Decree No. 102 / 2019 Coll.
Order on how to measure the cost of health services for redistribution purposes
Valid
Order
Effective from 15.04.2019
Text versions:
15.04.2019
12.04.2019
102
DECLARATION
of 10 April 2019
on how the cost of health services is measured for redistribution purposes
According to § 21f (d) of Act No. 592 / 1992 Coll., on Insurance for Public Health Insurance, as amended by Act No. 145 / 2017 Coll.:
Subject matter
This Decree regulates, for the purposes of redistribution, the method of pricing the costs of health services reported in 2018.
Method of pricing the cost of health services
(1) Health insurance undertakings shall, for the purpose of redistribution, evaluate the costs of health services declared in 2018 in accordance with other public health insurance legislation, in accordance with paragraphs 2 to 6.
(2) The cost of health services declared by special bed care providers and subsequent and long-term bed care providers, with the exception of the cost of health services resulting from intensive care and long-term intensive nursing care, will be valued at the minimum flat rate per day of hospitalisation referred to in Annex 1, Part B, point 1 (b) of Decree No 353 / 2017 Coll., on the setting of the values of the points, the level of payment of the services paid and the regulatory restrictions for 2018.
(3) The cost of the health services included in the surrender payment for providers in the field of general medical practice and providers in the field of practical medicine for children and young persons is valued at the amount of the basic capitalisation rate for the converted number of insured persons according to Annex 2, point 1 of Decree No. 353 / 2017 Coll. at CZK 48 for the converted insured person and month.
(4) The costs of health services, the reimbursement of which is set out in Decree No. 353 / 2017 Coll. in Czech crowns and which cannot be valued according to paragraphs 2 and 3, are valued at the amount set out in Decree No. 353 / 2017 Coll.
(5) The cost of health services which cannot be measured in accordance with paragraphs 2 to 4 shall be measured by the product of the value of the point referred to in § 3 and the number of points of health performance laid down in Decree No. 134 / 1998 Coll., issuing a list of health performance with points, as amended, for the relevant health performance in the year in which the health services were provided.
(6) The cost of health services which cannot be measured in accordance with paragraphs 2 to 5 is valued at the amount of remuneration applied for the health services provided.
(1) The value of the point 1.18 CZK shall be used for all health services provided by health care providers providing emergency bed care.
(2) If the cost of a health service cannot be included in the valuation referred to in paragraph 1, the valuation referred to in Article 2 (5) shall apply to:
a) outpatient care declared by providers of outpatient health care in expertise 603 and 604 according to Decree No. 134 / 1998 Coll. value of the point of CZK 1.08,
b) health services reported by hemodialysis care providers value of a point of CZK 0.91,
(c) health services declared by the health rescue service provider value of a point of CZK 1.15; the same value of the point shall also be used for the evaluation of health services provided by patient transport providers of emergency care;
d) health services declared by outpatient care providers within the medical emergency service value of a point of CZK 1,
e) health services reported by special outpatient care providers value of a point of CZK 1.05,
(f) health services declared by providers in the field of practical medicine and practical medicine for children and adolescents, including the performance of transport of health workers declared by these professionals, value of the point of CZK 1.08,
g) outpatient care in expertise 809 and 810 according to Decree No. 134 / 1998 Coll., including magnetic resonance imaging, computer tomography and denzitometry, as well as in the experts 806 and 403 according to Decree No. 134 / 1998 Coll., declared by the provider of outpatient health care value point of CZK 1,12,
h) outpatient care in expertise 222, 801, 802, 804, 805, 807, 812 to 819, 822 and 823 according to Decree No. 134 / 1998 Coll., including the performance of cervical screening provided by the provider of outpatient health care value point of CZK 0.71,
i) outpatient care in professionals 911, 914, 916, 921 and 925 according to Decree No. 134 / 1998 Coll., including the performance of transport of health workers declared by these professionals, reported by providers of outpatient health care value of point of CZK 1,02,
j) outpatient care in professionals 902 and 917 according to Decree No. 134 / 1998 Coll. declared by providers of outpatient health care, including the performance of transport of health workers declared by these professionals, value of the point of 0.80 CZK,
k) health services declared by the health transport service provider value point of CZK 1.02,
l) health services of follow-up intensive care and long-term intensive nursing care declared by the provider of the subsequent and long-term bed care value point of CZK 1.06,
m) specialized outpatient care declared by providers of outpatient health care not listed in points (a), (b), (g) and (h) and providers of subsequent and long-term care value of point of CZK 1.03.
Repeal
Decree No. 64 / 2018 Coll., on the method of measuring the cost of health services for redistribution purposes, is repealed.
Efficacy
This Decision shall enter into force on 15 April 2019.
Minister for Health:
Mgr. et Mgr. Vojtěch, MHA, v. r.
Minister of Finance:
JUDr. Schiller, Ph.D., v. r.
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Regulation Information
| Citation | Decree No. 102 / 2019 Coll., on how to measure the cost of health services for redistribution purposes |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 12.04.2019 |
|---|---|
| Effective from | 15.04.2019 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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