
How can digital technologies be used to enhance health financing? Claims management in Estonia / World Health Organization. Regional Office for Europe
Tác giả : World Health Organization. Regional Office for Europe
Nhà xuất bản : World Health Organization. Regional Office for Europe
Năm xuất bản : 2023
Chủ đề : 1. Estonia. 2. Financing, Organized. 3. Primary Health Care. 4. Public Health. 5. Technology. 6. Universal Health Care. 7. Technical documents.
Thông tin chi tiết
Tóm tắt : | Estonia started digitalizing claims and the claims management submission process between health-care providers and the Estonian Health Insurance Fund (EHIF) in the mid-nineties. A claim is the key set of data that health-care providers submit to the EHIF, with the primary purpose of obtaining payment for delivered health care. However,the data collected via the claims process serves multiple purposes, making digital claims management an essential part of the EHIF’s business process and the foundation for advanced strategic purchasing instruments. This brief explores how the EHIF claims management process has been further digitalized over time, how this has enabled the introduction of other advanced purchasing instruments, the benefits of the digitalization of claims in health financing and lessons learned that can be used for other countries. This paper is a shorter version of the more detailed WHO technical report, The role of digital claims management for Estonia’s health insurance: a leverage for making health-care purchasing more strategic. iv, 10 p. |
Thông tin dữ liệu nguồn
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https://iris.who.int/handle/10665/367965 |