Certification of Auditors, criteria for efficiency and standard size for the structures
ROME - Certification of financial statements, compliance with standards of efficiency with the introduction of 'standard size hospital, "and for regions within the year were not adequate locks an automatic cut-off "at least" 20% of beds and specialist outpatient services in private facilities contracted. Not only roofs but also prizes for the regions most virtuous.
The government had decided to tighten to go to control health spending and would have prepared an amendment which proposes - with modifications - the Pact on Health removed from the Council of Ministers on 26 June at the request of the Minister for Regional Affairs Raffaele Lease in an attempt to reach an agreement with the Governors. The agreement was not there and now the government plans to corner the regions without breaking the dialogue: "If the agreement is not reached agreement within-September 30" trigger the repayment plan with a series of automatic savings mechanisms including "the 3% reward 'for the regions with balanced books. In the showdown between the executive and the State-Regions are at stake 7 billion in the period 2010-2011. What is the delta between the schema forecast prepared by the Ministry of Economy and expectations of the regions - according to some engineers of the Treasury - have invented a kind of "medical inflation" than the real one. The text is not encrypted the economic value of the amendment but - according to experts of the Ministry of Welfare - should ensure an increase of expenditure of the National Health Fund of approximately EUR 4 billion, also in two years.
The measure refers to a mandatory signature of the repayment plan, extended the receivership, in case of failure of effective capacity and IRAP tax free up additional income tax to cope with the health care deficit. " By December 31 of each year since 2009, the regions are obliged to "extraordinary valuation of the financial statement audit of accounts of companies with health and the regional." The regulations for the certification of all health facilities (foundations, university hospitals, hospitals, etc.) will be issued by next October. Article 1 shall be provided the following changes: the Regions that by 31 December 2009 have not carried out to "complete the process of final accreditation of private health care professionals and with the simultaneous termination of provisional accreditation" will suffer cuts automatic with effect from 1 February 2010. The government regards the cleaver private hospitals 'operating under the credit "for which it provides for a minimum reduction of 20% of beds and the amounts expected economic' contractual agreements for 2009." Same scissor kick for the 'supply of specialist outpatient care "taken out" by professionals or private structures. " Covenant-health aside, took off today a crucial week. (Source www.corriere.it)
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