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Free Delivery of Healthcare Services in Europe. Some ideas based on an article published by the Association Internationale de la Mutualité in European Public Health Update, May-June 2002. Hervé Doaré EHTEL Association. Cross-Border Patient Flow: a summary.
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Free Deliveryof Healthcare Servicesin Europe Some ideas based on an article published by the Association Internationale de la Mutualité in European Public Health Update, May-June 2002. Hervé Doaré EHTEL Association
Cross-Border Patient Flow:a summary % of Total Healthcare expenditures in EU based on E125 and E127 • 1989 0.17 % • 1993 0.30 % • 1997 0.50 % Report of the High Level Committee on Health. December 2002
Transborder cooperation ENSP 2002
Decisions of the Court of Justice of Luxembourg • Kohl & Decker: 1998 • Smit and Decker: July 2001 • Vanbraeckel: July 2001 « made it easier for patients to be reimbursed for non emergency treatment in another Member State » ( AIM)
A Free Market? The Analysis of AIM • Not Yet • Linguistic and cultural barriers • Lack of comprehensive information • Some confusion: the decisions of the Court of Justice are not interpreted in the same way by the Member States.
A Free Market? The Analysis of AIM (part 2) • Expected Development • transborder contracting between insurers and HC Providers due to the increasing lack of HC Resources • Less restricted authorisation policies by the Member States • Increased information for patients on HC Suppliers across borders
A Free Market? The Analysis of EHTEL • But the door is open: • European Market of Healthcare Services ( incl e-health) • Free Movement of Patients in Europe • Future in the hands of • Patients: Waiting lists, better healthcare, less expensive • Healthcare Insurance Institutions: encouragement for • Modernisation • Competition • Openness towards European issues
A Free Market? The Analysis of EHTEL (part 2) The members of EHTEL believe that eHealth solutions (Health Telematics) are a good tool to be used in this process of evolution for the benefits of all healthcare actors (Patients, Heathcare Professionals, Healthcare Insurers ...)