The authors discuss organization and planning of specialized and high-tech inpatient medical care. They also assess the normative indicators used in planning of specialized care in 2022 considering innovations related to autonomous financing of federal hospitals at the expense of compulsory medical insurance. New approaches for territorial program of compulsory medical insurance are proposed.

Significance. The article examines the basic economic principles of capitation financing of primary health care and features of the practical application of this payment method within the compulsory health insurance system in the Russian Federation. Purpose. To develop and test a regional model of allocating reserved capitation funds based on the achievement of planned medical service volumes and changes in mortality among the registered population. Material and methods. The article has analyzed methodological recommendations on the methods of paying for medical care at the expense of compulsory health insurance funds and the results of assessing the effectiveness of medical organizations in the Ryazan Region, with registered population and funded on a per-capita basis in 2024-2025. The article uses methods of economic modeling, statistical analysis, and expert evaluation. Results. An original innovative methodology has been proposed and tested that enables accurate accounting of planned medical care delivery volumes and mortality indicators among the registered population when distributing reserved compulsory health insurance funds allocated for capitation financing. Conclusion. The use of a per capita method of paying for primary health care with due regard to performance effectiveness, economically focuses the medical organization on the priority of preventive measures, contributing to the reduction in morbidity and mortality among the registered population. The proposed model demonstrates high social significance and can be used to improve regional healthcare management systems. Keywords: capitation financing; primary health care; economic efficiency; compulsory health insurance.