Subject: RE: MFA conditions
From: Tamar Avalishvili <[email-masked]>
To: Ketevan Goginashvili <[email-masked]>, Tamar Barkalaia <[email-masked]>
Date: Fri, 21 Jun 2019 11:56:09 +0000

ძალიან დიდი მადლობა, ქალბატონო ქეთევან

From: Ketevan Goginashvili <[email-masked]>

Sent: Friday, June 21, 2019 3:45 PM

To: Tamar Avalishvili <[email-masked]>; Tamar Barkalaia <[email-masked]>

Cc: Ioseb Skhirtladze <[email-masked]>; Davit Shoshitashvili <[email-masked]>; Salome Chakvetadze <[email-masked]>

Subject: RE: MFA conditions

თამუნა, გიგზავნი პასუხებს:

On healthcare (condition 6), could you please provide an update on the progress with the adoption of the strategy
for strategic purchasing?

Before adoption of the Strategic purchasing implementation strategy by the Government of Georgia, strategy will be
discussed at the Health care and Social Issue Committee of the Parliament of Georgia on June 27, 15.00. Strategy will be adopted in July by GoG

We also have a specific question to the relevant authorities on section 3.4 of the draft strategy, which refers
to selective contracting as part of the improvement of payment and contracting mechanisms. Do we understand correctly that the increase of inpatient specialised care services purchased through selective contracting, as a share of total expenditure, from 4%
in 2017 to 7% in 2019 is mainly explained by the extension of selective contracting to emergency services in January 2018 and congenital heart diseases in March 2018?

In new version of SP strategy
inpatient specialised care services purchased through selective contracting, as a share of total expenditure in 2019 is planed 15%.
Selective contracting is implemented into 3 large cities Tbilisi, Batumi and Kutaisi.  Total amount of inpatient specialised care services purchased through selective contracting was 12%
in 2018. After adoption of
Strategic purchasing implementation strategy, share will be increase dramatically.

Ketevan Goginashvili, MPH

Head of Health Policy Division

Health Care Department

Ministry of Internally displaced Persons

from  Occupied Territories,

Labor, Health and Social Affairs

144 Tsereteli Ave

Tbilisi 0119, Georgia

Tel: +995 32 251 00 38 ext 1108

Mob: 995 577717984

From: Tamar Avalishvili [mailto:[email-masked]]

Sent: 18 June, 2019 14:55

To: Tamar Barkalaia; Ketevan Goginashvili

Cc: Ioseb Skhirtladze; Davit Shoshitashvili; Salome Chakvetadze

Subject: MFA conditions

ქალბატონო თამარ, ქალბატონო ქეთევან მოგესალმებით,

ევროკავშირის მაკროფინანსური დახმარების
(MFA) შესასრულებელ ღონისძიებებთან დაკავშირებით, ევროკომისიის წარმომადგენლებს თქვენი კომპეტენციის ფარგლებში აინტერებთ
შემდეგი:

-
On healthcare (condition 6), could you please provide an update on the progress with the adoption of the strategy for strategic purchasing? We also have a specific question to the
relevant authorities on section 3.4 of the draft strategy, which refers to selective contracting as part of the improvement of payment and contracting mechanisms. Do we understand correctly that the increase of inpatient specialised care services purchased
through selective contracting, as a share of total expenditure, from 4% in 2017 to 7% in 2019 is mainly explained by the extension of selective contracting to emergency services in January 2018 and congenital heart diseases in March 2018?

-
Could you please provide an update on the additional stakeholder consultation relating the labour market strategy (condition 7), which we understand is ongoing, as well as on the
timeline for the adoption of the strategy and a more detailed action plan?

MFA-ს ღონისძიებები თანდართულია.

გთხოვთ, შეძლებისდაგვარად სწრაფად მოგვაწოდოთ აღნიშნულზე პასუხი ინგლისურად.

პატივისცემით,

თამუნა

Tamar Avalishvili

Senior Specialist

European Integration and Programmes Division/Public Debt Management Department

Ministry of Finance

16 Gorgasali St. Tbilisi 0114, Georgia

Tel: +(995) 32 226 15 31

Mob: + (995) 599 08 10 02