{"id":139984,"date":"2026-04-09T20:51:22","date_gmt":"2026-04-09T20:51:22","guid":{"rendered":"https:\/\/rdnews.al\/?p=139984"},"modified":"2026-04-09T20:55:44","modified_gmt":"2026-04-09T20:55:44","slug":"raporti-i-klsh-qeveri-shperndau-32-miliarde-leke-ilace-te-skaduara-e","status":"publish","type":"post","link":"https:\/\/rdnews.al\/index.php\/2026\/04\/09\/raporti-i-klsh-qeveri-shperndau-32-miliarde-leke-ilace-te-skaduara-e\/","title":{"rendered":"Raporti i KLSH\/ “Qeveria u shiti qytetar\u00ebve, 32 miliard\u00eb lek\u00eb barna t\u00eb skaduara…”"},"content":{"rendered":"

Barna t\u00eb skaduara n\u00eb sasi t\u00eb m\u00ebdha t\u00eb klasifikuara si \u201cspitalore\u201d, u l\u00ebshuan p\u00ebrgjat\u00eb vitit 2024 n\u00eb farmacit\u00eb e hapura, q\u00eb kan\u00eb kontrat\u00eb me FSDKSH-n\u00eb (Fondin e Sigurimit t\u00eb Detyruar t\u00eb Kujdesit Sh\u00ebndet\u00ebsor), p\u00ebr pacient\u00eb q\u00eb p\u00ebrfitojn\u00eb nga skema e rimbursimit t\u00eb barnave.<\/p>\n

P\u00ebrve\u00e7 cil\u00ebsis\u00eb s\u00eb ul\u00ebt t\u00eb barnave t\u00eb rimbursueshme, iu shtua edhe fakti q\u00eb ishin t\u00eb skaduara, duke rrezikuar seriozisht jet\u00ebn e tyre dhe abuzuar nj\u00ebkoh\u00ebsisht n\u00eb vler\u00ebn rreth 3.2 miliard\u00eb lek\u00eb.<\/p>\n

Kjo skem\u00eb u konstatua nga Kontrolli i Lart\u00eb i Shtetit pas nj\u00eb auditi t\u00eb kryer n\u00eb sistemin sh\u00ebndet\u00ebsor, specifikisht n\u00eb FSDKSH.<\/p>\n

\u201cNga importuesit farmaceutik\u00eb jan\u00eb importuar barna t\u00eb klasifikuara si \u2018spitalore\u2019 n\u00eb nj\u00eb sasi prej 3,690,084 nj\u00ebsi, me vler\u00eb 3,225,256,356 lek\u00eb, nga t\u00eb cilat 159,760 nj\u00ebsi me vler\u00eb t\u00eb rimbursueshme 60,485,872 lek\u00eb jan\u00eb shp\u00ebrndar\u00eb n\u00eb rrjetin e hapur, n\u00eb kund\u00ebrshtim me kontratat trepal\u00ebshe dhe p\u00ebrcaktimet ligjore. N\u00eb 207 transaksione t\u00eb regjistruara n\u00eb sistem, n\u00eb 37 fatura shitjeje u konstatuan 102,778 nj\u00ebsi barnash me dat\u00eb skadenc\u00eb identike me dat\u00ebn e shitjes, nd\u00ebrsa n\u00eb 170 fatura t\u00eb tjera u konstatuan 143,598 nj\u00ebsi barnash me afat skadence nga 1 deri n\u00eb 5 dit\u00eb nga data e shitjes\u201d, thot\u00eb\u00a0KLSH\u00a0n\u00eb raportin e publikuar n\u00eb tetor t\u00eb vitit t\u00eb kaluar.<\/p>\n

D\u00ebmi dhe cil\u00ebsia<\/strong>
\nRaporti i detajuar prej 460 faqesh i kryer nga KLSH, konstatoi problematika t\u00eb theksuara p\u00ebr barnat q\u00eb rimbursohen, ku FSDKSH lidhi kontrat\u00eb furnizimi me kompanit\u00eb importuese t\u00eb barnave farmaceutike. Gjithashtu problematika serioze shihen edhe me \u201cbarnat spitalore\u201d n\u00eb QSUNT dhe spitalet rajonale t\u00eb Shkodr\u00ebs, Durr\u00ebsit dhe Elbasanit.<\/p>\n

Eksperti i ekonomis\u00eb Ilir Ciko tha p\u00ebr Faktoje.al se \u201cvler\u00ebsimi ekonomik i raportit t\u00eb auditimit t\u00eb FSDKSH 2024, nxjerr n\u00eb pah dy nivele t\u00eb problemeve: \u2018D\u00ebme financiare t\u00eb drejtp\u00ebrdrejta dhe t\u00eb matshme\u2019; dhe \u2018Dob\u00ebsi institucionale me kosto p\u00ebr financat publike\u2019.<\/p>\n

Sipas ekspertit, jan\u00eb identifikuar humbje dhe rreziqe financiare n\u00eb vler\u00eb s\u00eb paku 380-430 milion\u00eb lek\u00eb, duke mos p\u00ebrfshir\u00eb efektin financiar nga farmacit\u00eb e paanalizuara.<\/p>\n

\u201cShkaku kryesor nuk \u00ebsht\u00eb buxheti i pamjaftuesh\u00ebm (t\u00eb ardhurat tejkaluan planin), por dob\u00ebsit\u00eb e kontrollit t\u00eb shpenzimeve\u201d, thot\u00eb Ciko. Ai evidenton \u201cmang\u00ebsi strukturore me e-Depo (depot farmaceutike), LBR pa metodologji t\u00eb q\u00ebndrueshme, penalitete t\u00eb paaplikuara, pasqyra financiare me gabime q\u00eb krijojn\u00eb kushte favorizuese p\u00ebr abuzime t\u00eb tipologjive t\u00eb ndryshme me kosto ekonomike m\u00eb t\u00eb lart\u00eb se shifrat e dokumentuara\u201d<\/p>\n

Vlera zero, fatura fiktive me \u00e7mim tregu<\/strong>
\nNga auditimi i t\u00eb dh\u00ebnave t\u00eb sistemit \u201ce-depo\u201d dhe informacionit t\u00eb administruar nga Drejtoria e Rimbursimit n\u00eb FSDKSH, rezultoi se disa farmaci me kontrat\u00eb me Fondin jan\u00eb furnizuar me barna t\u00eb list\u00ebs s\u00eb barnave t\u00eb rimbursueshme (LBR) nga depot farmaceutike, t\u00eb cilat kan\u00eb hyr\u00eb n\u00eb sistem me vler\u00eb zero lek\u00eb p\u00ebr nj\u00ebsi.<\/p>\n

\u201cPavar\u00ebsisht se k\u00ebto barna jan\u00eb marr\u00eb nga farmacit\u00eb pa kosto blerjeje (n\u00ebp\u00ebrmjet faturave me vler\u00eb zero), ato jan\u00eb p\u00ebrshkruar dhe l\u00ebshuar p\u00ebr pacient\u00ebt p\u00ebrmes recetave elektronike t\u00eb rimbursueshme, duke p\u00ebrfituar rimbursim t\u00eb plot\u00eb nga FSDKSH n\u00eb vler\u00ebn e \u00e7mimit t\u00eb barit sipas LBR, plus marzhin tregtar t\u00eb miratuar n\u00eb fuqi prej 24% p\u00ebr tregtimin me pakic\u00eb dhe 8% p\u00ebr shumic\u00ebn, sipas p\u00ebrcaktimeve n\u00eb VKM-ve\u201d, konstaton KLSH.<\/p>\n

AUDITI<\/strong>
\nSipas auditit, rezultoi q\u00eb farmacit\u00eb kan\u00eb p\u00ebrfituar fiktivisht, pasi kan\u00eb marr\u00eb rimbursim nga fondi p\u00ebr barna q\u00eb nuk kan\u00eb patur kosto blerjeje (vler\u00eb zero), nd\u00ebrkoh\u00eb q\u00eb rimbursimi \u00ebsht\u00eb llogaritur mbi \u00e7mimin e miratuar n\u00eb LBR plus marzhin e grosistit.<\/p>\n

Prokuroria<\/strong><\/p>\n

Pas raportit t\u00eb detajuar t\u00eb KLSH-s\u00eb, Prokuroria e Tiran\u00ebs nisi hetimet dhe procedoi penalisht disa persona, mes tyre drejtues t\u00eb FSDKSH-s\u00eb dhe p\u00ebrfaq\u00ebsues t\u00eb kompanive farmaceutike private.<\/p>\n

Ata dyshohet se n\u00eb bashk\u00ebpunim mes tyre kan\u00eb p\u00ebrfituar shuma t\u00eb m\u00ebdha duke p\u00ebrdorur skem\u00ebn e l\u00ebshimit t\u00eb\u00a0faturave fiktive\u00a0me barnat e rimbursueshme.<\/p>\n

QSUNT deklaron gjendje, mungojn\u00eb fizikisht<\/strong>
\nNd\u00ebrsa shkeljet e FSDKSH-s\u00eb me barnat e ribursueshme jan\u00eb t\u00eb shumta p\u00ebrsa i p\u00ebrket bashk\u00ebpunimit me kompani farmaceutike n\u00eb l\u00ebshimin e faturave fiktive, madje edhe n\u00eb shitjen e ila\u00e7eve t\u00eb skaduara, KLSH konstaton problematka edhe me ila\u00e7et spitalore.<\/p>\n

Nga 155 barna n\u00eb farmacin\u00eb e QSUT mungojn\u00eb 60 barna ose rreth 40% e totalit.<\/p>\n

\u201cNga ana e Grupit t\u00eb Auditimit, jan\u00eb krahasuar t\u00eb dh\u00ebnat sipas procesverbalit t\u00eb gjendjes fizike dat\u00eb 20.02.2024, sasit\u00eb n\u00eb fillim t\u00eb inventarit, hyrjet dhe daljet, me q\u00ebllim verifikimin e gjendjes s\u00eb barnave n\u00eb farmacin\u00eb e spitalit t\u00eb QSUT, ku konstatohet se p\u00ebr 26 barna nga t\u00eb cilat 14 prej tyre \u201cAlternativ\u00eb e vetme\u201d dhe 12 prej tyre \u201cAlternativ\u00eb e par\u00eb\u201d, nuk ka disponibilitet n\u00eb farmacin\u00eb e spitalit si n\u00eb fillim t\u00eb inventarit (dat\u00eb 07.12.2022) si dhe n\u00eb fund (dat\u00eb 20.02.2024), duke mos u paraqitur si nj\u00eb problematik\u00eb n\u00eb strukturat drejtuese t\u00eb FSDKSH\u201d, thot\u00eb KLSH n\u00eb raport.<\/p>\n

Situata mjaft e r\u00ebnd\u00eb u konstatua me barnat \u201calternativ\u00eb e vetme\u201d, duke mos patur gjendje fizike, pavar\u00ebsisht deklarimit fiktiv q\u00eb medikamentet ekzistonin n\u00eb depon farmaceutike qendrore n\u00eb QSUNT.<\/p>\n

\u201cShpenzimet spitalore z\u00ebn\u00eb 56.5% t\u00eb totalit, gj\u00eb q\u00eb tregon pesh\u00ebn kryesore t\u00eb kujdesit dyt\u00ebsor n\u00eb struktur\u00ebn e financimit publik sh\u00ebndet\u00ebsor. Niveli i investimeve (0.02%) \u00ebsht\u00eb i ul\u00ebt\u201d, thot\u00eb eksperti Ciko.<\/p>\n

\"Qeveria<\/p>\n

Sh\u00ebndet nga xhepi yt\u2026<\/strong>
\nPavar\u00ebsisht shtimit t\u00eb numrit t\u00eb ila\u00e7eve t\u00eb rimbursueshme n\u00eb farmacit\u00eb e hapura dhe ato spitalore, shpenzimet buxhetore totale n\u00eb raport me Prodhimin e Brendsh\u00ebm Bruto (PBB), mbetet i lul\u00ebt, n\u00eb krahasim edhe me vendet e rajonit. Shqip\u00ebria \u00ebsht\u00eb e fundit ku vet\u00ebm 7 % e PBB-s\u00eb kalon p\u00ebr sektorin sh\u00ebndet\u00ebsor n\u00eb total.<\/p>\n

N\u00eb vendet e tjera t\u00eb Rajonit nisin nga 7.5-9% e PBB-s\u00eb q\u00eb kalon si shpenzim n\u00eb total p\u00ebr sh\u00ebndet\u00ebsin\u00eb, nd\u00ebrsa p\u00ebr vendet e BE-s\u00eb mesatarja \u00ebsht\u00eb mbi 10 % e PBB-s\u00eb.<\/p>\n

\"Qeveria<\/p>\n

\u201cShqip\u00ebria mbetet n\u00ebn mesataren rajonale n\u00eb shpenzimet publike sh\u00ebndet\u00ebsore si p\u00ebr qindje e PBB-s\u00eb, duke rezultuar n\u00eb pages\u00eb nga xhepi relativisht t\u00eb lart\u00eb. Financimi publik mbulon pak mbi gjysm\u00ebn e shpenzimeve reale sh\u00ebndet\u00ebsore, duke l\u00ebn\u00eb mbi familjet barr\u00ebn e mbetur\u201d, thot\u00eb Ciko.<\/p>\n","protected":false},"excerpt":{"rendered":"

Barna t\u00eb skaduara n\u00eb sasi t\u00eb m\u00ebdha t\u00eb klasifikuara si \u201cspitalore\u201d, u l\u00ebshuan p\u00ebrgjat\u00eb vitit 2024 n\u00eb farmacit\u00eb e hapura, q\u00eb kan\u00eb kontrat\u00eb me FSDKSH-n\u00eb (Fondin e Sigurimit t\u00eb Detyruar t\u00eb Kujdesit Sh\u00ebndet\u00ebsor), p\u00ebr pacient\u00eb q\u00eb p\u00ebrfitojn\u00eb nga skema e rimbursimit t\u00eb barnave. P\u00ebrve\u00e7 cil\u00ebsis\u00eb s\u00eb ul\u00ebt t\u00eb barnave t\u00eb rimbursueshme, iu shtua edhe fakti …<\/p>\n","protected":false},"author":3,"featured_media":139987,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,46],"tags":[],"class_list":["post-139984","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-shendeti","category-ekonomi"],"_links":{"self":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts\/139984","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/comments?post=139984"}],"version-history":[{"count":3,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts\/139984\/revisions"}],"predecessor-version":[{"id":139988,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/posts\/139984\/revisions\/139988"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/media\/139987"}],"wp:attachment":[{"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/media?parent=139984"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/categories?post=139984"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rdnews.al\/index.php\/wp-json\/wp\/v2\/tags?post=139984"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}