The new procurement framework will take effect on January 1, 2027, under a presidential decree signed on November 4.
Under the new rules, outsourcing contracts will generally run for up to five years, depending on the nature of the service and the investment required from the private provider. In exceptional cases, contracts may be extended to 10 years, taking into account the investment payback period and subject to an opinion from the Ministry of Health.
Outsourcing projects whose existing contracts expire before the new framework takes effect will be allowed to continue until the end of 2027.
The resolution also allows healthcare facilities to provide private contractors with free use of buildings, facilities, parts of premises or individual rooms under outsourcing agreements. Such arrangements must be economically justified, with the cost of using the premises factored into the price of the services.
New electronic system to monitor outsourcing
By April 1, 2027, the authorities will launch an electronic information system called Medical Outsourcing. It will maintain a unified digital register of services available for outsourcing, ongoing projects, service providers and signed contracts.
The platform will also track the volume and quality of services delivered, key performance indicators (KPIs), service acceptance results, payments and compliance with contractual obligations.
By May 1, 2027, the system is to be integrated with electronic public procurement platforms and other government information systems.
New model for public-private participation
From January 1, 2027, new mechanisms for public and private sector participation in healthcare development will also be introduced based on long- and short-term master plans.
Facilities needed to provide state-guaranteed medical care will remain under public ownership. New healthcare facilities requiring substantial capital investment will generally be established through public-private partnerships involving private investors.
By 2030, the government aims to attract reputable foreign professional management companies and teams of managers to at least five major healthcare organizations.
