More benefits in POZ

The changes introduced in the proposed regulation are aimed at:

1) Allowing PCPs to make referrals for Total Immunoglobulin E (IgE) and Specific Immunoglobulin E (IgE) for symptoms indicative of allergy and coronary artery computed tomography for indications of ischemic heart disease;

2) Enable physicians providing N&E services to diagnose the health status of beneficiaries and determine therapy, based on the results of diagnostic tests;

3) Coverage of comprehensive coordinated care services of the primary care physician in the field of diabetes for recipients diagnosed with a pre-diabetic condition;

4) coverage of comprehensive coordinated care services of the primary care physician in the field of endocrinology for recipients diagnosed with hyperthyroidism;

5) Enable PCPs to provide comprehensive services to recipients with chronic kidney disease, including early diagnosis of the disease, determination of therapy or, in the case of recipients diagnosed with advanced stages of the disease, referral for specialized treatment;

6) provision of specialist consultations for beneficiaries under 18 years of age receiving coordinated care services.

The effect of these changes will be to increase access to benefits at the primary care stage. This means that thanks to the expansion of the catalog of benefits, recipients will gain access to these benefits already at the stage of services provided by the primary care physician, without having to wait for their implementation at the doctor of outpatient specialized care (AOS). If a disease diagnosis is made, the primary care physician will refer the recipient to the appropriate specialist. The above will allow faster determination of the appropriate therapy. An additional effect on A&E will be to relieve the burden on hospital emergency departments and emergency rooms.

Source: RCL