This publication is devoted to the analysis of the amendments to the Federal Law “On Compulsory Health Insurance in the Russian Federation” of 29.11.2010 No. 326-FZ, which entered into force on 01.01.2021, as well as other related regulatory legal acts. The purpose of the work is to analyze the reasons that led to the need to improve the regulatory framework for mandatory health insurance; the content of the main changes in federal legislation and other regulatory legal acts regulating the field of mandatory health insurance, as well as to assess the consequences of these changes.

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The government went to provide medical and other workers engaged in the treatment OF covid‑19 coronavirus infection with a fairly large set of benefits, guarantees and compensation. Among the key and most financially intensive of them were incentive payments, which were replaced with special social payments from November 1, 2020. At the same time, payments will now be made by the social insurance Fund. The implementation of such a scheme has caused the urgent need to create a complex system of information exchange, in which a large number of subjects participate, large amounts of information are verified and processed. This article analyzes the emerging system of information exchange, as well as identifying possible risks and threats.

Different aspects of using tele-medical technologies recognized as one of key lines in the development of the advanced public health system are highlighted more and more widely in academic literature. However, prospects of this trend depend not only on progress in the development of medical and information technologies and finance investment in the sphere, but also on economic interest in it on the part of concrete medical workers and it can be directly connected with remuneration systems of workers who render tele-medical services. During the research the authors identified key factors that influence on labour remuneration of workers, who participate in tele-medical technologies. Situations of rendering medical aid were classified in view of the following criteria: time, when telemedical services are to be used (principle and extra); whether the job is included in the job description of a concrete worker; whether remuneration components affect the basic pay of the worker, etc. The authors put forward methodological approaches to working out systems of remuneration aimed at the development of tele-medical technologies by state power bodies and public health institutions.

National health systems are experiencing a number of common global challenges: population growth, demographic ageing, the prevalence of chronic noncommunicable diseases, the constant growth of health-care costs, while increasing resource scarcity, including staffing. At the same time, the rapid development of information technologies, including the accumulation of big data, artificial intelligence, telemedicine, remote patient monitoring, and the increasing availability of high-performance mobile devices and a high-speed Internet connection create truly unique prospects for the development of digital healthcare products and services. Growth of investment from tech giants and venture capital funds is one of the main drivers of digital healthcare transformation. More and more innovative products are being offered not to enhance the effectiveness of existing processes within health systems, but to create new alternative ways to receive medical care or reduce problems in its delivery. Thus, a key customer and a user of digital healthcare products is gradually becoming not the heads of medical organizations, public health authorities or doctors, but patients themselves. In this article, we present an analysis of the existing global trends and directions of development of the digital healthcare market, form our image of the future and the most prospective scenarios and technologies for products and services in this area.