With independence in 1993, the Slovak government implemented a major health care reform programme, changing a tax based state monopoly to a decentralised health insurance system. As part of the reform, the Health Insurance Fund was established in 1993 to finance hospitals, outpatient clinics and primary care. 12 different insurance companies were involved in financing health care services. The major problem of the new financing system was the gap between the fees collected and the ever increasing expenditure of services. New systems and controls needed to be introduced, and the understanding of resource allocation methods, financial management and budgeting had to be strengthened. The overall aim of the project was to clarify the financial information requirements of various organisations in the health system and to elaborate a payment scheme for hospital based health care.
The project focused on financial information requirements of various organisations in the health system and on elaborating a payment scheme for hospital based health care. It aimed at improving the effectiveness of health care financing and financial management within the present market oriented multi-insurance financial context as well as on improving resource allocation mechanisms and at developing investment strategies, tariff and cost control systems, and payment systems.