Bangkok: Mongkutwattana Hospital has announced the suspension of outpatient department (OPD) services for Gold Card holders starting October 16th, pending the resolution of outstanding payments by the National Health Security Office (NHSO). This decision, confirmed by Dr. Rianthong, stems from unresolved debts for Gold Card patients dating back to 2020 and 2024.
According to Thai News Agency, Maj. Gen. Dr. Nopphadon Naenna addressed the media in an urgent press conference, detailing the hospital's move to halt services for Gold Card outpatients. The decision affects approximately 47,000 patients, although inpatient services will continue uninterrupted. A survey by the hospital indicated that many patients are hesitant to switch healthcare providers due to travel concerns and referral requirements.
Despite the suspension, Mongkutwattana Hospital plans to implement a Platinum Gold Card program, allowing outpatients to receive treatment at government hospital rates. For those unable to pay, the hospital will assist by preparing medical history documents for transfer to other facilities. Treatment will continue for patients with serious conditions, including those undergoing dialysis, individuals with disabilities, and those living with AIDS.
The ongoing issue dates back to February 1, 2025, following the NHSO's shift to a points-based payment system, which has caused delays in payments for Gold Card services. The NHSO, a contract partner with the hospital, owes approximately 80 million baht, and the hospital is urging for a clear debt summary and installment options to resolve the matter.
Maj. Gen. Dr. Rongthong, an executive at the hospital, expressed concerns over the current national health insurance system, describing it as risky. He highlighted insufficient funding and mid-term policy changes as contributing factors to the financial strain. While he supports the NHSO system, he criticized the organization's executives for mismanagement.
The hospital plans to pursue legal action against NHSO executives under Section 157 of the Criminal Code for neglect of duty. A civil lawsuit is also in preparation, pending a summary of 2024 expenses. Despite the NHSO's recent 8 billion baht budget request, Mongkutwattana Hospital remains without communication from the NHSO regarding debt repayment.