Picture of the day: digest of the main news from July 31, 2025
Main
Vademecum presented its traditional rating "TOP200 private multidisciplinary clinics by revenue in 2024". The largest operators of the commercial medical services market collectively earned 463.7 billion rubles during the reporting period, which is more than 20% higher than the 2023 level. In the current - 10th, anniversary - rating, Vademecum, in addition to the main parameters - income, number of outlets and a number of operational indicators, analyzed the investment activity of medical service providers in 2023-2025, their expansion into the regions and development trends of medical companies in modern economic conditions.
Exclusively
The Circle of Good does not plan to stop using the gene therapy drug Elevidys (delandistrogen moxeparvovec), representatives of the state fund told Vademecum. In 2025, at least three deaths were recorded related to the product of the American Sarepta Therapeutics: two in patients who received the world's first gene therapy for the treatment of Duchenne muscular dystrophy Elevidys, and another in a participant in an early-phase clinical trial of the company's experimental drug with a viral vector similar to Elevidys. In late June, the FDA began a safety review of the drug, and later recommended that Sarepta suspend its sale in the United States. Soon, the use of Elevidys was resumed for the tested cohort of patients, but the Swiss Roche, which has rights to sell the drug outside the United States, announced the suspension of Elevidys supplies to countries where drug approval is based on FDA decisions. How the American regulator expanded the age group of patients for whom Elevidys can be used, and why Roche’s decision did not affect the Russian Federation – in the Vademecum review .
Regulators
The Russian Ministry of Health has developed a draft government resolution with amendments to the Regulation on federal state control (supervision) of the quality and safety of medical activities. Among other things, the department proposed introducing the Inspector mobile application into monitoring, which is gradually being integrated into other areas of control activities. The regulator also added a new section to the regulations, "Integrity of controlled persons," aimed at stimulating medical organizations to comply with the requirements of Roszdravnadzor. According to the draft document, if an institution meets all the criteria, then as an incentive, the risk category of the controlled object will be reduced by one point.
Organization of medical care
The date of introduction of new requirements for the bed capacity of radiation therapy departments of the ZNO will be postponed from 2026 to 2030 - the corresponding draft amendments were submitted by the Ministry of Health for public discussion. According to the current Procedure for the provision of medical care in the profile of "oncology" (Order of the Ministry of Health No. 116n), for clinics, including private ones, created before January 1, 2022, from January 1, 2026 it will be prohibited to conduct radiotherapy if the medical organization has less than 50 oncology beds, there is no chemotherapy department, and the number of beds for radiation therapy itself is less than five per one radiotherapy unit. The delayed tightening of requirements for the clinic infrastructure was known back in 2022, when Order No. 116n came into force. The Ministry of Health gave medical organizations four years to equip them, but now, for reasons not yet stated, it has decided to move the deadline for the same period.
Methodological recommendations
The Russian Ministry of Health has developed and sent to regional clinics methodological recommendations "Ensuring interaction between medical organizations and social services, employment services when counseling women in situations of reproductive choice/difficult life situations, pregnant women and women/families wishing to have children." The document specifies the procedure and features of counseling, target groups, effectiveness criteria and phrases for the first communication with a woman planning to have an abortion. Thus, a specialist must avoid condemnation ("you are doing the wrong thing"), appeal to a sense of shame ("at your age, it is time to raise grandchildren, not have children"), scare ("you have a high risk of having a sick child, because ...") or raise doubts about the intention to continue the pregnancy ("will you continue or terminate the pregnancy?").
Medical services market
The Mother and Child chain of clinics presented its first half-year report after the deal to purchase assets of the Expert Group. Mark Kurtser's group managed to increase revenue by 22.2% year-on-year to 19.264 billion rubles, with comparable revenue growing by 15.2%. The M&A deal had the most significant impact on the revenue of regional hospitals (+22.9%, to 5.148 billion rubles) and outpatient clinics (+39.5%, to 3.118 billion rubles). The anchor, most profitable area of the chain also showed positive dynamics - the number of births (+10.3%) and IVF punctures (+8.2%). The inpatient segment saw the greatest increase in the bill - by 18.5% in the regions and 21.9% in Moscow. The average outpatient bill in Moscow and the regions, as well as the average cost of childbirth and IVF services, increased by 8–13%.
Cybersecurity
The Moscow Department of Information Technology and the Information and Analysis Center in Healthcare have announced two tenders since mid-July 2025: for the supply of software to protect information from unauthorized access in city medical organizations and for the provision of technical expertise services for the capital's EMIAS. For the first auction, the initial maximum price is set at 499.5 million rubles, for the second - 165 million rubles. Earlier, on July 20, the hacker group Silent Crow, which claimed responsibility for the failure in the work of Aeroflot, reported that it had received "full access" to the medical information system serving patients from Moscow and the region.
Criminal cases
The court sentenced the former deputy head of the Kamchatka Krai Ministry of Health to 14 years in a maximum security penal colony and a fine of 9 million rubles in a case of receiving and giving bribes. The name of the convicted person has not been officially disclosed. The media noted that Viktor Eperin was sentenced to a long term under Articles 290 and 291 of the Criminal Code of the Russian Federation. The court and the investigation established that the former official received bribes from entrepreneurs for general patronage in the implementation of state contracts for the supply of medical equipment and PPE for the needs of clinics in the region. The total amount of bribes received by the defendant, according to the prosecution, was 8.5 million rubles.
International agenda
The largest US technology companies – Apple, OpenAI, Amazon, Google Anthropic, Microsoft and Oracle – have signed a voluntary agreement with the Centers for Medicare and Medicaid Services (CMS) aimed at simplifying the exchange of medical data. Together with 11 leading developers of medical systems, the IT majors will work on creating unified standards for the transfer of information and the implementation of specialized AI services. This means that in the future, patients will be able to securely receive their medical data and transfer it to applications that are convenient for them – for example, to track their health or interpret the results of examinations. CMS expects the first results of the collaboration by early 2026. It is also planned to launch a library of proven digital solutions on medicare.gov.
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