Project to Streamline Healthcare Spending: National Appointment Platform and Strict Rules for Providers

The President of CNAS, Dr. Horațiu Moldovan, announced the completion of a memorandum aimed at streamlining healthcare spending. The document will be officially presented in the coming days by Prime Minister Ilie Bolojan and Health Minister Alexandru Rogobete.

The announcement was made during the conference “HEALTH FORUM: Overcoming the Funding Barrier”, organized by DC News Media Group.

The full recording of the conference is available on YouTube, on the DCNEWS.ro channel (discussions are in Romanian)

Last Chance to Balance the System

“It includes a series of very important measures. Some might call them bold,” said Moldovan, noting that the document consolidates proposals from both the public and institutional spheres. It will be discussed with the Prime Minister in the coming days.

The CNAS President emphasized that without these measures, the healthcare system risks major blockages: “We will have patients waiting outside hospitals, unable to be diagnosed or treated. We will have patients unable to pick up their reimbursed prescriptions from pharmacies.”

A central element of the reform is the inclusion of approximately four million individuals who have not contributed to the healthcare system so far: “Starting tomorrow, they will pay. It is a sign of respect—both for them and especially for those who already pay. CNAS is the main representative of the insured population.”

Mandatory National Appointment Platform

Among the 20 measures included in the memorandum is the creation of a single online appointment platform, mandatory for all providers who wish to work with CNAS. The system will allow patients to check the availability of medical services by county and type of investigation.

“If a patient needs a mammogram in Botoșani, she can go on the platform, select the service and the county, and see all providers contracted with CNAS,” Moldovan explained. Units that already have their own scheduling systems will not be required to replace them but will need to ensure interoperability with the national platform.

Strict Rules for Service and Device Providers

Moldovan warned that private providers seeking public funding for stents, prostheses, or other expensive materials will have to follow clear and transparent rules, without imposing additional costs on patients. “There have been loopholes used to circumvent legal provisions. We will introduce regulations that leave no room for interpretation.”

The CNAS President also emphasized the need for public-private balance: “Where a patient resolves their issue is less important. The private system complements the public one. But the public system remains critical infrastructure, especially in a fragile geopolitical context.”

Finally, Moldovan acknowledged that some measures may displease providers but insists they are essential for the long-term stability of the system: “There will be clear rules, and providers will be able to build a plan for at least five years.”