4. Paying for services
Adequate funding for health is important to manage the excess demands on the health system. This section considers how countries are PAYING FOR COVID-19 SERVICES. Health financing describes how much is spent on health and the distribution of health spending across different service areas. The section also describes who is covered for COVID-19 testing and treatment, whether there are any notable gaps (in population coverage and service coverage), and how much people pay (if at all) for those services out-of-pocket.
4.1 Health financing
Total funding for 2020 from mandatory health insurance (MHI) and its distribution between the level of care and medical providers was approved in December 2019 and remains the same (432 million EURO). MHI funding covers more than 85 percent of public spending on health. It also pays for the 100% supplements to the salary of the staff involved in providing healthcare for COVID-19, based on the definition of suspicious / probable / confirmed cases, established on 9 March 2020. https://msmps.gov.md/sites/default/files/legislatie/ordin_msmps_nr.243_din_martie_2020-_spor_performanta_covid-19.pdf
An additional 1.8 million EURO were allocated for PPE from the Government Reserve Fund (1.8 mln EURO). PPE was purchased through centralized acquisitions, and distributed to medical facilities according to needs, based on MoHLSP distribution.
At the Ministry of Finance, a fund was created for financial donations (public and private institutions donated from salaries equivalent to one day of work, etc.). As of 21 April, 1 million EURO had been collected, and it will be used like public funds. Monies are transferred to the Government Intervention Fund, and used as needed, based on Government decisions (e.g. 293 thousand EURO for PPE and 323 thousand EURO for a unique allowance for medical staff who have contracted COVID-19 infection at work).
A citizens group has launched a fundraising campaign called “Together for You!” to support those involved in the fight against the COVID-19 pandemic. The funds are managed by the group, have been allocated to purchasing PPE, disinfectants, and devices.
Important donations of tests, PPE and other medical goods have been provided by WHO, SDC, the People’s Republic of China, the Russian Federation, the European Commission, Turkey, the United States of America, Romania, UNDP, UNICEF, etc.