Private Clinics Challenge State Insurer Decision to Leave Them High and Dry
Four private clinics have filed a challenge to a Health Insurance Fund decision that favored 19 hospitals and largely left the clinics out of the funding pot.
The joint action was filed ahead of a Monday deadline by Fertilitas, Tapa Hospital, OÜ Villa Medicum Pärnu, and Nova Vita clinic, Eesti Päevaleht reported.
The clinic says the Health Insurance Fund decision is unconstitutional.
"The essence of the challenge is that the clinics are being left with such a tiny share of the cases funded that it could lead to the extinction of the clinics," said Merike Seer, head of Nova Vita.
Ivo Saarma, head of Fertilitas, said that the clinics are prepared to go to court if the fund does not announce an additional tender.
This year, the state health care system can outsource 20 percent - about 600,000 cases - to private healthcare providers.