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10 th Anniversary Conference Budapest – May 10, 2011. Impact of NETC@RDS for 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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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
Cross-border health care with AOK Baden-Württemberg 3.8 m. insurants Interstate billing: Own accounting centre 40 m. EUR turnover Market share 42 % 11,5 bn. EUR annual turnover (health insurance and long term care insurance) Borders to France, Switzerland and Austria Enterprises with high reputation (Daimler AG, Porsche, SAP, ...) Increasing quantity of insurants(2010: + 125.000) Interest groups for cross- border commuters More than 250 AOK-Service-Centres High mobility(labour and private) Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
NETC@RDS for eEHIC – Opportunity for the European Health Care System Electronically captured insurant data means: Communication without errors Patient Health care provider Healthinsurances Liaison offices Benefit for all participants Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
NETC@RDS – first step to the eEHIC Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
NETC@RDS for eEHIC – Value for AOK Baden-Württemberg I Efficiency improvement: Integration in infrastructures of national health insurance systems (e.g. EESSI) hospital information systems Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
NETC@RDS for eEHIC – Value for AOK Baden-Württemberg II 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 Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
NETC@RDS for eEHIC – Value for AOK Baden-Württemberg III Quality improvement of data • secure reimbursement • use for EESSI of service provided to the EU citizens Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
NETC@RDS for eEHIC – Value for AOK Baden-Württemberg IV Reduction of costs 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 Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
NETC@RDS for eEHIC – Value for AOK Baden-Württemberg V Reduction of personal resources less research less manual data capturing Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
General acceptance of national health insurance cards (smart cards) • electronically readable technology Solutions for electronic EHIC data exchange: Health care provider Healthinsurance Political Requirements Completion of the EESSI data exchange between social security institutions by EHIC data set. Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
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. Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg
Thank you for attention Dr. Christopher Hermann, Deputy CEO, AOK Baden-Württemberg