions that did not provide a certain amount of services in 2024 cannot conclude contracts for 2025. This restriction applies only to private institutions, while individual public institutions are exempt from this criterion.
• The introduction of a 15% threshold for services provided in 2024 was introduced post-facto, putting private providers in an unequal position.

2. Reducing the range of services:The resolution reduced the number of services funded by NSU and introduced a limit on the number of consultations and treatments for one patient.

3. Monopolization of public institutions:The resolution effectively consolidates the monopoly position of individual public institutions, contributing to their dominance in the medical services market. 4. Violation of the right of patients to choose a medical institution:

• Artificial barriers for private institutions limit the ability of patients to freely choose where to receive medical services.
• This contradicts one of the key principles of health reform — ensuring equal access to quality free medical care, regardless of the form of ownership of a medical institution.
• We stand for the right of patients to access quality medical services, supporting their right to choose a medical institution according to their own needs and preferences.

5. Violation of the principle of the reform “money goes after the patient”:Artificial barriers for private institutions limit the right of patients to choose a facility and receive quality free medical care.

6. Risks of corruption and opacity:Lack of clear and reasonable criteria, which makes it difficult to predict the conditions for concluding contracts and increases corruption risks.

The resolution significantly restricts the rights of private medical institutions and patients, creating preferences for public institutions, violating the principles of medical reform and the right of citizens to affordable and high-quality medical services.

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