The Casa Naţională de Asigurări de Sănătate (CNAS) has opened a public debate regarding a draft order that introduces significant changes to the healthcare system, as agreed upon during negotiations with medical professionals. This project aims to modify the methodological norms pertaining to the application of Government Decision no. 521/2023, establishing new guidelines for the provision of medical care, medications, and medical devices.
One of the key updates proposed involves the revision of values for primary medical care. Specifically, secondary work points will be required to operate for a minimum of five hours per week, ensuring better accessibility and service continuity for patients. This change is expected to enhance the quality of primary care services, allowing patients to receive timely medical attention.
Additionally, the draft outlines new regulations for contracts involving paraclinical medical services provided by mobile units based in hospitals. This adjustment is designed to improve the efficiency of healthcare delivery, particularly in rural or underserved areas where access to medical services may be limited. By allowing mobile units to operate under specific contractual agreements, the intention is to bolster healthcare access and facilitate timely intervention for patients needing paraclinical services.
Moreover, a positive adjustment coefficient will be introduced for public healthcare providers, incentivizing them to improve their service offerings and enhance patient care quality. This measure highlights a commitment to fostering a more effective and competitive healthcare environment, where public providers can thrive while meeting the evolving needs of patients.
In the sphere of hospital-based medical care, the proposed changes also allow for the establishment of contracts with private providers, albeit within a defined percentage limit. This initiative represents a strategic move to diversify the healthcare landscape, providing patients with a broader array of options while ensuring that public institutions remain at the forefront of care delivery. By fostering partnerships with private entities, the goal is to create a more integrated healthcare system that benefits patients across different spectra of care, enhancing the overall patient experience.
In tandem with these positive changes, the draft order includes specific penalties for non-compliance with obligations laid out in the regulations, in accordance with Law no. 163/2025. This provision aims to uphold a standard of accountability within the healthcare system, ensuring that providers adhere strictly to the established guidelines and provide the high-quality care that patients deserve.
These modifications reflect CNAS’s ongoing commitment to reforming the healthcare system in a manner that addresses the needs of both medical professionals and patients. By opening the floor for public discussion on these proposed changes, CNAS seeks to gather valuable feedback and ensure that the final implementations are well-informed and beneficial for all stakeholders involved.
The dialogue around this draft order highlights the importance of collaboration between the government, healthcare providers, and the community. As these changes move forward, it will be critical to monitor their implementation and effectiveness in enhancing healthcare access and quality for the general population. In doing so, CNAS aims to create a more resilient and responsive healthcare system that can adapt to the challenges of today’s medical landscape and better serve the needs of its constituents.