Halo 194 (Jan 2020)
The role of private healthcare institutions and private practice in providing healthcare services covered by compulsory health insurance
Abstract
Healthcare services are public services primarily provided by the Healthcare Network Plan designated providers. If it becomes necessary to engage additional healthcare facilities to meet the needs of insured individuals for a particular type of healthcare service that is covered by the compulsory health insurance, a contract can be signed with a healthcare provider who is not a part of the Healthcare Network Plan. In addition to that, a contract may also be signed with a legal entity or entrepreneur, under the regulations governing public-private partnerships, to exercise the insured individuals' right to healthcare, under the conditions prescribed by law. In this article, the author presents the possibilities private healthcare institutions and private practice have, as providers outside the Healthcare Network Plan, to provide healthcare services covered by compulsory health insurance.
