Reporting Management System for Institutions Financed by FAOM, State and Local Budgets

National Health Insurance Company (CNAM) – Republic of Moldova

Q2 – Q4, 2018

In Moldova, healthcare institutions receive funding from multiple sources including the Mandatory Health Insurance Fund (FAOM), as well as state and local budgets. Monitoring how these funds are used and ensuring compliance with financial and performance indicators requires an efficient digital solution. Manual or spreadsheet-based reporting was inefficient, prone to errors, and lacked real-time oversight.

To develop and implement a centralized digital system for collecting, validating, consolidating, and analyzing financial and operational reports from public and private healthcare providers financed by FAOM, state, and local authorities.

• Multi-source funding report intake (FAOM, state, local budgets)

• Standardized templates for monthly, quarterly, and annual reports

• Role-based access for institutions, verifiers, and administrators

• Automated validation rules for common errors and inconsistencies

• Real-time dashboards for CNAM, Ministry of Health, and local authorities

• Export to Excel/PDF and API integration with external platforms (e.g., treasury systems)

1. Needs Assessment

   • Conducted stakeholder interviews with CNAM, Ministry of Finance, local governments

   • Defined a set of over 60 financial and operational indicators

2. System Architecture

   • Web-based platform built with modular architecture

   • Centralized database (PostgreSQL) and secure cloud hosting

3. Data Flow Design

   • Bottom-up data submission from each healthcare provider

   • Validation at entry, review workflow, and final approval at CNAM level

4. Training & Support

   • Over 200 staff trained across multiple institutions

   • Helpdesk and user guide integrated into the platform

• Harmonizing different reporting formats used by central and local institutions

• Ensuring system availability during peak reporting periods

• Adapting to legislative changes in reporting obligations

• 100% digital submission of reports from over 400 institutions

• Reduction in reporting errors by 75% due to automated validations

• Improved transparency and accountability in fund utilization

• Better data for decision-making on healthcare financing and policy

• Backend: ASP.NET Core

• Frontend: Angular

• Database: PostgreSQL

• Authentication: OAuth2 + role-based permissions

• Security: Encrypted transmission, audit trail, compliance with national data protection laws

The system has become a key digital tool for healthcare budget monitoring in Moldova, enhancing efficiency, data quality, and institutional coordination between national and local entities.