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Fostering the acceptance of Health Insurance Smart Cards

Fostering the acceptance of Health Insurance Smart Cards from the national to the European-wide scale BIOHEALTH Conference TROMSÖ, June 13 th , 2007 By Eng. Noël Nader, SESAM-VITALE EIG, France. Context & Challenges.

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Fostering the acceptance of Health Insurance Smart Cards

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  1. Fostering the acceptance of Health Insurance Smart Cards from the national to the European-wide scale BIOHEALTH Conference TROMSÖ, June 13th , 2007 By Eng. Noël Nader, SESAM-VITALE EIG, France

  2. Context & Challenges • Pan-European initiatives to foster mobility & skills inside the E.U with common rules for social protection • Since June 2004: common EU Health Insurance Card (EHIC) – ensures access to health care when abroad inside the EU & the EEA • EHIC: Eye-readable document – minimum common denominator – only a temporary solution on the way forward to an e-EHIC • Announced decision on long-term course – 2008+ to introduce an electronic EHIC that will progressively replace the eye-readable EHIC • But in 27 Member States + other EFTA countries – different health systems and care entitlement, different levels of IT infrastructure - • NETC@RDS challenge: to demonstrate potential of same service for all EU/EFTA citizens based on different but interoperable national/regional IT infrastructures

  3. Consortium of 28 partners from 16 EU/EFTA countries : Austria, Bulgaria, Czech Republic, Finland, France, Germany, Greece, Hungary, Italy, Liechtenstein, Norway, Poland, Romania, Slovak Republic, Slovenia Partners: statutory health insurance institutions, technical or economical organisations, hospitals, health practitioners associations. Budget: 20 M€ co-funded by the EC DG INFSO e-TEN Programme (30% of eligible costs) Time table: Phase A1 Market Analysis & Technical Requirements (2002 – 2003) Phase A2-A3 Validation of the Service (2004 – 2006) Phase B Initial Deployment (2007 – 2009) Phase C Full Deployment of the Service (2010+) Common objective for phases A, B & C: A stepwise approach on the way towards introduction of the e-EHIC Project at a Glance

  4. Basic Concepts Proposed definition An electronic European Health Insurance Card (e-EHIC) is a digital process with the result of a trustworthy data set for entitlement at the healthcare provider It can be used for associated inter-state back office e-billing reconciliations as well Thus, the introduction of a new specific health insurance smart card is not necessary whilst the e-EHIC trustworthy dataset can be obtained either by scanning the eye-readable EHIC or by reading national/regional health smart cards then by checking data on-line

  5. NETC@RDS pan-european infrastructure National portal Smart card database Smart card & EHIC database EHIC database

  6. Billing Services Health Care Pro. Workstation Internet SSL V3 secure Internet or Intranet NETC@RDS Service Portal NORWAY NETC@RDS Service Portal FRANCE Repository NORWAY Log stored Log stored A template NETC@RDS user case EHIC or Smart Card Input

  7. Cards Accepted by NETC@RDS Germany Austria France Italian Regions Slovenia Eye-readable EHIC

  8. Initial and further Deployment Phases Time Schedule

  9. Project Phase B Objectives & Roadmap • Extending the consortium from 20 partners (10 countries) to 26 partners (15 countries) + self-funded observers (2 Italian regions, Bulgaria, Luxemburg, Portugal)->building-up a self-sustainable permanent structure • Accession to the General Agreement for Phase B extension countries • Defining a common Information System Security Policy (ISSP) • Common Plan for initial deployment of 566 services points in 305 service sites according to 3 yearly-based milestones including training & support • Collaboration with related projects and Industry partners • Maintaining and reengineering the software components -> Web Services • Extending the service to the e-billing procedure (based on EC Regulation) • Evaluation of the service and assessment of the socio-economic impacts • Close cooperation with the CASSTM/TC and the CEN/ISSS WS e-EHIC • Dissemination activities and Web site

  10. Impacts & Benefits For patients: • Significantly simpler and faster procedures For health care providers: • Less administration and manual typing of data, speeding up costs refunding: • .e.g. average time to clear the costs claimed by pilot hospitals in Paris to CPAM (local health insurance office) is now 2 weeks whereas 2 months were necessary ! For health insurance providers: • Less administration, improved reliability and security of data For the EU: • Jointly developed, harmonised solutions and expertise, based on existing national systems, • Validated professional basis for imminent political decisions on electronic European Health Insurance Cards Interoperability of existing national systems across borders, use of the same national document for different purposes and saving investment in new electronic card systems

  11. Thank you very much ! noel.nader@sesam-vitale.fr www.netcards-project.eu 00 33 2 43 57 44 59

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