С 1 января 2026 года Федеральный и территориальные фонды обязательного медицинского страхования будут осуществлять мониторинг деятельности

страховых медицинских организаций

Мониторинг будет осуществляться на основании показателей оценки деятельности страховых медицинских организаций, включающих:

ведение персонифицированного учета сведений о застрахованных лицах;

эффективность сопровождения застрахованных лиц при оказании медицинской помощи;

эффективность информирования о прохождении диспансеризации и диспансерного наблюдения;

защита прав застрахованных лиц в судебном и досудебном порядке;

качество проводимого страховой медицинской организацией контроля объемов, сроков, качества и условий предоставления медицинской помощи.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 

Территориальные фонды обязательного медицинского страхования будут ежеквартально оценивать выполнение страховыми медицинскими организациями ключевых показателей эффективности деятельности и передавать результаты в ФОМС. В свою очередь, Федеральный фонд ОМС будет публиковать результаты мониторинга и рейтинг страховых медицинских организаций на своем официальном сайте.

Целью мониторинга является повышение прозрачности и эффективности работы страховых медицинских организаций.