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PPOZ alerts: More doctors held responsible by NHF for reimbursement system mess

MedExpress Team

Medexpress

Published April 11, 2023 11:15

PPOZ alerts: More doctors held responsible by NHF for reimbursement system mess - Header image
Inspections on a massive scale and fines imposed without any prior investigation! ! - And it's no longer just about the allegedly incorrect prescribing of Neocate LCP milk, but also about painkillers and psychiatric drugs, as well as those "ordered" by Ambulatory Specialized Care. This is a real vindication of us primary care physicians! - comments Bozena Janicka, president of the Healthcare Employers' Agreement.

It started with Neocate LCP, a milk designed for children with severe cow's milk protein allergy and complex food protein intolerance. Although the current reimbursement covers infants up to the age of 1, in some cases, doctors guided by medical reasons (not every child tolerates another Neocate Junior replacement milk after the age of 1!) were forced to continue prescribing Neocate LCP, gradually changing the restrictive elimination diet.

Already at the beginning of the year, PPOZ doctors asked the Minister of Health to analyze the legitimacy of the National Health Fund's massive inspections and legally baseless penalties imposed on doctors. In addition, they requested immediate action to develop a clear and transparent drug reimbursement system that will not ultimately carry harsh consequences for treating patients who require special treatment!

This is because it turned out that the ...

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