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Ekonomia

"Together for Life" raises the alarm, this is how concessions in health "crushed" the budget of this sector, in 6 years 5.6 billion ALL economic damage, the report for Albania reveals

"Together for Life" raises the alarm, this is how concessions in

The Ministry of Health and Social Protection (MSHS) has transferred the following 4 (four) health services from the state to the private sector, through the form of concession contract, Public-Private Partnership (PPP), during the period 2015-2019. The contracts were disputed from the beginning due to lack of transparency, high cost, accusations of corruption, as the health budget funds were channeled to the private sector, which enjoyed high profits. But concessionary contracts in health have turned into a financial burden for the Compulsory Health Care Insurance Fund (KSHKF). "SOT" newspaper has provided the report of "Together for Life" for Albania, which shows the details of how the concessions in health "crushed" the budget of this sector, because in 6 years they have caused 5.6 billion ALL of economic damage. "The partial economic damage from concession agreements in health, documented by the High Control Institution (HCI) is about 5.6 billion ALL or 47 million euros, at the end of 2021. Of these amounts, 1.5 billion ALL are payments for services that are not done. performed for the "Check up" and "Dialysis" concessions for the period 2015-2021. About 4.1 billion ALL are damages in the VAT calculation, which was done by violating the VAT law for Sterilization and Check-up contracts for the entire 10-year period. The VAT law exempts medicines, equipment, supplies and services in the health sector from VAT, but such items have continued to be invoiced with VAT", the report states. documented by the Supreme Control Institution (SCA) is about 5.6 billion ALL or 47 million euros, at the end of 2021. Of these amounts, 1.5 billion ALL are payments for services that have not been made. performed for the "Check up" and "Dialysis" concessions for the period 2015-2021. About 4.1 billion ALL are damages in the VAT calculation, which was done by violating the VAT law for Sterilization and Check-up contracts for the entire 10-year period. The VAT law exempts medicines, equipment, supplies and services in the health sector from VAT, but such items have continued to be invoiced with VAT", the report states. documented by the Supreme Control Institution (SCA) is about 5.6 billion ALL or 47 million euros, at the end of 2021. Of these amounts, 1.5 billion ALL are payments for services that have not been made. performed for the "Check up" and "Dialysis" concessions for the period 2015-2021. About 4.1 billion ALL are damages in the VAT calculation, which was done by violating the VAT law for Sterilization and Check-up contracts for the entire 10-year period. The VAT law exempts medicines, equipment, supplies and services in the health sector from VAT, but such items have continued to be invoiced with VAT", the report states. performed for the "Check up" and "Dialysis" concessions for the period 2015-2021. About 4.1 billion ALL are damages in the VAT calculation, which was done by violating the VAT law for Sterilization and Check-up contracts for the entire 10-year period. The VAT law exempts medicines, equipment, supplies and services in the health sector from VAT, but such items have continued to be invoiced with VAT", the report states. performed for the "Check up" and "Dialysis" concessions for the period 2015-2021. About 4.1 billion ALL are damages in the VAT calculation, which was done by violating the VAT law for Sterilization and Check-up contracts for the entire 10-year period. The VAT law exempts medicines, equipment, supplies and services in the health sector from VAT, but such items have continued to be invoiced with VAT", the report states.

contracts

Further in the report, it is emphasized that the concessions leave something to be desired, as they were paid from the state budget, but do not provide the required service. "An internal control process within CHCIF assessed PPP contracts as high risk, both in terms of public funds administration and law enforcement. KSHKSF has been financing the concessions for dialysis and sterilization services for about 3 years, where most of these services are offered in the 5 university hospitals, but it is not able to monitor the implementation of the contracts. Consequently, payments are being made even though no service has been provided. The value of the four contracts for all concession periods is 45.5 billion ALL or 376 million euros, from which the contracting companies have benefited 22. 3 billion ALL (189 million euros) or 50% of the total value by the end of 2022 (projection). There is no analysis by any government institution of what these concessions have brought to improve services and their efficiency, while this amount would be enough to build three new modern hospitals (the construction cost of the Hygeia private hospital is 60 million euros ). During the implementation of the contracts, their costs have increased even further, as more payments than the original plan have been recorded, often in violation of the legislation", it is emphasized in the report of "Together for Life". while this amount would be enough to build three new modern hospitals (the construction cost of the Hygeia private hospital is 60 million euros). During the implementation of the contracts, their costs have increased even further, as more payments than the original plan have been recorded, often in violation of the legislation", it is emphasized in the report of "Together for Life". while this amount would be enough to build three new modern hospitals (the construction cost of the Hygeia private hospital is 60 million euros). During the implementation of the contracts, their costs have increased even further, as more payments than the original plan have been recorded, often in violation of the legislation", it is emphasized in the report of "Together for Life".

Analiza

Ndërkohë në raport ngrihet si shqetësim edhe mungesa e një auditi nga ana e institucioni që kanë përgjegjëse për të monitoruara koncesionet në shëndetësi. “Pavarësisht dëmeve të shumta që janë dokumentuar në raportet e Kontrollit të Lartë të Shtetit, nuk është bërë asnjë analizë nga institucionet shtetërore për përfitimet që kanë sjellë kontratat koncesionare, kundrejt kostove të tyre në buxhetin e shtetit, pasi përdoren paratë e taksapaguesve. Vlera e investimeve në katër kontratat PPP koncesionare në sektorin e shëndetësisë është shumë e ulët krahasuar me të ardhurat e kompanive përkatëse. Koncesioni Check up ka vlerën më të ulët të investimit krahasuar me të ardhurat e tij. Kompania ka planifikuar të investojë vetëm 1,9% të të ardhurave të saj. Të ardhurat nga kontrolli llogariten në 8,7 miliardë lekë pa TVSH për të gjithë periudhën koncesionare, ndërkohë që investimet janë vetëm 172 milionë lekë. Shumica e shërbimeve Check up kryhen nga personeli shëndetësor publik pa pagesë. Qendrat e kujdesit parësor plotësojnë pyetësorin dhe kryejnë testet e kontrollit për pacientët, ndërsa kompania kryen vetëm analizat laboratorike. Për të gjitha periudhat koncesionare, të katër kontratat do të përfitojnë 45,4 miliardë lekë pa TVSH nga buxheti i shtetit, ndërsa investimet e parashikuara nuk janë më shumë se 4,3 miliardë lekë ose rreth 9% e fondeve të përfituara”, thuhet ndër të tjera raportin e “Together for Life”.

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