The National Health Security Office (NHSO), which operates the 30-baht “Gold Card” universal healthcare scheme, is accelerating efforts to resolve budgetary challenges affecting inpatient services and will submit its proposals to its board on Nov 3.
A key measure involves scrapping the retrospective “re-run” calculation method used to reimburse hospitals, which, over the past 10 months, has caused confusion and financial strain across the healthcare system.
NHSO executives acknowledged shortcomings in management and have scheduled a follow-up meeting with the Ministry of Public Health (MOPH) on Oct 29 to align corrective actions.
Dr Jadej Thammatacharee, secretary-general of the NHSO, said yesterday that a joint meeting had been held with the MOPH, attended by representatives from regional and community hospitals as well as provincial public health offices.
Co-chaired by senior officials from both agencies, the meeting followed the collaborative framework established by the public health minister and the ministry’s permanent secretary.
Six key resolutions were adopted and will guide the NHSO’s next steps.
One immediate decision is the cancellation of the re-run calculation method for inpatient services between Sept 16 last year and July 31 this year.
The NHSO will instead use actual relative weight (RW) values to calculate payments for the remaining months of the 2025 fiscal year, ensuring fairer and more transparent compensation, particularly for hospitals under the Office of the Permanent Secretary of the MOPH.
Dr Jadej added that the NHSO will publicly disclose remaining budgets for the 2025 fiscal year across all funds to promote transparency and shared decision-making. Any future adjustments to payment criteria will require mutual agreement between the NHSO and MOPH, with input from the Health Economics Division and healthcare providers.
Regarding the central budget currently under review by the cabinet, he said that once the budget is approved, the allocation will be jointly discussed and agreed upon by both NHSO and MOPH.
The NHSO, later on, issued a statement dismissing rumours circulating on social media that only a handful of private hospitals remain in the scheme.
Dr Attaporn Limpanyalert, NHSO spokesman, clarified that 290 private hospitals are still participating, including 22 registered for primary care, permanent care, and transfer services.
Additionally, 13,493 clinics remain part of the network, comprising 887 general clinics, 1,913 dental clinics, 3,900 drugstores, 5,489 nursing clinics, 710 Thai traditional medicine clinics, 370 physical therapy clinics, 224 medical laboratories and 227 community clinics.
He stressed that private hospitals continue to cooperate with the NHSO, reflecting strong collaboration in maintaining health security for over 47 million Gold Card holders.
Earlier on Wednesday, Public Health Minister Pattana Promphat reaffirmed the government’s commitment to resolving financial shortfalls through inter-agency cooperation while maintaining service standards.
He dismissed calls for major NHSO reform, noting that the system remains fundamentally sound but requires operational improvements. “We won’t conceal any problem. Everything must be resolved with transparency,” he said.
Prime Minister Anutin Charnvirakul has also directed the allocation of central government funds to support the NHSO’s universal healthcare scheme, as several state hospitals face liquidity shortages.
Delayed reimbursements have already prompted some private hospitals to withdraw from the programme, while cost-cutting measures, such as the use of second-choice medications, have sparked public concern.