Concessions in health consume 5.3 billion ALL in 2023 alone, Klodian Allajbeu's Hemodialysis, Check Up, Sterilization and Laboratories zero transparency and investment in improving services, the report reveals

Year after year, the share of expenses for concessions in health increased as a result of the increase in the number of PPPs and the increase of their financing beyond the values ??agreed in the concession contracts. Official data from the Compulsory Health Insurance Fund (FSDKSH) indicated that in 2023 the income from health insurance contributions reached 18.7 billion ALL, while the financing for the four PPP contracts in health (Basic control, sterilization, dialysis of Klodian Allajbeu and the laboratories) reached over 5.3 billion ALL or 23.7 percent of the funds that were collected from the health insurance funds from the employees. Also, the four PPP contracts received about 9.3 percent of the budget of the FSDKSH, which is the provider of public health services throughout the country. PPP contracts in health year after year are taking a large part of the budget, but there is no analysis of their monitoring and the results they have given in the improvement of services and the health of the population.

The details

The largest amount of funding is going to sterilization and laboratory PPPs, the value of which is increasing year after year. According to official data, in 2023 the PPP of the laboratory was financed with 1.8 billion lek from the 1.7 billion that were given in 2022. The bill of concessions in health is gangrenous year after year the budget of the hospital service, which instead of channeled for basic services and human resources, it is increasingly falling prey to abuses from contract mismanagement. Funds for the hospital service reached 31 billion ALL by 2023, but the amount of money that went to finance the three PPP contracts reached 4.4 billion ALL or 14% of the hospital budget. For the two PPPs of the laboratory and sterilization, the value of the financing has exceeded the initial forecasts, as the High State Control has discovered many abuses during their implementation. Funding for the hospital service increased in recent years after the pandemic, but the weight of concessions has been expanding more rapidly. This is because the laboratory service contract has already entered into force, as the three together with dialysis and sterilization are receiving funds beyond the plans. Like incinerators, PPP contracts in health have been made in a series of legal violations, so much so that Transparency International listed them as major cases of corruption in the Western Balkans and in Turkey, while some of them are already under investigation by SPAK. In the structure of expenses for the public health sector, the largest specific weight is occupied by hospital service expenses with 56%, followed by expenses for the reimbursement of drugs and medical equipment with 22%, primary care expenses (CSO financing and medical control base) with 20%, administrative expenses (salaries and bonuses, social-health insurance, goods and services).