Patient and his Health Insurance Company in a new system

1
Patient and his Health Insurance Company in a
new system
Ing. Jaromír Gajdácek Executive
director Association of Health Insurance
Companies Funds Czech Republic
24.9.2007
2
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

3
Numbers of policyholders

• Military 566 500
• Metallurgical 352 400
• Bank and building employers 657 000
• koda 130 800
• Interior ministry 1 057
  200
• Miners 363 900
• Metal - alliance 348 900
• Czech national 313 900

In comparison with
General 6 535 200
Other 3 790 600
4
One to one health insurance contract

• Patient and his Health insurance company
• Defininition of health care extend
• Basic
• Other

5
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

6
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

7
Transformation of Health Insurance Companies

• More responsibility
• More possibilities
• More benefits
• Result more satisfaction of patients

8
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

9
Thank you for your attention

• gajdacek_at_szpcr.cz