Web-economic-crisis-health-systems-and-health-web

442 Economic crisis, health systems and health in Europe: country experience
• The flat-rate contribution for self-insured people decreased by 6.1% in
2010, and rose by 11.9% in 2011 and 7.6% in 2012.
• The enrolment of self-insured people increased by 30% in 2010 and 57%
in 2011, but decreased by 1.7% in 2012.
• The Ministry of Health launched three public–private partnership projects
to develop oncology radiotherapy services and imaging and dialysis services
(2011–2012).
Changes to health coverage
Population (entitlement)
• Introduction of automatic subsidized entitlement to statutory coverage for
households eligible for social benefits, mothers of four or more children and
full-time doctoral students.
• Extended coverage funded by previously accumulated SHI reserves (2009)
and by extra transfers from the central government budget (2010).
The benefits package
• Funding for primary care prioritized and the range of drugs covered by SHI
expanded (2009).
• Benefits for the uninsured expanded to include emergency care and full cover
of primary care, including outpatient prescription drugs (previously only
primary care visits were covered) (2009), although outpatient prescription
drug benefits were removed in 2011.
• The network of pharmacies contracted by the national health insurance fund
increased from 384 (2010) to 428 (2011) and 517 (2012).
• Coverage of reimbursable drugs has fallen since 2010 as the coverage
extension mandated in 2009 was not supported by additional funding
(2011). However, the spending on subsidized drugs, and the number of
prescriptions paid from SHI fund increased in 2011 and 2012.
User charges
• No response reported.
Changes to health service planning, purchasing and delivery
Prices of medical goods
• Introduction of new rules on approval and registration of producer prices
(2012).
• New rules indicate only prescribed drugs with one active ingredient will
be covered (2012).