Single health insurer plan stalls

ONE PET project of Prime Minister Robert Fico’s government, the re-establishment of a unitary system of public health insurance, which was meant to be in place this year, has been pushed back indefinitely.

Health Minister Zuzana ZvolenskáHealth Minister Zuzana Zvolenská (Source: TASR)

ONE PET project of Prime Minister Robert Fico’s government, the re-establishment of a unitary system of public health insurance, which was meant to be in place this year, has been pushed back indefinitely.

The plan had already hit a raw nerve with the two private health insurers operating on the Slovak market, and it is unclear if it will ever come to fruition. Health Minister Zuzana Zvolenská said the project is ready but it will not progress until the funding is secured.

“We are ready in terms of legislation, we are only waiting for the financial coverage,” Zvolenská said after the government’s regular session on February 12.

On October 31, 2012, the cabinet gave the unitary health insurer project tailored by the Health Ministry its blessing. The ministry listed three ways in which it can create a single health insurance company: acquiring the shares of the private health insurance companies, taking over the management of the private insurers’ client portfolios, and expropriating the private health insurers for an appropriate sum, with the first option cited as the best alternative. In the event of the best case scenario taking place, if the state reaches an agreement with the stakeholders of the two existing private health insurers Dôvera and Union, the single health insurer should have been launched as of January 1, 2014. In the event of expropriation, the single insurer was planned for July 2014, according to the original plan.

“As the manager of the state treasury I have to say today that we do not have the money for it,” Finance Minister Peter Kažimír said, as quoted by the SITA newswire, following the February 12 government session.

Kažimír noted that the state plans to gain resources for the project from the sale of its stake in the Slovak Telekom company, however the minister did not comment on the specific amount needed to execute the plan.

The Health Insurers’ Association (ZZP) welcomed the news of the delay.

“We consider the government’s decision not to waste taxpayers’ money on a project that wouldn’t bring savings in health care to be correct,” ZZP President Katarína Kafková told the TASR newswire. “Taking into consideration the state of the national budget and Slovakia’s international obligations, it is also the only possible solution.”

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