institutions selected 4. Elaborate the new capitation model 4.1 Establish the technical working MoH VSS, EU-HF, The TWG other interested established group for elaborating the key parties elements of the new capitation model 4.2 Determine the age groups MoH, VSS EU-HF, GSO, The age other interested groups are parties determined 4.3 Construct cost adjustment MoH VSS, EU-HF, Adjustment other interested coefficients coefficients for the age groups parties constructed Develop additional adjustment MoH VSS, EU-HF, Additional 4.4 other interested coefficients coefficients related to quality, parties developed performance, etc. 5. Balance the budgets of the selected pilot health care facilities 5.1 Settling the deficits and VSS MoH, MoF, The other budgets are surpluses interested parties balanced 6. Develop operational manual for the new capitation model Establish the technical working MoH 6.1 VSS, MoF, The TWG other established group for the development of interested parties operational manual 6.2 Draft the operational manual MoH VSS, MoF, The other operational - define principle for settlement interested parties manual is of surplus and deficit drafted - apply capitation only for outpatient services at primary level - total capitation fund calculation - calculation of capitation budget for health care facilities - allocation of capitation budget - reporting - define roles and responsibilities of the implementing partners (MoH, VSS, providers, etc.) 7. Training of the pilots
institutions selected 4. Elaborate the new capitation model 4.1 Establish the technical working group for elaborating the key elements of the new capitation model MoH VSS, EU-HF, other interested parties The TWG established 4.2 Determine the age groups MoH, VSS EU-HF, GSO, other interested parties The age groups are determined 4.3 Construct cost adjustment coefficients for the age groups MoH VSS, EU-HF, other interested parties Adjustment coefficients constructed 4.4 Develop additional adjustment coefficients related to quality, performance, etc. MoH VSS, EU-HF, other interested parties Additional coefficients developed 5. Balance the budgets of the selected pilot health care facilities 5.1 Settling the deficits and surpluses VSS MoH, MoF, other interested parties The budgets are balanced 6. Develop operational manual for the new capitation model 6.1 Establish the technical working group for the development of operational manual MoH VSS, MoF, other interested parties The TWG established 6.2 Draft the operational manual - define principle for settlement of surplus and deficit - apply capitation only for outpatient services at primary level - total capitation fund calculation - calculation of capitation budget for health care facilities - allocation of capitation budget - reporting - define roles and responsibilities of the implementing partners (MoH, VSS, providers, etc.) MoH VSS, MoF, other interested parties The operational manual is drafted 7. Training of the pilots
2.%20The%20Guidelines%20for%20Circular%20on%20capitation%20EN.docx