Abstract: The object of the study is the humanitarian aspects of ensuring national security in the context of providing medical care to migrants. The subject is associated with the development of a system of mutual settlements for medical care to labor migrants between the Russian Federation and labor-exporting countries. The authors examine in detail the issues related to financial support for the provision of medical care to labor migrants, taking into account their unification into two groups: legal and illegal. The authors propose modernizing the legislation taking into account the minimization of financial risks and imposing the obligation to pay for medical care on the government bodies of the country from which the corresponding migrant arrived. A conclusion is made about the presence of not only direct, but also indirect effects, which, first of all, are associated with ensuring the achievement of the national development goals of the Russian Federation for the period up to 2030. Мethods: data analysis and synthesis, induction and deduction, graphic tools. Scientific novelty: the author's recommendations on the organization of a system of mutual settlements for medical care to labor migrants between the Russian Federation and labor exporting countries. A conclusion is made on the need to organize it taking into account the existing problems of financial support for the provision of medical care in the context of legal and illegal migrants. The authors propose to form statistics on the amount of expenditures of the budgets of the Russian Federation on the provision of medical care to labor migrants. The presented results will be in demand by the President of the Russian Federation, the Government of Russia and the Ministry of Health of Russia.

Abstract: The object of the study is the compulsory medical insurance system in the Russian Federation. The subject is the reduction of idle money in the compulsory medical insurance system. The authors conducted a financial justification for assessing the scale of one of the idle turnovers associated with the counter movement of funds in the compulsory medical insurance system: when paying insurance premiums for compulsory medical insurance of persons employed in medical organizations and forming tariffs for the provision of medical services (the cost of which includes wages with accruals for payments for wages, the share of which in some cases exceeds 90%). Particular attention is paid to assessing the volume of financial support for the implementation of the author's recommendations, which has its own specific nuances in comparison with the financial mechanism for implementing the current practice of preferential tariffs for compulsory medical insurance.
The authors used the following set of research methods: deduction, structural and dynamic analysis, synthesis, comparison, graphical tools. Scientific novelty is associated with insufficient study in domestic and foreign scientific literature of issues related to reducing the number of idle speeds. It was revealed that in 2022, at least 64.89 billion rubles are accounted for by the payment of insurance premiums for compulsory medical insurance of employees of medical organizations (which is more than 2.4 billion rubles higher than in 2021). The implementation of the author's proposals will not require additional interbudgetary transfers from the federal budget. The results obtained will be useful for practical use in the activities of the Federal Assembly of the Russian Federation, the Government of Russia, the Ministry of Health of the Russian Federation, as well as medical organizations in the framework of making and implementing decisions on the modernization of the compulsory medical insurance system.

Abstract: The subject of the study is a comparison of funding sources for public health care in OECD countries. The authors consider in detail the sources of financial support for the implementation of state guarantees for the provision of free medical care to citizens: transfers from state internal revenues (primarily general taxes: mandatory payments that do not have a target link) and insurance premiums (mandatory payments with a specific target link). The authors grouped the OECD countries depending on the share of sources of financial support for the implementation of state guarantees for the provision of free medical care to citizens. Particular attention is paid to the advantages and disadvantages of insurance and budgetary financial mechanisms for financial support for the implementation of state guarantees for the provision of free medical care. The main conclusions based on the results of the study are as follows: in the modern world, issues of improving the healthcare system as one of the key factors in improving the quality of life of citizens are being actively raised; no matter how actively the budgetary financial mechanism is currently used in the country, its use by public authorities in OECD countries is constantly increasing; the use of the budgetary financial mechanism, despite the existing shortcomings, has a number of advantages compared to the insurance one (primarily, due to the smaller direct impact during periods of reduction in the number of employees and wages, as well as economies of scale in the administration of revenues in the form of general taxes compared to insurance contributions). The results obtained can be used in the practical activities of the Federal Assembly of the Russian Federation, the Government of Russia, the Federal Compulsory Medical Insurance Fund, as well as public authorities from other countries when modernizing the state policy in the field of healthcare.