Since 1976 the government has convened an annual commission, composed of representatives of business, labor, physicians, hospitals, and insurance and pharmaceutical industries. The commission takes into account government policies and makes recommendations to regional associations with respect to overall expenditure targets. In 1986 expenditure caps were implemented and were tied to the age of the local population as well as the overall wage increases. Although reimbursement of providers is on a fee-for-service basis, the amount to be reimbursed for each service is determined retrospectively to ensure that spending targets are not exceeded. There are a few (commercially run for-profit) private hospitals. Secondly is the insurance coverage provided for patients.
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https://datingwebreviews.com/swingingheaven-review/ hospitals were opened and primary care was privatised. Subsequently, both public and private providers have been integrated into one social insurance-funded model managed by the Health Insurance Fund of North Macedonia. The public hospital sector is seen as inefficient and is unpopular with both patients and professional staff. 90% of the population is within 30 minutes of a health service. Luxembourg provides universal health care coverage to all residents by the National Health Insurance (CNS – Caisse nationale de santé or National Gesondheetskeess ).
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Insurance companies can offer additional services at an extra cost over and above the universal system laid down by the regulator, e.g., for dental care. The standard monthly premium for health care paid by individual adults is about €100 per month. Persons with low incomes can get assistance from the government if they cannot afford these payments. Children under 18 are insured by the system at no additional cost to them or their families because the insurance company receives the cost of this from the regulator’s fund. There is a fixed yearly deductible of €385 for each adult person, excluding first visits for diagnosis to general physicians. The new national health service came into being officially on January 1, 2005; however, the new structures are currently[when?
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