Abstracts by key term: GP-centered care
There are many family doctor-centered care models, also known as family doctor programs or models, in which the family doctor acts as the first point of contact for all health issues. Mainly AOKen and BKKen, but also Barmer or BIG, for example, offer their insured persons the opportunity to take part in various, sometimes very different family doctor programs - although overall there are quite a few participants compared to the majority of those receiving regular care in accordance with the care contract according to § 75 SGB V (1) are looked after. The HZV contract in Baden-Württemberg is the blueprint for family doctor-centered care (HZV) according to Section 73b SGB V (2), to which the contractual partners - the Baden-Württemberg Family Doctors Association, MEDI Baden-Württemberg and the AOK Baden-Württemberg - agree on one Press conference in Berlin was able to present scientific evaluation data over a period of ten years in a direct comparison of HZV and KV care for the first time.
05.06.2023
Why does a care innovation such as family doctor-centered care (HZV) according to Section 73b SGB V, a new world of care beyond standard KV care, work in Baden-Württemberg of all places? It's not that there aren't family doctor programs or models elsewhere in Germany, but firstly, not that long - currently at least 15 years - and secondly, not so consistently and, on top of that, constantly being developed. According to Johannes Bauernfeind, the CEO of AOK Baden-Württemberg, it is important that the HZV is not only more economical than the so-called standard care, but that more than 90 percent of the voluntarily enrolled patients are “very satisfied with this care offer as we have designed it have".
05.06.2023
On July 1, 2008, the AOK Baden-Württemberg, the General Practitioner Contract Association eG (HÄVG) and the MEDIVerbund concluded the nation's first family doctor-centered care contract (HZV) in accordance with Section 73b SGB V. In this contract, care-relevant quality goals were linked to process management in order to better manage patient care. In order to enable the successful implementation of the contract, comprehensive IT-supported solutions had to be created. The “ICW core” as a software module without its own user interface for integration into the practice management systems (PVS) as well as a telematics infrastructure for connecting doctors online played an important role here. Extensive practical experience has been gained in the last two years.
23.09.2012
Erfahrungen aus den Vertragsverhandlungen und Schiedsverfahren zur hausarztzentrierten Versorgung Zum 01.01.2009 trat das Gesetz zur Weiterentwicklung der Organisationsstrukturen in der gesetzlichen Krankenversicherung (GKVOrgWG) in Kraft, das unter anderem auch eine Änderung des § 73b SGB V umfasste. Nach dieser Neuregelung wurden alle gesetzlichen Krankenversicherungen verpflichtet, ihren Versicherten bis zum 30. Juni 2009 eine besondere hausärztliche Versorgung […]
17.08.2010
Since 2009, the health insurance companies that compete with each other for care have had to conclude common and uniform collective agreements for the remuneration of medical services on the basis of very narrow centralized guidelines. One way out of bringing innovation into care is to conclude individual health insurance selective contracts. At the same time, since 2009, all health insurance companies have been obliged to offer their insured persons particularly qualified family doctor-centered care on a voluntary basis. In order to prevent double financing of services, these selective contracts require an adjustment of the jointly and uniformly determined collective remuneration. The article shows which procedures are useful here in order to achieve a fair coexistence of collective system and selective contracts with the aim of innovation capability for the supply structures.