LEGAL REGULATION OF FINANCIAL RELATIONSHIPS IN THE FIELD OF COMPULSORY HEALTH INSURANCE

The purpose of the study is to analyze the theoretical and legal aspects of the functioning of such a social institution as compulsory health insurance. The task of the study is to reveal the essence of this institution, along the way determining the possibilities of its improvement in modern conditions, as well as the development prospects and problems affecting the activities of its main subjects. The author draws attention to the fact that in the field of legal regulation of the interaction of the participants in these relations, there are significant contradictions, most of which concern the issue of allocating and using the necessary means. Conclusions. With the main conclusions, the author confirms the opinion of researchers about the insufficient regulation of issues related to the determination of the existing order of financial interaction between medical organizations and insurance companies, and believes that the Russian authorities need to make a partial correction of the provisions that define it. The author of the study connects this, first of all, with the imperfection of the compulsory health insurance system itself, which is a mixed model of a semi-social type, where the role of medical insurance organizations, as well as their legal status, is initially strongly dependent on other subjects of the relations under consideration. The author considers the need for amendments to be paramount in solving this problem, by which the vector of control over the quality and validity of the provision of necessary medical services will be shifted towards their executors (medical institutions). At the same time, the author proposes to bring the issue of interpretation and use of some concepts contained in the sources of law regulating the procedure for the implementation of compulsory health insurance in the mainstream of legislative correction. Also, this study raises the question of the need to expand the powers of insurance organizations in terms of independent determination of the quality and quantity of services provided by medical organizations.

legislation, territorial program, health insurance, financing