Picture of the day: a digest of the main news from October 28, 2025
Main
#1 Vademecum presents its second ranking of the "TOP 100 Federal Medical Organizations by Revenue." The first analysis was conducted in 2020, a year before the launch of a major update to the FMO funding principles. Over the past four years, a model for allocating state procurement volumes to federal organizations has been refined, special tariffs have been introduced, and inter-territorial payments have been abolished. Furthermore, federal clinics have begun to provide high-tech medical care from the special third list. By the end of 2024, the ranking participants earned 451.7 billion rubles. More than a third of this amount (35.6%) came from providing medical care under the basic compulsory medical insurance program. By comparison, in 2020, the share of compulsory medical insurance in the FMO's revenue structure was significantly lower – 24.3%. Several years later, the share of high-tech medical care in the second list has decreased, and some clinics now receive more than half of their total revenue from the compulsory medical insurance system. For more details, see our analytical report .
The Russian Ministry of Industry and Trade intends to extend the point-based system for determining the country of origin of products to 94 types of medical devices, including iodine-125 microsources for brachytherapy, dental devices, consumables, rehabilitation equipment, ophthalmic lenses, endoprostheses, laboratory reagent kits, and other items. For each type of medical device, a number of technological operations has been determined, each of which awards localization points, as well as a minimum point level for recognizing the product as domestic (originating in the territory of the EAEU). The localization threshold for different types of products is expected to increase gradually from 2026 to 2030. If approved, the amendments will come into force on January 1, 2026.
Pharmaceutical business
• Baltpharma, a resident of the Saint Petersburg Special Economic Zone, received permission to build a new production facility with an area of over 5,500 square meters. According to the initiators, the investment volume in the project will exceed 2.5 billion rubles, and the launch of new capacities is planned for the second quarter of 2026. Last year, it became known that Baltpharma was acquired by R-Pharm Group of Companies to fulfill an offset contract concluded in January 2023 with the State Procurement Committee of Saint Petersburg.
• Between August and October 2025, Indian pharmaceutical manufacturer Jodas Expoim filed 22 administrative and two civil lawsuits against the Russian Ministry of Health with the Moscow Arbitration Court. In all of the lawsuits, the company requests that the court declare the agency's decisions to revoke or suspend the registration certificates for its drugs illegal. The vast majority of the lawsuits (17) have already been accepted for proceedings; in five of these disputes, the first instance court refused to issue interim measures and suspend the regulator's decisions. Three lawsuits remain pending, and no court decisions have been made on four of the lawsuits.
Medical services market
Sberbank Investments LLC has exited the founding shareholders of the KDL laboratory chain's management company, Medscan Lab LLC, transferring a 39% stake to Medscan JSC. The transaction amounted to 4.767 billion rubles. Medscan told Vademecum that the sale was intended to complete the acquisition of the KDL network and reduce its debt burden ahead of the planned IPO. Following the transaction, which closed on October 24, Medscan gained full control of the laboratory asset.
Medical education
The Russian Ministry of Health has developed a draft standard supplementary professional retraining program in the specialty of "General Medicine" for employees with secondary medical education. The proposed program will require 504 academic hours of full-time study, with the option of partially using distance learning technologies. The draft regulations contain information on specialist competencies, the curriculum, educational modules, the certification format, and teacher qualifications, as well as requirements for logistical support and financial terms for program implementation. If approved, the regulations will come into force on March 1, 2026.
Regulators
The Russian Ministry of Health has presented a draft order approving the Regulation on the functional subsystem of medical resource reserves within the Unified State System for the Prevention and Response to Emergencies. The document defines the goals, objectives, and procedures for the formation of federal, regional, and municipal reserves of medications, equipment, and consumables necessary for emergency response. This work will be overseen by the Department for the Organization of Emergency Medical Care and Health Management of the Russian Ministry of Health and the N.I. Pirogov National Medical and Surgical Center.
Career
Krasnodar Krai Governor Veniamin Kondratyev has appointed Alexander Rudenko as his deputy, overseeing healthcare, education, culture, and social policy for the region. He replaces Anna Minkova, who held the position since 2015 and resigned voluntarily. The corresponding order was signed on October 28, 2025, and information on the personnel changes has been published on the regional administration website.
Government procurement
A tender has been announced in the Volgograd Region for an 11.25 billion ruble offset contract for catering services in social welfare institutions. The winner will be responsible for providing meals in nursing homes, retirement homes, and rehabilitation centers, as well as investing in the construction and modernization of food service facilities and technological equipment. The contract runs for 10 years—from December 2025 to November 2035—and covers a full range of services, including procurement, storage, preparation, and quality control of food products in accordance with federal standards.
Regions
The Russian government will allocate 714.7 million rubles from the reserve fund to the Kursk Region as a one-time financial aid. This additional funding will enable the purchase of at least 470 units of medical equipment, including ultrasound and CT machines, CPR devices, and eye microsurgery systems. The medical devices will be delivered to 20 regional clinics. The Russian Ministry of Health will oversee the targeted and effective use of budgetary allocations.
Infrastructure
The ANO "Development of Social Infrastructure" announced a search for a contractor on the RosTender platform to conduct design and survey work and construct a multidisciplinary building for Moscow's City Clinical Hospital No. 67 named after L.A. Vorokhobov. The building, with an estimated floor area of approximately 45,000 square meters, will house a surgical care center for patients with degenerative diseases and acute spinal injuries. The project is expected to cost 28.9 billion rubles.
Other news:
The Ministry of Health has updated the Procedure for Providing Medical Care in Dermatovenereology
vademec
