Patient and his Health Insurance Company in a new system

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Patient and his Health Insurance Company in a new system Powered By Docstoc
					Patient and his Health Insurance Company in a new system

24.9.2007

Ing. Jaromír Gajdáček Executive director Association of Health Insurance Companies Funds Czech Republic

History of health insurance in CR
1991 – established General IC 1992 – established Employees IC, 27 1997 – Public health insurance Act 1998 – reduction of authorities of HIC 2000 – system stagnancy, financial troubles • 2006 – attempts to increase state control • • • • •

Numbers of policyholders
Military Metallurgical 566 500 352 400

Bank and building employers 657 000 Škoda 130 800

Interior ministry Miner´s
Metal - alliance Czech national
In comparison with

1 057 200 363 900
348 900 313 900

General 6 535 200

Other 3 790 600

One – to – one health insurance contract
• Patient and his Health insurance company • Defininition of health care extend
» Basic » Other

Neccesary steps to change in the Czech system of public health insurance
• Retain independency of public health insurance system • Individual health insurance contracts • Determine
– standards – accessibility - quality

Competition and its use
Plural system of several health insurance companies
• Services defined by law – care quaranteed

• • •
•

Basic health insurance program Bonus Program Individual responsibility program
Managed Care program

•

Combination and modification

Transformation of Health Insurance Companies
• More responsibility • More possibilities
• More benefits

• Result: more satisfaction of patients

Individual health insurance contract
Money follow patient
Alternative health insurance programs Compulsory and voluntary part

10% voluntary part Competition on clients Products on demand Complementary service Commercial part, direct payment

Thank you for your attention

gajdacek@szpcr.cz


				
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