Abstracts by keywords: Selective Contracts
Since the health reform of 2000, the health insurance companies have been entitled to conclude selective contracts with service providers. These are family doctor-centered care contracts in accordance with Section 73b SGB V, contracts for special outpatient care in accordance with Section 73c SGB V and integrated care contracts in accordance with Section 140a SGB V. According to the justification for the 2000 health care reform and the law to strengthen competition, the legislature has followed this In statutory health insurance (GKV Competition Strengthening Act - GKV-WSG), these new regulations promise to intensify competition among health insurance companies and improve the quality and efficiency of care1. Within the framework of these selective contracts, the health insurance companies have a wide range of options to deviate from the collective agreement regulations2. In particular, the health insurance companies are entitled to make new examination and treatment methods part of the coverage in the selective contracts.
24.01.2013
The IT Implementation of Selective Contracts The goal of selective contracts pursuant to Section 73b, c of the Social Code (SGB V) is to improve the quality of outpatient care while simultaneously exploiting potential for cost-effectiveness. By creating the option to conclude selective contracts, the legislature aimed to enable direct negotiations between health insurance funds and physician groups to agree on specific quality goals in care and cost-effectiveness. To achieve this, […]