FLASH
Shkruar nga Pamfleti
On March 16, 2017, the former director general of the Mandatory Health Insurance Fund, Erion Manohasa issued an order to the Hospital Service Directorate and the Saniservice company on how the Sterilization concession contract would be implemented.
In the letter published by Oligarkia.al, Manohasa orders textually: "The Saniservice concessionary company will start providing the sterilization service for steam and low-temperature packages at QSUT, initially only in the Maxillofacial Surgery Service, Vascular and in the Plastic Surgery Service.”
Although at first glance this looks like just a routine bureaucratic document, in reality this is an order that has charged a financial bill of millions of euros at the expense of Albanian citizens because it limited free packaging to only three surgical wards.
mECHANISM
The sterilization concession contract provided for 5 types of services. They were the sterilized instruments for interventions with high complexity that had a price of 37.7 thousand Lek per package, sterilization for interventions with medium complexity at a price of 22.3 thousand Lek and sterilization for surgical interventions with low complexity, for which the concessionaire company charged a price of 13.9 thousand lek without VAT.
In addition to these three classes, there were two more for very minimal interventions. These were the steam packs, for which the company charged 266 ALL and the low temperature packs, which were paid 1090 ALL per pack.
Manohasa's order limited the use of the last two classes to only 3 wards of QSUT. Consequently, all minimal interventions were performed using the low complexity class, the one that was charged 13.9 thousand lek per package, even though they could be performed with simple packages.
So instead of paying 266 ALL per package, 13.9 thousand ALL was paid per package because doctors were forbidden to use steam and low temperature packages by Manohasa's order.
Numbers
In 2017, the number of interventions with low complexity, for which the concessionaire company was paid 13.9 thousand ALL without VAT, was 24.5 thousand interventions. In 2018, the figure jumped to 55.3 thousand interventions.
Forced by the fact that they could not use simple steam and low-temperature packs, doctors used low-complex instruments. The concession company was interested in this situation because it collected more money. While Albanian citizens paid for champagne instead of water. Instead of 266 lek per intervention, they paid 13.9 thousand lek per intervention.
This was the reason why in 2018, the bill paid by the budget for the sterilization concession jumped to 1.7 billion lek or almost 16 million euros. This stupidity lasted from the beginning of 2017 until August 2018, when the new director of FSDKSH Eduart Ahmeti removed the restriction and ordered the use of simple packaging in all surgical wards of QSUT and those of other hospitals in the country.
Immediately after Ahmet's order, the number of low-complexity interventions began to decrease rapidly, and in 2019 it fell to 25 thousand from 55.3 thousand the year before. In short, 2.14 times less than in 2018. But the damage had been done and it was massive.
The millions that were dissolved
Vetëm si pasojë e ndalimit të përdorimit të paketimeve të thjeshta, qytetarët shqiptarë vlerësohet se kanë paguar të paktën 7 milionë euro padrejtësisht për kompaninë koncesionare.
Në atë kohë FSDKSH e justifikoi urdhrin me faktin se nuk mund të kontrollonte dot numrin e paketimeve të thjeshta dhe për të ndalur abuzimin me shifrat e tyre ndaloi përdorimin. Pra për të ndalur abuzimin me setet që kushtonin 266 lekë copa, Fondi ndaloi përdorimin e tyre dhe paguante setet me 13.9 mijë lekë copa. Një marrëzi dhe abuzim kolosal, i cili i shtohet listës së abuzimeve në shëndetësi.
Therefore, the sterilization concession should not only be investigated on how the contract was made, but also how it was implemented. Only two facts, the price of energy that was charged to the state and the prohibition of plain packaging, have unjustly cost the budget at least 12 million euros./Oligarkia.al
Lini një Përgjigje