22:02:11 doctor comparison portal for AOK Baden-Württemberg
The AOK Baden-Württemberg deepened in mid-March to work with the compass medi GmbH . The AOK Baden-Württemberg with its 4 million members now actively recommends the dentist comparison portal Zahngebot.de to your members. The ongoing since January 2009 Cooperation between the AOK and zahngebot.de is due to the positive experiences now intensified and expanded. From mid-February, the AOK Baden-Württemberg your insured not only your internet portal on the service of Zahngebot.de out, but communicates the capabilities of Zahngebot.de also in the course of telephone counseling and service agencies. ... (Financial News)
24.02. 11 election rates: In the SHI improve the performance
had time for the year adjusted all insured under the statutory health insurance to new rules. Probably the most dramatic experience was the increase in contributions. Positive effects on the other hand the innovations being at the election rates. Here, members of the health insurance not only improve performance but are now in their rights as well as better.
election rates in the SHI - More power?
With the help of the optional plans insured by the statutory health insurance, at least in some respects similar to private health insurance patients.
Even though hardly any of the leaders like to hear this, in the eyes of the insured's health care for 2-tier health system has become. On one side are the eight million private patients, on the other hand, the members of the GKV. Use the optional plans offer health insurance a way to enjoy similar benefits as the insured private health insurance.
Thus, the insured may in rates rebates in the election claim charged directly with the doctor or take off to the reimbursement principle. In the waiting room seems to be an advantage. Especially as the deadline for remaining in this election rates for the 01 January have been eased. At the same time concerned to the collection of an additional contribution by the statutory health insurance now switch easily. Benefits, you should nevertheless consider the disadvantages.
expensive visits to the doctor
who receive medical treatment as a private patient, at first surprised at the level of costs. Especially since it is not even sure if the costs are generally covered in full by health insurance. The problem: While the doctor charge you by the GOÄ, provides for the cash-fee schedules different. It will be applied to the cost of medical expenses you would incur too loud EBM. The result: Patients have to cover a portion of the costs out of pocket.
election tariff or insurance?
The extent to which the election is to pay real rates will not be answered at this point. Instead, the reference to another solution, how can approximate the performance of SHI to a private health insurance - about insurance. The latter can be for several years to complete for specific treatment areas and thus tailored to the individual situation. (Private health insurance in comparison)
24.02.11 million fraud in HIV drugs
Originally, the preparations for patients in South Africa. Pharmaceutical distributors they are illegally brought back to Germany and have made millions €.
Several prosecutors and the Federal Criminal Police Office are a major fraud case in the pharmaceutical industry on the track. According to information from NDR Info nationwide, various pharmaceutical wholesaler for patients in Africa provided, subsidized HIV drugs in bulk, repackaging, have illegally taken to Germany and sold here with an extremely high profits.
The research showed that the HIV medications as part of the so-called bulk - so loose tablets in boxes and bags - illegally imported from South Africa to Belgium and Switzerland to Germany, although they are not allowed here. Then the vendors will have the drugs billed at regular prices. Estimates of the AOK Lower Saxony, the financial loss is only for health insurance to at least a two-digit million amount.
the accused from Schleswig-Holstein and Rhineland-Palatinate, which deny the allegations, according to NDR Info or do not comment, should have violated the drug laws. According to the prosecutor Flensburg those suspected of committing commercial fraud threatens to have between 3 months and 10 years in prison
At present we will be the effectiveness of the drugs was not affected. However, there were still investigating whether the preparations were made for example by interrupting the cold chain damage. Possibly also the expiry date had been exceeded.
busted was the alleged fraud in August 2009 Delmenhorster in a pharmacy. In subsequent studies of the drug by the Munich-based manufacturer GlaxoSmithKline have been found that had been forged among others, the outer package and the package insert. The company had withdrawn for safety reasons, the batch in question. And the manufacturer Boehringer-Ingelheim in 2009 and 2010 had recalled several batches in a similar case of an HIV drug. (Time)
24.02.11 Healthcare Centers Union poses FDP will "bow to the medical lobby" before
The coalition improve medical care, but between the armed Union and FDP is inevitable. It is about country doctors, practice centers and to the interests of doctors, health insurance, Clinics and countries.
Union and the FDP have agreed on the first outline for the planned care law. It aims to ensure that even in areas that are only sparsely populated, or have a weak social structure, the supply is guaranteed a high level. The key points for this are: better coordination of the medical establishment, more university places, reference for dentists, new rules for medical care centers and to expand cooperation between hospitals and outpatient doctors. The coalition intends to continue the talks in March. Then go to the federal-state negotiations. Early 2012, the law enter into force.
Provide dispute in particular the proposed changes in medical care centers (MCC). In MVZ doctors work as employees. Ownership of the practices are other doctors, hospitals and other private investors. MVZ are popular among young doctors, because here they have fixed working hours and income, may also operate an outpatient basis, but do not bear the economic risk of an establishment must practice. Medical boards require that only physicians may have a majority stake in MCC, to avoid any impact of activities of doctors. At the instigation of the FDP, a MCC can not be done in the form of a public company also the medical director had to work in the MVZ. Exceptions should apply to underserved areas. In the Union is outraged a "prostration of the FDP before the doctors lobby referred.
Outpatient planning is solely for the doctors and cash - so far
With better planning should be made in future ensure that not too many in one place, elsewhere settle for too few doctors. Today, the planning areas are identical to the boundaries of cities and counties. The distinction is to be flexible. It leads today to the fact that - as in Berlin, which is considered a planning area - in some districts Too many doctors, established in others too few, although statistically there is no shortage. As the small-scale planning is to be is a moot point in the coalition, according to participants. The country must now make only in the hospital planning guidelines. The outpatient plan is solely for the doctors and cash. In future, the countries have a say here and get to file a complaint. That they do not go far enough. The states have a strong position because they have to agree with the law in the Bundesrat.
doctors should also get financial incentives to settle in underserved areas. So shall dispense with them on cuts to be determined if the treatment could be exceeded should also be possible surcharges. Doctors from hospitals and rehabilitation centers will be more involved in medical care, medical care organizations must operate in an emergency and temporary clinics with salaried doctors. Doctors should be allowed to be represented, for their children for three years. can
dentists have not settlement services more than 107 million euros
for medical students are more - also co-financed by the federal government - places will be created. If you commit yourself to work later as a country doctor is, the usual Selection can work around. In addition to the approval process be changed and more geared to practical skills.
For dentists, the coalition wants to redeem its pledge to repeal the doctors as budgeting. According to calculations of the dentists' association in 2008 of the dentists services over 107 million euros was provided, but not your expense account. This does not happen in the future. The coalition is talk of additional costs in the "low hundreds of millions". In addition, the dentist's fees of the funds to be aligned. Today, pay the private plans about ten percent more per treatment point value than their competitors. This should approaching local, guild and enterprise funds increased costs, the spare cash to the same extent reduce expenses. (FAZ)
24.02.11 Electronic health card. New scheme launched in October
The constant moving is over: With almost six years late in October but will now be issued the controversial electronic health card to the citizens.
doctors and health insurers have agreed on the modalities for the financing of the terminal for the planned electronic health card. The National Association of the panel physician said on Thursday in Berlin. Before the introduction the new health card from October to get the medical and dental practices modern readers.
failures, bad luck and mishaps
The electronic health card should actually already be introduced January 2006. The aim was to simplify the administration to avoid duplicate investigations and adverse drug effects and ultimately to grant access to an electronic patient record. Technical problems and privacy concerns of the doctors, however, slowed the project. Only at the end of last year the government decided that the card is inserted but 2011 - albeit in slimmed down form.
provide cash grants
The agreement of health insurance, doctors and dentists were needed to finance the investment practices. You can get the cash for stationary reader 355 €, 215 € for the installation and mobile Readers € 280.
The insured may use the "health card" received from the end of the third quarter. But continue to apply the existing health insurance smart cards. Before 2013 will spend the cash, only electronic card, if the doctors are up to that point sufficiently equipped with card terminals.
First, the new system, especially the so-called master data of the insured online match, to prevent card fraud. Also can be stored on the emergency data card, if the insured so desires. In the medium term, physicians can share about the system of cards, readers and online connections findings and information about their patients. (Focus)
25.02.11 Many company retirees get back money from insurance
Many company retirees can now retrieve money from their insurance company. This must be wrong to report conceded contributions to health and nursing care, retroactively and that for four years. However, only if the following signs: a continuing direct private insurance runs in the name of pensioners, not to the company. If so, sufferers should take action and demand your money back, says Martin Schafhausen by the Association of Social Law of the German Bar Association (DAV). By itself it returns nothing.
funds reacted to verdict had not
In autumn last year ruled the Federal Constitutional Court: Who paid for his resignation from the company not only the articles themselves, but assumed equal to the whole pension contract completely and continues privately added, must not with health and care insurance premiums be occupied. That would be unconstitutional (Ref.: 1 BvR 1660/08). Pensioners who had written to then its cash bit, but often on granite.
"recovery are promising"
A further decision by the Federal Social Court in January this year, has now confirmed once again: you must pay definitely only on the portion that comes from the premiums paid by former employer, not even the self-financed radical (AZ.: B 12 KR 20/10). "Recovery are promising," says the Frankfurter Attorney Schafhausen.
An example: in a direct insurance are paid at age 70 000 €. 30 000 € bonuses come from the former company. The remaining 40,000 euros has raised the company retired after leaving themselves as policyholders. In that situation, the fund must not only demand on the 30,000 € health and nursing care contributions to everything settled before Andrew Heyer of the Consumer Saxony.
There is a lot of money goes to cover operating
pensioners in every case, a lot of money. The health insurance long heavily: The full contribution rate for health and nursing care for most retirees currently at 17.45 per cent (2010: 16,85 percent). Specifically, this means about 17 percent less money for those affected. If the pension paid in a lump sum of a direct insurance, the contributions are allocated to ten years. Who gets 100,000 euros for example, must pay € 145 per month contribution. Viewed over ten years, it is therefore a many thousand €.
health insurance with reference to judgments write
How can retrieve overpaid? Concerned should write to their health insurance and a review of contributions under paragraph 44 Social Code X require explains Sozialrechtler Schafhausen. This is for four years, retroactive possible. At the same time, the Supreme Court judgments of the Federal Social Welfare and the Federal Constitutional Court are given with reference number.
The letter should also stand when the direct insurance was rewritten by the company on its own behalf. And what contributions then flowed out of pocket in retirement. The insurer is then required to report on Paid for this and the previous four years. "There will benefit many people," Tanja Leopold, a lawyer specializing in labor law from Nuremberg, is convinced.
who needs assistance can get help from the consumer centers. In complicated cases, a specialist lawyer be turned on.
Many Company retirees have contracts not rewrite can
back no hope of money there is for retirees who find the look in her contract that still your company is in the insurance policy and not herself "This will be a lot of people make bitter," says Rainer Strauch , general counsel at the social VdK in Bavaria. On leaving the operating numerous contracts have remained unchanged. and not just pay the contributions themselves - who as a first private company pension agreement concluded after the termination of the operation should continue to let him rewrite complete:
important for future retirees. He becomes a purely private provision. And that may not be charged. The former employer and the provider must, however, join it. (T-online)
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