Comment regarding 24: All manipulation tariffs, services, etc. applications/costs are submitted by medical institutions, associations, accordingly, we determine the prices based on the information submitted by them. The calculation is coordinated with the submitter and other users. Comment regarding to 22c: In Latvia, the payment method for acute hospital services does not typically involve a global budget approach. Instead, the main payment method for acute hospital services in Latvia is the Diagnosis-Related Group (DRG) system. Under the DRG system, the payment for acute hospital services is based on a case-based payment model. Each patient's hospitalization is classified into specific DRG categories, which reflect the diagnosis, treatment, and resource utilization associated with the case. The reimbursement rates for hospitals are determined based on the assigned DRG category and the relative weights or point values assigned to each DRG.