Associate Professor Tang Chi Thuong, Director of the Ho Chi Minh City Department of Health, has officially submitted an executive proposal to central ministries and national sectors, demanding the immediate resolution of legal bottlenecks restricting National Health Insurance (HI) reimbursements for mobile and home-based medical delivery. Disclosed on June 24, 2026, the directive emphasizes that solidifying the legal corridors for proactive healthcare delivery models has emerged as an urgent practical necessity to protect social welfare rights for marginalized and vulnerable demographics.
The documented hospital-social protection center alliance matrices, regulatory conflict interfaces between Articles 50 and 79, and localized continuous care team deployments feature:
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Hospital Alliances and Mobile Health Insurance Reimbursement Bottlenecks:
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The Care Alliances: The Ho Chi Minh City Department of Health has systematically deployed an integrated healthcare model pairing affiliated general and specialized hospitals directly with 14 localized social protection centers across the metropolitan area. The administrative framework authorizes mobile teams of doctors, nurses, medicines, and medical diagnostic hardware to deliver routine primary care directly to over 7,000 vulnerable individuals inside these welfare centers.
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Reimbursement Frictions: Despite clear operational success, the program faces systemic health insurance audit exclusions induced by conflicting statutory interpretations. Citing Article 50 of the 2023 Law on Medical Examination and Treatment, multiple regulatory auditors argue that because a hospital is licensed exclusively to operate at a singular, fixed geographic location, unauthorized mobile treatments hosted inside external social shelters or disability facilities are legally ineligible for standard health insurance payouts.
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Statutory Clashes: Conversely, Article 79 of the identical legislative act explicitly sanctions the execution of mobile medical services provided they receive prior approval from competent healthcare administrative authorities. The lack of standardized, unified execution guidelines leaves the elderly, persons with disabilities, psychiatric patients, and institutionalized groups bearing the financial brunt of restricted medical access.
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The Proactive Service Transition Matrix and Residential Home-Care Pilots:
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Operational Shifts: The Director of the Ho Chi Minh City Department of Health noted that the sovereign medical infrastructure is executing a structural transition shifting focus from reactionary treatment to preventative healthcare, and from terminal clinical centers down to localized residential communities and private households. This transformation embodies a conceptual pivot from a passive intake model to actively bringing clinical assets to the populace.
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Active Pilot Tracks: Regionally, the municipal blueprint titled “Continuous Healthcare Teams Linked to Residential Areas,” alongside universal physical testing campaigns, chronic disease monitoring programs, and pilot home-based health insurance medical examinations, are demonstrating early clinical efficacy, tracking toward the overarching goal of ensuring no citizen is left behind.
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Formal Directives Demanding Central Regulatory Streamlining:
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To permanently institutionalize decentralized public health architectures, the Ho Chi Minh City Department of Health requests that central ministries immediately distribute a unified national guidance document validating health insurance eligibility for authorized mobile healthcare operations.
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Concurrently, the municipal leadership appeals for the construction of a comprehensive, modern financial reimbursement matrix tailored explicitly to cover mobile clinics, residential home-based treatments, and integrated community-centered healthcare platforms to sustainably capitalize primary health tiers.
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