The Board of Directors and Annual General Meeting, the two bodies of the Austrian Health Insurance Fund (ÖGK), have today decided to ensure that there is a sustainable health supply in the future, even despite the tense financial situation with a forecast deficit of 900 million euros.
Which factors influence the financial situation of the ÖGK
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The ÖGK is financed by contribution: The weak economic development and increasing unemployment reduce the contributions.
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Demographics: Older people go to the doctor more often and are more chronically ill. The demographic change increases the situation.
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Record rise when visiting the doctor: The ÖGK has a significant increase in visits to the doctor, and more and more medical services are being used and the treatments are more expensive.
Based on these factors, the Board of Directors unanimously stated that those insured who need medically necessary service – regardless of age, place of residence or social status, must also receive them. In order to continue to ensure this, the ÖGK has identified two areas to reduce costs and increase efficiency.
“Our primary goal is to maintain access to top medicine to E-Card. With our consolidation plan, we go exactly in this direction and at the same time implement important adjustments of oversupply and false incentives. These make the internal structures of slimmer, services more accurate and create the basis for a fair contribution. McDonald.
The administrative costs of the Austrian health insurance fund will continue to be reduced in order to flow directly into the medical care of the insured as possible. Only two percent of the contributions are already being spent on the administration. In your own area of activity, the focus is on increasing efficiency and cost awareness.
The ÖGK attaches great importance to evidence -based and efficient health care. Therefore, therapies and services are systematically checked for their effectiveness and effectiveness. The aim is to use the funds where they bring the greatest benefit for the insured. This improves the care of the insured and contributes to using the funds in the health system sensibly.
Changes in the performance catalog
Because the costs have increased significantly in certain areas, targeted measures are taken to counteract this. From July 1st, a cost share of the simple recipe fee will be inserted for medical transport, and the double prescription fee for patient transports will be inserted. Social tolerance is particularly important. In addition, the self -proportion of orthopedic measurement shoes is increased. In addition, the contractual partners are currently advising whether a general determination of the vitamin D value without medical indication should remain part of the range of services.
Strengthen resident area
More and more people are increasingly taking advantage of medical services. The reasons for this are the significant expansion of the range of services, the improved supply and the relocation of services from the hospitals to the resident area. At the same time, the falling economic growth and demographic change present the ÖGK with great challenges. The contractual partners positions and frequency developments are also an important part of the consolidation package, here a prudent procedure and cooperation with all contractual partners are necessary to continue to ensure health care together.
The Austrian Health Insurance Fund (ÖGK) is the largest social health insurance in Austria. It offers its 7.6 million insured persons a medically high -quality supply and comprehensive service from Lake Constance to Lake Neusiedler.