Supervisory Board approves Annual Report of Estonian Health Insurance Fund

At today’s meeting of the Supervisory Board, the Annual Report of the Health Insurance Fund for 2008 was approved. The agenda of the Supervisory Board meeting also contained changes to the list of health care services and the first reading of supplementary budget of the Health Insurance Fund, which was interrupted. The first reading of the supplementary budget and the discussion of changes to the list of health care services will continue on 8th May.

The Annual Report of the Health Insurance Fund for 2008 was approved by the Supervisory Board. The revenue of the Health Insurance Fund was approximately 12.9 million EEK last year. Revenue increased by 15% compared with figures from 2007; the revenue budget was implemented by 101%.

The total amount of expenditure of the Health Insurance Fund was 12.3 billion EEK in 2008. The number of insured persons was 1,281,718 in 2008.
• In 2008, 1.05 billion EEK was spent on primary medical care, which was an increase of 18% on 2007.
• 6.6 billion EEK was spent on specialised medical care, an increase of 21% in comparison to 2007. 819,055 people used the services of specialised medical care last year. The average cost of an outpatient treatment case for the Health Insurance Fund was 671 EEK and the cost of an inpatient treatment case was 15,775 EEK. The average cost of day care case was 7,324 EEK. The average cost of treatment cases has doubled in the past five years. The number of outpatient treatment cases increased by 4% when compared to 2007, and the number of inpatient treatment cases increased by 1%.
• 2.4 billion EEK was spent on providing benefits for temporary incapacity for work, a growth of 24% compared with 2007. The amount of sick leave certificates decreased by 5%, although the average length of certificates increased from 14 days to 15 days and the amount subject to compensation by the Health Insurance Fund per day increased by 20% - from 217 EEK to 260 EEK.
• 1.3 billion EEK was spent on discounted medicinal products, an increase of 14.4% in comparison with 2007. The Health Insurance Fund paid compensation on the total amount of 6.6 million prescriptions issued at a discount in 2008.
In 2008, the net surplus was 560 million EEK in total, of which 263 million EEK was allocated to compulsory reserves and 298 million EEK was added to retained net surplus for previous periods. Currently, there are 4.1 billion EEK in the reserves of the Health Insurance Fund.
 
The Supervisory Board also discussed the changes to the list of health care services since 1st July, due to the entry into force of the new Employment Contracts Act. Pursuant to the new Employment Contracts Act, the former differences between working time standards will be abolished. Arising from the aforementioned, the reference prices of health care services will decrease by approximately 50 million EEK in 2009. The discussion of the changes in the list will continue on 8th May, as the Supervisory Board has made a proposal that the Health Insurance Fund, the Estonian Hospitals Association, and the Estonian Medical Association should discuss how to allocate the funds that have become available due to the fall in reference prices for purchasing supplementary treatment cases from medical institutions.
 
The agenda of the Supervisory Board also contained the first reading of the supplementary budget of the Health Insurance Fund, whereby the budget of the Health Insurance Fund will be brought in line with the negative supplementary state budget approved on 20th February. The first reading was interrupted and will continue at the next meeting of the Supervisory Board on 8th May.
 
 
With best regards,

Evelin Koppel
Public Relations Manager
Estonian Health Insurance Fund
+ 372 6 208 439; 534 789 49
evelin.koppel [at] haigekassa.ee