In this case the insurance company pays the cost of hospitals and clinics provided by public health care. Companies and organizations should make payments at the rate of 3.6% of payroll for working population and local authorities – for a malfunctioning. This was to ensure people receive the minimum package of health services. Additional services the citizens would have to secure a system of voluntary medical strahovaniya.Osnovnoy idea of the destruction of the former non-market (Soviet) health care system was the belief of the reformers is that only market forces can improve quality and efficiency of national health care and that only the personal funds of citizens are able to solve the problem of underfunding of health care. These market mechanisms advocated in the first place, the division of providers (doctors) and buyers (patients). Second, the emergence of independent health care intermediaries between doctors and patients. It was believed that the new market structures, such as insurance companies and health insurance funds, will be economically viable to protect the interests of patients. Third, competition among insurance companies.
It was assumed that the transition to health insurance will help to solve health problems at the expense of the state from its obligations to provide all necessary medical care and forced citizens to pay for the treatment of competing . organization and financing of health care was the division of responsibilities between the federal center and regions, increasing the role of the federation and local authorities. The federal program was to ensure that citizens receive the most basic health services, and regional should include a wide range and scope of services.