Free delivery of healthcare services in europe
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Free Delivery of Healthcare Services in Europe. Some ideas based on an article published by the Association Internationale de la Mutualité in European Public Health Update, May-June 2002. Hervé Doaré EHTEL Association. Cross-Border Patient Flow: a summary.

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Free Delivery of Healthcare Services in Europe

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Free Deliveryof Healthcare Servicesin Europe

Some ideas based on an article published by the Association Internationale de la Mutualité in European Public Health Update, May-June 2002.

Hervé Doaré

EHTEL Association


Cross-Border Patient Flow:a summary

% of Total Healthcare expenditures in EU based on E125 and E127

  • 19890.17 %

  • 19930.30 %

  • 19970.50 %

    Report of the High Level Committee on Health.

    December 2002


Transborder cooperation

ENSP 2002


Decisions of the Court of Justice of Luxembourg

  • Kohl & Decker: 1998

  • Smit and Decker: July 2001

  • Vanbraeckel: July 2001

    « made it easier for patients to be reimbursed for non emergency treatment in another Member State » ( AIM)


A Free Market? The Analysis of AIM

  • Not Yet

    • Linguistic and cultural barriers

    • Lack of comprehensive information

    • Some confusion: the decisions of the Court of Justice are not interpreted in the same way by the Member States.


A Free Market? The Analysis of AIM (part 2)

  • Expected Development

    • transborder contracting between insurers and HC Providers due to the increasing lack of HC Resources

    • Less restricted authorisation policies by the Member States

    • Increased information for patients on HC Suppliers across borders


A Free Market? The Analysis of EHTEL

  • But the door is open:

    • European Market of Healthcare Services ( incl e-health)

    • Free Movement of Patients in Europe

  • Future in the hands of

    • Patients: Waiting lists, better healthcare, less expensive

    • Healthcare Insurance Institutions: encouragement for

      • Modernisation

      • Competition

      • Openness towards European issues


A Free Market? The Analysis of EHTEL (part 2)

The members of EHTEL believe that eHealth solutions (Health Telematics) are

a good tool to be used in this process of evolution

for the benefits of all healthcare actors (Patients, Heathcare Professionals, Healthcare Insurers ...)


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