The Fund’s debt to 65 medical organizations for medical services provided to 10,104 patients amounted to UZS 184.2 billion, of which UZS 52.2 billion (28.3 percent) had been repaid by the date of the review.

The Republican Oncology Center (hereinafter referred to as the Center) provided medical services worth UZS 118.7 billion to 10,700 patients.

However, payments totaling UZS 55.9 billion for medical services provided by the Center had not been made, including UZS 12 billion for services provided at the national level and UZS 43.9 billion for services provided to residents of Tashkent at the regional level.

Following the review, the outstanding debt was reduced by UZS 26.7 billion by excluding improperly included expenses from reports on medical services provided to patients belonging to preferential categories.

For information: In 2025 and the first quarter of the current year, the State Budget allocated UZS 31.6246 trillion to the Fund, while the Fund’s expenditures amounted to UZS 31.5169 trillion.

In 2025, medical services were provided to 73,094 patients using Fund resources, representing an increase of 4,559 patients (6.7 percent) compared to 2024 and 3,968 patients (5.7 percent) compared to 2023.

The control review found that the Fund’s work to assess the volume of medical services provided had not been organized at a sufficient level. The factors contributing to the emergence of outstanding debts were also analyzed.

In particular:

data from the Ministry of Health’s D-MED information system is not transferred electronically to the Fund’s MedRefer information system;

the Fund has not adequately established systematic analysis and assessment of the quality of medical services provided to persons belonging to preferential categories, their compliance with established standards, or the efficiency of the allocated funds;

there is no integration between the KARMED, D-MED, and MedRefer information systems at the Republican Oncology Center;

the guaranteed package (scope) of medical services to be provided to residents of Tashkent at the regional level, including laboratory and diagnostic examinations, surgical procedures, chemotherapy, and radiotherapy, has not been defined at the Republican Oncology Center;

although patients are required to seek treatment at the Center based on electronic referrals, family polyclinics in the capital have continued to admit patients based on paper referrals;

surgical and radiological services that, depending on the severity of the disease, should be provided at the national level have been recorded as services provided at the regional level in Tashkent’s reporting.

Based on the results of the review, relevant proposals and recommendations were developed to improve the system, including further increasing the efficiency of medical services provided to persons belonging to preferential categories.

In addition, the Ministry of Health and the Health Insurance Fund were issued relevant recommendations and instructions to eliminate the identified shortcomings and prevent their recurrence in the future.