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Abstracts by keywords: DMP

Care management from the perspective of the insured. Requirements and impacts

When it comes to health matters, patients are anything but used to taking responsibility for themselves and their health. SGB V already emphasizes that they have shared responsibility and a duty to cooperate. However, it assigns the main responsibility to statutory health insurance. In the past, the traditional way of thinking in medicine often led to patients being seen as objects of medicine without their own responsibility (Schmid et al., page 14). In this context, the focus of care on acute, episodic and one-dimensional diseases is specifically mentioned, not least due to ever-increasing specializations (Müller-Mundt and Schaeffer, page 143).

05.10.2012
Supreme court case law on structured treatment programs according to Section 137g SGB V

In its judgments of June 21, 2011 (ref.: B 1 KR 14/10 R and B 1 KR 21/10 R), the Federal Social Court (BSG) decided for the first time on the approval of structured treatment programs to be granted by the Federal Insurance Office (BVA). There is no legal definition of the term “structured treatment program”, nor is there a legal definition of the term “disease management program”, abbreviated DMP, which is often used by the BSG and has the same content.

24.02.2012
Experience from contract negotiations and arbitration proceedings for family doctor-centered care

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

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