Meeting of Mikhail Mishustin with the Chairman of the Federal Mandatory Health Insurance Fund Ilya Balanin

Published on: 2026-05-26

Source: Government of the Russian Federation –

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The results of the fund’s work for the past period were discussed, including innovations in the state program of guarantees for free medical care, modernization of primary care, as well as issues of providing medical assistance to veterans of the Soviet-Afghan War and the organization of the OMS system in the new region.

From the transcript:

M. Mishustin:Good afternoon, Ilya Valeryevich!

Today we will discuss with you how things stand in the mandatory medical insurance system. The President emphasized that health takes a special place in social policy. It is precisely through your fund that free assistance is provided to patients, including through the state guarantees program. Its implementation should contribute to the recovery and strengthening of the health of our citizens, who are given the opportunity to timely consult a doctor, including for the early detection of diseases, treatment, and receiving specialized and high-tech assistance.Throughout the entire country, in every Russian region.

Ilya Valeryevich, please tell us about the work of the fund in general and the results of the first quarter.

I. Balanin:Dear Mikhail Vladimirovich!

One of the key directions of the Federal Mandatory Medical Insurance Fund is the control over the availability of free medical care provided to insured citizens within the framework of state guarantee programs.

The results of the implementation of the state guarantee programs correlate with national projects, primarily with the national project “Long and Active Life,” which establishes priority for preventive measures and health monitoring of citizens. Thus, in 2025, 102.6 million people underwent preventive examinations and medical check-ups. Among them, 1.5 million people underwent dispensary observation at their workplaces — this is twice the figure of 2024, which indicates an increase in the accessibility of preventive measures directly in the workplace.

In addition to the traditional medical check-ups, there is an opportunity to undergo reproductive health screening. Almost 16 million people took advantage of this opportunity last year. This is 2.3 times higher than the level in 2024. As a result of reproductive health screening, 1.5 million people were referred for additional treatment. These indicators demonstrate the demand for preventive measures among our citizens.

In addition, more than 12 million people have undergone training in schools for patients with chronic diseases, which has allowed disabled citizens to control their illness.

Within the framework of the implementation of federal projects on the modernization of primary care, there is active equipping of medical organizations with necessary diagnostic equipment. And over the past year, expensive diagnostic studies were conducted at the primary care level for more than 54 million citizens. This is 26% more than in 2024.

It is worth separately noting the active use of artificial intelligence in conducting diagnostic research. Last year, in every fourth diagnostic case as a second opinion, this technology was used. And this, of course, improves the quality of conclusions. I am confident that the application of this technology will actively develop this year as well.

In inpatient medical care, very positive progress can also be noted in the implementation of the state guarantees program. Planned cardiovascular surgical interventions last year were performed on 413 thousand people, which is 14% more than in 2024, and this allowed future compensation for vascular catastrophes in these patients.

The field of medical rehabilitation is actively developing. The volume of oncological care is increasing, which annually leads to an increase in the life expectancy of citizens with this pathology.

The volumes of high-tech medical care were significantly increased thanks to the Government’s decision to include 45 additional new methods in the scope of care provided. Last year, 1,245 million people received this type of care funded by compulsory health insurance. This is 180 thousand more than the previous year.

Dear Mikhail Vladimirovich, when the Government adopted the state guarantee program for 2026, you supported many amendments that were included in this program for 2026.

Non-invasive perinatal testing. Almost 2 thousand future mothers have undergone this testing at an early stage with the aim of detecting the risk of genetic diseases.

Since the beginning of the current year, an additional study—a lipid profile assessment—has been included and provided for by the state guarantees program during medical check-ups. 5.6 million studies have already been conducted in the first quarter, which allows for the identification of risks of cardiovascular diseases at an early stage.

Another significant novella is remote monitoring of the health status of patients with diabetes mellitus and arterial hypertension. The duration of such remote monitoring, approved in accordance with the medical standards of the Ministry of Health, ranges from 3 to 12 months. In the first quarter alone, there were already 5.8 thousand cases of remote monitoring conducted, and overall for the year – no less than 2 million.

The novella, about which an information campaign is currently actively underway, is about the opportunities to visit health centers and centers for healthy aging medicine. For this work, we have involved insurance medical companies to inform insured citizens about the possibility of undergoing additional health examinations, identifying risks of premature aging, and determining their biological age. As a result, in the first quarter, the center for healthy aging health and medicine provided assistance in 709 thousand cases.

Federal medical organizations and our leading national medical research centers make a significant contribution to the accessibility of medical care.

In the current year, federal medical organizations will provide 2.7 million medical services in accordance with volumes approved by the Government, which is 200 thousand more than last year.

It is especially worth noting that we control extraterritoriality and the possibility of providing assistance so that every affected citizen receives it, no matter how remote the settlement they live in. And the level of extraterritoriality in the national medical center in 2025 amounted to 63.6%, with an increase of 2%. Moreover, this indicator truly improves every year.

In accordance with your decision at the beginning of April, three personalized oncology treatment methods were included for the first time in the state guarantees program for the current year. By April, the developers had already worked out with these methods the possible volumes of assistance provision in the current year…

M. Mishustin:CAR-T?

I. Balanin:Yes, CAR-T therapy, MRNK vaccination. And the necessary funds have been reserved in the fund’s budget.

M. Mishustin:When we visited the Vorobyov Center, a hematology center, we also spoke in detail about it. Very positive feedback from patients.

I. Balanin:Funds for the implementation of this assistance direction have been reserved with us.

M. Mishustin:Ilya Valeryevich, I ask you to pay very close attention to how the region is implementing the presidential decree on increasing salaries for medical workers. This work is not easy, it is vital, and in demand. All obligations to doctors, paramedics, and nurses must be fulfilled in full.

Now about what is being done for veterans of the special military operation. Many fighters underwent serious treatment. After demobilization, they require medical rehabilitation. And further, not only dispensary observation will be needed, but also additional examinations.

How well is the assistance system for participants of the special military operation arranged?

I. Balanin:Dear Mikhail Vladimirovich, controlling the priority, quality, and timeliness of providing medical assistance to demobilized participants of the special military operation, certain categories of combat veterans, is undoubtedly a priority in the activities of the federal fund.

Since last year, work has been organized to exchange data between the federal fund, territorial funds, the “Defenders of the Fatherland” fund, medical organizations, the Social Fund of Russia, and structural subdivisions. As soon as information appears about the veteran’s return home to the region, from any of these organizations, this information is immediately forwarded to the organization within the established timeframe for medical assistance to him. First of all, a mandatory in-depth medical examination is conducted with the involvement of narrow specialists, with visits and consultation by a psychologist.

In case it is impossible to reach the primary healthcare facility, the opportunity is provided to undergo a medical examination on an inpatient basis or to receive necessary medical care at home.

In addition, the federal fund conducts monthly monitoring of the volumes of medical care financed from all sources: regional budgets, the “Defenders of the Fatherland” fund, and the Social Fund. However, it should be noted that more than 90% of the volumes of medical care are provided at the expense of the Compulsory Medical Insurance Fund.

It is also important that, as a result of providing medical care and conducting preventive measures in case of necessity, there is the possibility of receiving additional assistance in an inpatient setting with maximum possible comfort.

The federal fund, together with regional companies, conducts surveys among returned individuals to find out how satisfied they are with the quality of medical care provided. As a result, in the first quarter, the level of satisfaction with medical care was 83%.

In the current year, in accordance with the state guarantee program, individual support is also provided not only to the participant of the SVO itself, but also to the spouse.

M. Mishustin:It is very important to have feedback here with the patients themselves, so that our advocates know where and how to seek support and consultation.

And one more serious area of the fund’s work is the organization of the compulsory medical insurance system in the new region.

How does this work in the new subject of the Russian Federation?

I. Balanyn:Dear Mikhail Vladimirovich, since January 1, the integration of the reunited subjects into the mandatory medical insurance system has been ensured.

Several key indicators. Last year, we fully completed the medical insurance of the residents of these subjects. Everyone was issued compulsory medical insurance policies. 232 medical organizations provide medical assistance to insured citizens at the expense of compulsory medical insurance funds.

In the territorial program of free medical care this year, 44% more of its volume is provided for.Â69.6 billion rubles will be allocated to the reunited subjects for the payment of provided medical assistance, which is 20% more than last year’s level.

To implement the provisions of the federal law, we conducted extensive preparatory activities. The volumes of medical care were approved and calculated for each medical organization, based on the attached population and the capabilities of the medical organization. Tariff agreements were developed and adopted, and a system for protecting citizens’ rights was formed.

I want to emphasize that the territorial funds in the reunited subject continue to perform the functions of regional medical organizations and fully organize the control of the quality of medical care.

Also, together with medical organizations, lists of citizens who must undergo a medical check-up this year have been formed. In the first quarter, already 244 thousand people in the territory of the Donetsk and Lugansk People’s Republics, Zaporizhzhia and Kherson regions underwent preventive measures.

In case it is impossible to provide medical care, routing and escorting of patients is ensured either to medical organizations of other subjects, or to federal medical organizations. Thus, in the first quarter, 4737 people registered in this subject received assistance in federal medical organizations.

The volumes of high-tech assistance in the region itself increased by 10% in the first quarter.

Thus, the sustainable functioning of the mandatory medical insurance system in the unified subject is fully ensured.

M. Mishustin:Please keep the situation under personal control. It is very important to ensure a systematic approach to wound care so that people receive quality assistance.

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