title: [Economical situation of public payer and financing of medical benefits during the years of 1999 - 2010].
abstract: The authors of the publication analyse financial effects which are the result of applying division algorithms concerning public payer organizational units during the years of 1999 - 2010. Unpublished financial data illustrating the division of financial resources in public health insurance in Poland in the years 1999 - 2009 and accepted plan for 2010 are presented. This data has been aggregated in such a way that the system of the 17 "Kasa Chorych" introduced on the 1st of January 1999, working until the 31st of March 2003 could be compared with the introduced on the 1st of April 2003 system of Voivodship Branches of NFZ (National Health Fund). Perpetual increase of expenses for benefits and medical services financed from public resources forces the necessity of rationalizing costs and financing system of these benefits. In 10 years perspective the changing tendencies of partition in the accepted algorithms of financial leveling can be seen. The obtained results allow drawing conclusions according to the rise of the level of medical benefits financing in each voivodship. There is no way of saying unmistakably whether substantial increase in financing of health care units is proportional to increased accessibility and quality of medical benefits. The changes of diversity of financial resources flow from voivodships which give away to those which take, frequent changes inside one and the same voivodship from giving away to taking can be helpful in the evaluation of rational level of financing of e.g. hospitals and helpful in forming rules of financial"sensitivity" (optimal and possible to finance) for the insured population in question. The result of the conducted analysis shows that flow of the amount of financial resources between the NFZ Voivod Branches resulting from leveling algorithms in the whole country is bigger than the planned lowering of income from premium in NFZ for the year 2010.
authors.affiliation: Zakład Organizacji i Ekonomiki Ochrony Zdrowia oraz Szpitalnictwa, Narodowego Instytutu Zdrowia Publicznego - Państwowego Zakładu Higieny w Warszawie. mtarhoni@pzh.gov.pl
authors.forename: Mariusz
authors.initials: M
authors.lastname: Tarhoni
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kuszewski
mesh_terms: D017048:Health Care Costs / Q000706:statistics & numerical data*; D015276:Health Care Rationing / Q000191:economics* / Q000706:statistics & numerical data; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006291:Health Policy; D006297:Health Services Accessibility / Q000191:economics; D006301:Health Services Needs and Demand / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007342:Insurance Benefits / Q000191:economics*; D019458:Insurance Coverage / Q000191:economics* / Q000706:statistics & numerical data; D011044:Poland; D012189:Retrospective Studies; D013221:State Health Plans / Q000191:economics