45.5 billion ALL for PPPs in Health, how much will the concession contracts for 2022 cost the state budget
About ALL 45.5 billion have been allocated to the state budget for PPP concession contracts in Health. For the period 2015 to 2021, payments from the state have been made in the amount of 17.3 billion ALL, while for the next years a total of 28.2 billion ALL remains to be paid.
The data of Open Data Albania show that the total investment of the state on PPPs in Health is about 9%. There are currently 4 concession contracts being implemented in the Health system, which receive direct support from the state budget.
Specifically, it is about the concession contract for the package of basic medical check-up services for the 35-70 age group or as it is otherwise known as Check Up, with an investment value of ALL 172 020 000 without VAT and with a full value that includes public payments from the budget which amounts to ALL 8,760,826,000.
The PPP contract for the provision of the hemodialysis service has an investment value of ALL 1,178,355,000 without VAT, while the full value of the contract, which includes payments from the budget and public budget funds, is ALL 7,221,364,000.
The concession contract for integrated services for the provision of a customized set of surgical instruments, the supply of disposable sterile medical material in the surgical rooms, as well as the treatment of biohazardous waste and the disinfection of the surgical rooms has an investment value of ALL 1,503,282,000 without VAT, and while the full value of budget payments is 16,500,000,000 ALL.
The concession contract for the provision of medical laboratory services has an investment value of ALL 1,442,824,000 without VAT, while the full value of the contract according to the 2020 Project Budget Report is ALL 13,005,966,000.
For 2021, about 3.64 billion lek have been paid from the state budget for PPP Concession Contracts in the Health sector, thus accounting for about 31.7% of the total actual budget payments for Concession/PPP Contracts, with an increase of 7 percentage points compared with the year 2020.
For 2022, about 13.8 billion lek are planned to be paid from the State Budget for all PPP Concession contracts with support from the State Budget, of which about 4.75 billion will be paid only for PPP in Health, which constitutes about 34.4% of the planning yearly.
For the period 2015-2021, about 4.30 billion ALL have been paid from the state budget for the PPP of Mandatory Health Control. For 2020 and 2021, payments have not been made in full due to the suspension of operations by the Ministry of Health as part of measures to prevent the spread of Covid-19.
For the year 2017-2021, about 7.88 billion ALL have been liquidated from the state budget, while about 8.62 billion ALL remain to be paid.