Returning of surcharges for the third quarter will affect 17.689 disabled and retired patients. Health insurance companies according to protective limit on payments for drugs should return € 311.129. Policyholders will get pay automatically, it is not necessary to apply for them. General Health Insurance Company (Všeobecná zdravotná poisťovňa) will pay to 13.432 policyholders amount of € 237.588. Health Insurance Company Dôvera sent back supplements in the amount of € 58.777 to 3.407 policyholders. Union Health Insurance Company reimbursed to 850 policyholders € 14.764. The information was provided by health insurance companies.
For surgery are waiting at the end of the year more patients of General Health Insurance Company than in September. And despite of a public promise that gave the director of insurance company Marcel Forai in September that insurance company will reimburse to hospitals all costs of medical care to ensure that on waiting list will be any patient by the end of this year. In September 2012, there were 6.706 policyholders on waiting list; today it is around seven thousand.
General Health Insurance Company (Všeobecná zdravotná poisťovňa) will end this year with a profit of about € 25 million. Compared to 2011, is it almost of 20 million more. This year's expected savings was influenced by new way of allocating premiums as well as its rigorous exaction by executors. State insurance company, which policyholders are the most ill, thanks to a new redistribution of premiums collect monthly nearly four million euros more than in past. Profits at the end of the year except also private health insurance companies Union and Dôvera. They did not tell their estimates.
According to daily Hospodárske noviny, State paid only for lawyers in a dispute with the Achmea, Dutch owner of health insurance company Union, more than 13 million euros. Conversely, Dutch paid to lawyer for the ten million euros less and result is that state should pay around 25 million euros to Union health insurance company, including the court costs. Over generous spending on legal services are surprised as an international legal journal Global arbitration review, as well as some domestic experts. Law firm KŠD Šťovíček have been chosen by Ministry of Finance led by Ján Počiatek.
Analysis of Institute for Financial Policy (IFP) on the effectiveness of Slovak healthcare, according to Association of Health Insurance Companies, confirmed that a unitary system of public health insurance will not save the system Association of Health Insurance Companies appreciated that state brought to debate technical arguments. President of Association Katarína Kafková said that until now it was only about political statements and enjoy that Ministry of Finance admits that the announced expropriation will not solve the problems of Slovak health care. As she noted, the analysis could not clearly identify the reasons why the increasing of resources in health care did not manifest in better health. She also pointed out that the analysis also proved greater efficiency of private health insurance companies.
Willem van Duin, chief of Achmea, thinks that for Slovakia would be most reasonable to pay for lose Arbitrage as soon as possible, because every month of delay must pay a penalty of 50-thousand euros. Slovakia, according to W. van Duin, could challenge only serious procedural violation, however, it has already tried to and did not succeed. Arbitral tribunal itself was chosen strictly by international rules Uncitral: one arbitrator was chosen by Slovakia, the second by Achmea and both of them chose the president of the court. As said van Duin, the decision was unanimous and he cannot imagine that Slovakia, as the rule of law and a member of EU, refused to pay.
The problem of Slovak health care is not about whether there is one or are more insurance companies, but its effectiveness and in defining of legal rights of policyholders on what they have covered by public health insurance. It is a politically sensitive issue, said in a discussion former Minister of Health Rudolf Zajac. According to Zajac, we can expect the nationalization or creating a state monopoly of distribution companies and also the state monopoly on pharmacies because the drug policy creates far more profits than health insurance companies. As he also noted, we can also be witness of the nationalization of private doctors and private hospitals, because of they are making profit.
According to the statement of Minister of Health Zuzana Zvolenska, government will not get healthcare into debt by creating a single health insurance company. To purchase or expropriate private health insurance companies will not use money intended for providers and patients. She has responded to the former Minister of Health Ivan Uhliarik (KDH), who said that any government has no right to debt the healthcare for decades. Zvolenská advocates creation of a unitary health system by argument that new system will provide greater satisfaction with healthcare. Plurality system, according to her, brought only chaos. Zvolenska also stated that in case of creating a one health insurance company is not worried of arbitration.
The second attempt to get a report on Arbitration by the opposition party SDKÚ failed. SDKÚ required submission of report on a lost arbitration with shareholders of Union health insurance company to Parliament. For proposal of SDKÚ party leader Pavol Frešo voted only 59 of 142 attending members. The first request for a report did not pass the on Tuesday. For the second attempt Frešo has decided in the light of new information that Slovakia may lose in arbitration up to € 750 million. According to Chairman of SDKU Frešo, Government have to inform the public through the members of Parliament about the real state of Arbitration.
Institute for Financial Policy (IFP) at Ministry of Finance of the Slovak Republic has published an analysis of the effectiveness of health care called "A little health for a lot of money." The results of the analysis described our health care as ineffective and also point out that degradation of health continues. According to the analysis, due to the low efficiency of system, the life expectancy is on average about a year shorter than the average of the Czech Republic, Hungary and Poland. The analysis further indicates that state insurance company has the highest cost per patient, while payments for hospitals are often at minimum level. In the context of a unitary system, IFP analyses did not found a strong general argument for a system of one or more insurance companies for all OECD countries. However, analysis also did not say that in the Slovak conditions it would not help.