Proposals to Optimize the Fund for Outpatient Services in Case of Accident and Emergency Crossing Province

Abstract

The management for Outpatient service fund in case of accident and emergency crossing province from fiscal year 2015 - 2019, found that the organization received the budget of 802.845, 865.453, 953.996, 1,015.545, 1,090.898 million baht, respectively, whereas the expense reimbursement 892.051, 961.615, 1,059.996, 1,128.383 million baht, respectively.These affect the ability of the organization to pay less than the expense reimbursement up to 10% (Point 0.9 baht).According to the Winters ’Additive technique, the expense reimbursementfor the fiscal year 2019 - 2020 may increase to 1,212.108 and 1,292.635 million baht, respectively, highly affect the abilityof the organization to pay less and more less.The objectives of this research are 1)To find situations that results in the fund of outpatient servicesin case of accident and emergency crossing province tend to increase, and 2) To propose proposals to optimize the efficiency of the fund of outpatient servicesin case ofaccident and emergency crossing province. The results, using the Scenario Analysis methodology, 3 situations were proposed; Scenario A, Scenario B and Scenario C.Scenario A proposes two issues consist of 1) Still using management as before2) Separating Outpatient service in case of accidents and emergencies into 2 parallel system for critical level and non-critical level. Situation B proposes an owner directly responsible for disability beneficiaries. Situation C proposes changing the payment method from fee for service to fee schedule. Summary and discussion, the Scenario Analysis technique, used as guideline tomake proposals to optimize the fund management, could help to analyze and clearly understanda VUCA fund management with Volatility, Uncertainty, Ambiguity and Complexity.