10 th Anniversary Conference Budapest – May 10, 2011

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10th Anniversary ConferenceBudapest – May 10, 2011

Impact of NETC@RDSfor the development of the eEHIC –

opportunity and value

Dr. Christopher Hermann Deputy CEO, AOK Baden-Württemberg

AOK Baden-Württemberg, Heilbronner Str. 184, D-70191 Stuttgart

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Cross-border health care with AOK Baden-Württemberg

Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg

3.8 m. insurants

Market share 42 %

11,5 bn. EUR annual turnover (health insurance and long term care insurance)

Increasing quantity of insurants(2010: + 125.000)

More than 250 AOK-Service-Centres

Interstate billing:

Own accounting centre 40 m. EUR turnover

Borders to France, Switzerland and Austria

Enterprises with high reputation (Daimler AG, Porsche, SAP, ...)

Interest groups for cross- border commuters

High mobility(labour and private)

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NETC@RDS for eEHIC – Opportunity for the European Health Care System

Communication without errors

Electronically captured insurant data means:

Patient Health

care provider

Healthinsurances

Liaison offices

Benefit for all participants

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NETC@RDS – first step to the eEHIC


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NETC@RDS for eEHIC – Value for AOK Baden-Württemberg

Efficiency improvement:I

Integration in

infrastructures of national health insurance systems (e.g. EESSI)

hospital information systems


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Reduction of fraud and cost containment:

Online entitlement verification stands for

reimbursement of medical treatment abroad only in case of a valid insurance

strengthening of cross-border health care by EU regulation

no private tariffs for foreign patients holding a valid insurance


II

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Quality improvementIII


of data secure reimbursement use for EESSI

of service provided to the EU citizens

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Reduction of costsIV

domestic health insurance cards can replace EHICs 400.000 EUR p.a. up to 6 m. EUR cost reduction for all German health

insurances estimated


benefits abroad only in case of a valid insurance 800.000 EUR p.a. up to 12 m. EUR cost reduction for all German health

insurances estimated

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Reduction of personal resourcesV

less research

less manual data capturing

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Political Requirements

electronically readable technology

General acceptance of national health insurance cards (smart cards)

Health care

provider

Healthinsurance

Solutions for electronic EHIC data exchange:

Completion of the EESSI data exchange between social security institutions by EHIC data set.

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Conclusion

End of EU-funded project period:

30.06.2011

AOK Baden-Württemberg will proceed with the use of electronically captured EHIC´s data set.

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Thank you

for attention

Documents

10 th Anniversary Conference Budapest – May 10, 2011