[REVISION HISTORY]

Bulgarian healthcare fund monitoring implementation

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What changed

2026-10-30 12:21 UTC → 2026-10-30 13:08 UTC · added ~~removed~~

The Bulgarian Medical Union (BMU) initially called for the implementation of a real-time monitoring system for public healthcare funds. The union argued that current retrospective audits were insufficient to prevent the misuse of resources and proposed a preventive mechanism to ensure the National Health Insurance Fund (NHIF) only pays for actual medical services and dispensed medications. ~~The BMU noted that previous proposals to the Ministry of Health had not resulted in concrete action.~~ Following these concerns, the NHIF launched a real-time digital control system via the National Health Information System (NHIS). This system monitors the Global Trade Item Number (GTIN) of medicines paid for by public funds to identify discrepancies between physical packaging and reported products. The measure was prompted by investigations involving the State Agency for National Security and the Ministry of Interior, which uncovered over 1 million euros in unjustified expenditures. Under the new protocol, pharmacy software scans 2D codes to automatically reject transactions if a mismatch is ~~detected,~~ detected. This real-time verification replaces previous methods that relied on retrospective audits, which often identified errors months after payments were made. The system ensures that if a ~~move described by NHIF manager~~ discrepancy is detected, the transaction is blocked at the pharmacy counter before the sale is finalized. Dr. Vladimir ~~Daskalov~~ Daskalov, manager of the NHIF, described the measure as a proactive approach to prevent ~~abuse.~~ abuse, noting that compliant pharmacies should not experience changes to their workflow.

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