Friday, July 19, 2013

Health Pact. For the Government of the resources are there and 24 July will ... - Daily Health

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July 18 – This time of the serious, the pieces of the puzzle seem to be becoming framing each in the right place. And so on the 24th of July, the table for the new Health Pact will officially open. The coverage of the two billion euro ticket will be there, and by return mail will also Decree on standard costs with the five regions to choose from the three benchmarks for fiscal federalism.
To assure the Minister of Health, Beatrice Lorenzin, today on the sidelines of a closed-door meeting between the ministry of Health, Regions and the Ministry of Regional Affairs.

A meeting that just the Minister for Regional Affairs, Graziano Delrio has described as “fruitful”. And for two main reasons: “The restart of the Covenant serious health and that of federalism in health care costs with standard”.
A judgment in line with the words expressed by Minister of Health, Beatrice Lorenzin . “We talk very little but work – said the minister – we recorded a great willingness on the part of the regions to resume a path that was interrupted. We have given ourselves a working method then the 24 will start the first meeting which officially opens the table for the new covenant to health. ” At the base there are solid assumptions, that is, as he assured the minister, “a commitment that the National Health Fund can no longer bear linear cuts, and work with the regions to find methods for enhancing the efficiency of the system.” Above all, he added Lorenz in “with the reopening of the path cost standard we hope to implement all measures that Italians expect to have that health care system with first-class amenities and sustainable for this and the next generation.”

In short, a breakthrough that has dissolved, as advocated regions, nodes hardest to kick start the comparison. A renewed spirit of cooperation where space would also have the Governors ‘request for guarantees longer term, so that the pact could be signed no more’ for three but for the next five years. “It finally opens the discussion on the Pact for Health – said the president of the Regions, Vasco Errani – we had made it a condition that there was substantial assurance covering the two billion on the ticket.” And now that insurance is finally here “part of the discussion with the health fund in 2014 plus the two billion euro ticket. So with Lea, the Pact for Health and standard c osts that we propose for about nine years, will proceed to build a quantum leap ensuring adequate funding. Do not forget – he added – that Italy is one of the OECD countries with the lowest percentage of funding on health care. “
As for the standard costs, Errani assured that in the next few days you will begin to discuss the ministerial decree which will identify the five regions to choose from the 3 regions benchmark for standard costs.
It should be noted, however, added Errani that “” Italy is one of the OECD countries with the lowest percentage of funding for health care. “
The President of the Veneto Region Luca Zaia , appreciates” the consistency of the Minister Lorenzin that, after the announcements, it looks really want go to the facts. I really hope that the time for talking has ended and began what the facts. ” With these words the President of the Veneto Region commenting on the outc ome of the meeting on some important issues of health, held on 18 July in Rome, to which the Veneto was represented by the Councillor for Health Coletto Luca, also present in his capacity as coordinator Health Commission for the Conference of Regions. “If that is – continues Zaia – could be a milestone for serious reform of the sector, and we expect that for a long time, starting with the introduction of standard costs, the only true remedy for the waste that still exist in some areas of country. To treat people well – adds the president – it is essential to look more carefully and rigorously optimizing spending and to cut the useless one that supplies waste. Also for this reason – he concludes Zaia – I hope that what cost standard is not yet another table of words inconclusive, but the beginning of a journey no longer be postponed rigor and focus on spending. “

However, “something is moving and whether the c ommitments will be maintained, something which I do not doubt, we can imagine better times for health care in general and that of the virtuous regions in particular.” And ‘this is the comment of the Health’ of the Veneto Region Luca Coletto (coordinator of the Health Commission of the Conference of the Regions). “We bring home significant results – reports Coletto – because the minister has assured us Lorenzin such that the 2 billion new tickets for the 2014 there will be and the amount will be ‘covered with government funds. On 24 July, in addition, will kick off the work of an authoritative national table that must accompany the path to the introduction of standard costs and requirements for healthcare. Relevant – according to Coletto – even the Ministers’ commitment to a refinancing of CIPE funds under Article 20. ” “I have 3 objectives – comments Coletto – for which the Veneto Region has worked, and sometimes fought since the beginning of the term. Just put your hands in the pockets of citizens, just talk but work specifically on standard costs, guarantee a certain flow of funds for building national health after too much time to underestimation of the problem. “
” We took a positive act of the will of the Government to collect the requests, such as Regions, we have advanced non-application of a further increase of the ticket from January 1, 2014 “This is what they have instead affirmed the President of the Umbria Region, Catiuscia Marini , and the regional minister of health, Franco Tomasson at the end of the meeting. “It ‘s good that the government finally gave assurances about the increase in the health fund of 2 billion to replace the non-application of the increases on the ticket – they say – How Regions, not now, we have always said the unsustainabilit y of further increases the ticket for both the regional health system but, more importantly, for the people who would find themselves forced into a new partnership for the health care costs. ”
“This commitment – continue – but also to that of the end of the policy of the linear cuts to health fund announced by the Minister Lorenzin, is the precondition for us to start, at this point, concerning the new Covenant of health. ” “We also welcomed the intention of the Government to deal with the regions on the merits of the various issues that will be addressed by the new Covenant. Fundamental to the president and the commissioner Tomassoni Marini – will be the issues related to primary care, hospital care and the regional planning; defining new basic levels of care, now 10 years old, the provision for long-term care and for the integration of social and health care that will have to take into account the theme of aging and chronic i llness. ” In addition, the issue needs to be addressed of the guideline for the adjustment of the national collective agreements and the turn over of staff of the National Health Service. “We can not believe so positive – end – the reopening of a constructive dialogue between the Government and the Regions, aimed at the creation of a health service able to achieve in practice the right to health for the citizens, which is economically viable, but also adapted to changes dictated by the new health needs of the population. “

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