CROATIAN HEALTH INSURANCE FUND
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1 CROATIAN HEALTH INSURANCE FUND 2014
2 Agenda Croatian Health Insurance Fund AIM Association Internationale de la Mutualité Disease Management Working Group
3 Croatian Health Insurance Fund (CHIF) VISION OF THE HEALTH CARE SYSTEM To become a health system where quality healthcare is available to everyone, according to the principles of comprehensiveness, accessibility and solidarity. MISSION OF THE HEALTH CARE INSURANCE To rationally invest funds of insured persons in quality and efficient health services and programs that will add years to life and life to years.
4 Health care sheme Croatian health care system is a single-payer system Covers 99,7% of total population Health care insurance in Croatia includes mandatory, complementary and supplementary insurance Mandatory insurance provides right to health care and the financial benefits Complementary and supplementary health care insurances are voluntary, based on monthly/yearly insurance premium
5 The scope of mandatory health insurance Health care Primary health care Specialist and consiliary health care Hospital Drugs from the CHIF lists of drugs Health care abroad European Health Insurance Card Financial compensations Compesation for salary during sick leave Compensation for travel expenses for access to health care Compensation for maternity leave
6 Financing of the health care system Contributions: for mandatory health insurance for health care at workplace for unemployed persons for the use of health care abroad Revenue: from the state budget, (mostly though payroll tax) from participating in the costs of health care from mandatory vehicle liability insurance from excise tax on tobacco products
7 Billions of HRK Expenditure on health care from CHIF funds from until Hospital care Secondary care Drugs Primary care Source: (30/11/2013.)
8 Association Internationale de la Mutualité Umbrella organisation of health mutuals and health insurance funds in Europe and in the world
9 AIM Founded in January 1950 at the General Assembly in Paris 52 members from 28 countries Provides health coverage to 230 million people in the world and 160 million in Europe was through the compulsory and/or complementary health insurance and managing health and social
10 Mission and Objectives Mission to provide a platform for members to exchange on common issues and to represent their interests and values in the European and international Institutions Objectives to defend the access to healthcare for all through solidarity-based and non-for profit health insurance
11 12 Working groups in European Region European Affairs Health Systems Reform Disease Management/ E-health Long Term Care/ Healthy Ageing Pharmaceuticals and Medical Devices Health Technology Assessment Mutuals Pensions Environment and Health Fight against Fraud Prevention Working Group Education and E-learning
12 Disease Managemant/telemedicine Working Group Former Chairman: Dr Jan Van Emelen Current Chairman: Siniša Varga, DMD, effective August 2012 Vision To face major challenges and introduce potential innovations for solidarity-based health care protection systems while in the same time help building healthier population Mission Providing a platform for exchange on the latest developments in ehealth, promotion of good health and reducing illness. Educate individuals for better self-management through AIM representatives.
13 Working plan for 2014 E-health study trip with EHTEL, Estonia, Tallin on 17 March Organisation of the Workshop in Bruges on Disease Management, 27 June afternoon in Bruges Regular teleconferences/webinars In-house DMWG with Bord memebrs of the CHIF in order to benchmark our work and international achivements in the DM field
14 A special focus on chronic disease Chronic diseases account for up to 80% of THC budget worldwide Objectives: creating innovative concepts and models of care of chronic diseases educating patients with chronic diseases monitor trends in chronic diseases in the AIM Member States
15 Challenges Monitoring and prevention through mhealth tools Croatia - example of good practice Monitoring patients in remote, rural areas in order to attain higher level of prevention and better self- management Chronic disease panels Using ehealth tools
16 ehealth & Chronic Disease Management (Panels)
17 How to reach us? Tatjana Prenda Trupec in the name of Siniša Varga, Chairman AIM Chronical Disease and Telemedicine Working Group Address: Margaretska 3, Zagreb Croatia Tel: Fax: Working hours: Web page: Contact us by PR Service: glasnogovornik@hzzo.hr Additional health insurance: Callcentar.Dopunsko@hzzo.hr
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