DESTINATION kazakhstan
treatment, medical rehabilitation, high-
tech care, palliative care and nursing
care.
The amount of contributions
and deductions
for 2018-2019
What are the challenges facing the
healthcare system today?
In the present ‘Address to the people of
Kazakhstan’, the Head of the State has
set such tasks to the healthcare system
as carrying out a wide information
and explanatory work of the system
of compulsory social health insurance
and the introduction of price regulation
for medicines. Also, the Head of State
stressed that PPP should become the
main mechanism for the development
of infrastructure, including social
infrastructure.
In connection with this, under the Ministry,
the Business Council has been created and
is actively working - a platform for solving
the tasks of the state and business.
fund of
social
medical
insurance
state
contributions
employer
contributions
employees
IE
contributions contributions
The Ministry of Healthcare together with
akimats compiled a list of facilities offered
to private investors for construction,
privatization and trust management. There
are two directions for investors. In the first
one, a private investor builds health facilities
at his own expense, reimburses his costs
on the basis of a long-term contract and
receives income associated with activities
during the life of the facility. The second
direction proposes that the Ministry of
Healthcare take over the existing but
low-efficiency state facilities in order to
reduce the investment load, based on the
quality criteria of the activities of these
organizations. In both directions, local
executive bodies are actively working. Nine
facilities in different regions have already
been transferred to management. health insurance system will also be
clearly evaluated based on the final result.
An agreement was signed with the Asian
Devel opment Bank on the preparation
of 4 pilot PPP projects in the field of
out-patient care. ADB in 2016 for the
preparation of pilot projects has already
allocated over 200 thousand US dollars. In
2017 the bank is ready to allocate more
than 500 thousand dollars for this sphere.
With regard to the regulation of prices
for all medicines, this year already it is
planned to introduce amendments to the
relevant legislation of the Republic of
Kazakhstan.
We believe that the private sector has
the opportunity to invest in overhaul,
re-equipment, purchase of sanitation and
maintains a higher motivation for work
because today's funding is based on the
end result. In the future, the compulsory What are the rates of contributions
and deductions?
According to the draft law, 'On
Amendments and Additions to Some
Legislative Acts of the Republic of
Kazakhstan on Healthcare' in the area of
16
world monitor
average annual contributions
for the payer in tenge, 2018
Inactive Population
contributions
average annual contributions
for the payer in tenge, 2019
health insurance, the following rates of
contributions and deductions are proposed:
- Employers' deductions: 1% – since July
2017, 1.5% – since 2018, 2% – since 2020,
3% since 2022.
- Employee contributions: 1% – from 2019,
2% – from 2020.
- Contributions of private entrepreneurs,
private notaries, lawyers, mediators will
make up 5% of 2 MWP approved by law
based on the republican budget; individuals
receiving income under civil law contracts
– in the amount of 5% of income, monthly
from 1 July 2017.
- Contributions of persons who are not
members of the workforce (unproductively
self-employed) – 5% of 1 MW from 1
January 2018.
- The state will deduct 3.75% for the socially
unprotected strata of the population – from
January 2018, 4% – from 2019, 4-5% -
since 2022.