EOPYY: will Not pre-pay the insured products and services 2017

Writes the Dionysia Bing
Contracts with EOPYY will have to have a mandatory, all of the private providers…
in order from 01/01/2017 to procure the affiliated products and services for free or by paying the corresponding membership.
The aim is, among other things, better management of financial resources of the Agency and the rationalisation of expenditure. On the basis of the new contracts will expand the implementation of rebate and clawback to all providers of EOPYY, with the introduction of closed budgets in all categories, as provided for in the amendment of the ministry of Health, which voted last week.
The new categories of providers, which are invited to conclude contracts with EOPYY, concerning to medical devices, supplements, special diet, special education etc. With the συμβασιοποίηση providers, the Agency wants to redefine the relationship with them, in terms of fairness and transparency. According to sources of the Agency, in 2016 the expenditure of EOPYY total for services special education was 106 million. euro, while the cost of medical visits was 108 million. and for the medical exam 111 million. euro. Of the 106 million. of special education, the 82 million. it’s for speech therapy. These sizes are considered to be disproportionate and for this reason investigation of the Body, on the basis of the results of which will be formed the budget of 2017 for special education.
The EOPYY, with the new contracts, it seeks to facilitate the accessibility of the citizen to the therapeutic options in a fair and controlled manner. It is no longer necessary advances. For example, an insured person for the purchase of glasses, the prepay charge. Then, submit the necessary documents to the competent regional directorate, and after the control starts the compensation process. In the following, the insured will not prepay, as the provider will be reimbursed directly by EOPYY, with no deposit required supporting documents to the regional directorates.
Also, the approval by the auditors of doctors of EOPYY, will be made electronically, without requiring the physical presence of the citizen.
Providers will be compensated with the new clearing system. The time of compensation estimated to be reduced from 180 to 300 days, which is today, in less than 90 days.
On the new contracts of the doctors with the Agency, these will be launched in the first months of 2017, based on the design for the Primary Health Care.
Pharmacists, finally, reacted initially proposed by EOPYY contract, after the necessary, however, for clarification, it is considered that issues such as the certification of pharmacy have been solved. According to the president of the Panhellenic Pharmaceutical Association, Constantine Λουράντο, seek out mutually acceptable collective agreement and for this reason, the legal services of the pan-Hellenic Pharmaceutical Association are in consultation with the PUBLIC and the FDA.
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