Kazakhstan Health Ministry removes 400,000 inactive patient records, saving 31 billion tenge
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Kazakhstan's Health Ministry removed about 400,000 outdated patient records from medical information systems, preventing 31 billion tenge in unjustified spending. The digital checks also found 40 unlicensed medical organizations and more than 2,000 specialists with expired certificates. Five organizations had their activities suspended and over 50 specialists were removed from work.
Key Facts
- The Health Ministry removed about 400,000 outdated patient records from medical information systems, preventing 31 billion tenge in unjustified spending.
- Digital checks increased detection of payment violations by 3.5 times and reduced unjustified consumption of medical services by 7.1%, or about 7 billion tenge.
- The system identified overcharges of 10.6 billion tenge and a financial effect of 3.2 billion tenge from payments to inactive per-capita recipients.
- About 40 medical organizations were found operating without a valid license, and the activities of five were suspended.
- More than 2,000 medical specialists with expired certificates were identified, and over 50 were removed from work.
Digital Verification System
The Ministry of Health of Kazakhstan built a digital chain of reliability from patient visit to payment to the medical organization. A unified data warehouse serves as the single source of data, and digital identification confirms the fact of a patient visit and excludes fictitious entries. Format-logical control checks each event before saving, and a unified payment system verifies the volume and quality of care. The system detected about 400,000 patient records that were no longer current, and their exclusion prevented spending of 31 billion tenge.
Financial Impact
Detection of defects in payment for medical services increased by 3.5 times, according to the Ministry of Health. Unjustified consumption of medical care decreased by 7.1%, which amounts to about 7 billion tenge. Overstatements of service volumes were identified at 10.6 billion tenge. The financial effect from payments to inactive per-capita recipients was 3.2 billion tenge.
Licensing and Certification Violations
Risk-oriented oversight through the digital resource management system identified about 40 organizations operating without a valid license. The activities of five of these organizations were suspended. The system also identified more than 2,000 medical specialists with expired certificates. More than 50 of these specialists were removed from work.
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