1. A step onward on the way towards the eEHIC Fostering the acceptance of Health Insurance Smart Cards from the national to the European-wide scale BIOHEALTH Conference TROMSÖ, June 13 th, 2007 By Eng. Noël Nader, SESAM-VITALE EIG, France

2. A step onward on the way towards the eEHIC Pan-European initiatives to foster mobility & skills inside the E.U with common rules for social protection Since June 2004: common EU Health Insurance Card (EHIC) – ensures access to health care when abroad inside the EU & the EEA EHIC: Eye-readable document – minimum common denominator – only a temporary solution on the way forward to an e-EHIC Announced decision on long-term course – 2008+ to introduce an electronic EHIC that will progressively replace the eye-readable EHIC But in 27 Member States + other EFTA countries – different health systems and care entitlement, different levels of IT infrastructure - NETC@RDS challenge: to demonstrate potential of same service for all EU/EFTA citizens based on different but interoperable national/regional IT infrastructures Context & Challenges

3. A step onward on the way towards the eEHIC Project at a Glance Consortium of 28 partners from 16 EU/EFTA countries : Austria, Bulgaria, Czech Republic, Finland, France, Germany, Greece, Hungary, Italy, Liechtenstein, Norway, Poland, Romania, Slovak Republic, Slovenia Partners: statutory health insurance institutions, technical or economical organisations, hospitals, health practitioners associations. Budget: 20 M€ co-funded by the EC DG INFSO e-TEN Programme (30% of eligible costs) Time table: –Phase A1 Market Analysis & Technical Requirements (2002 – 2003) –Phase A2-A3 Validation of the Service (2004 – 2006) –Phase B Initial Deployment (2007 – 2009) –Phase C Full Deployment of the Service (2010+) Common objective for phases A, B & C: –A stepwise approach on the way towards introduction of the e-EHIC

4. A step onward on the way towards the eEHIC Proposed definition An electronic European Health Insurance Card (e-EHIC) is a digital process with the result of a trustworthy data set for entitlement at the healthcare provider It can be used for associated inter-state back office e-billing reconciliations as well Thus, the introduction of a new specific health insurance smart card is not necessary whilst the e-EHIC trustworthy dataset can be obtained either by scanning the eye-readable EHIC or by reading national/regional health smart cards then by checking data on-line Basic Concepts

5. A step onward on the way towards the eEHIC National portal EHIC database Smart card database Smart card & EHIC database NETC@RDS pan-european infrastructure

6. A step onward on the way towards the eEHIC EHIC or Smart Card Input Log stored Health Care Pro. Workstation NETC@RDS Service Portal FRANCE NETC@RDS Service Portal NORWAY Internet SSL V3 RepositoryNORWAY Billing Services secure Internet or Intranet A template NETC@RDS user case

7. A step onward on the way towards the eEHIC Slovenia Austria Germany France Italian Regions Eye-readable EHIC Cards Accepted by NETC@RDS

8. A step onward on the way towards the eEHIC Initial and further Deployment Phases Time Schedule

9. A step onward on the way towards the eEHIC Extending the consortium from 20 partners (10 countries) to 26 partners (15 countries) + self-funded observers (2 Italian regions, Bulgaria, Luxemburg, Portugal)->building-up a self-sustainable permanent structure Accession to the General Agreement for Phase B extension countries Defining a common Information System Security Policy (ISSP) Common Plan for initial deployment of 566 services points in 305 service sites according to 3 yearly-based milestones including training & support Collaboration with related projects and Industry partners Maintaining and reengineering the software components -> Web Services Extending the service to the e-billing procedure (based on EC Regulation) Evaluation of the service and assessment of the socio-economic impacts Close cooperation with the CASSTM/TC and the CEN/ISSS WS e-EHIC Dissemination activities and Web site Project Phase B Objectives & Roadmap

10. A step onward on the way towards the eEHIC Impacts & Benefits For the EU: Jointly developed, harmonised solutions and expertise, based on existing national systems, Validated professional basis for imminent political decisions on electronic European Health Insurance Cards For health care providers: Less administration and manual typing of data, speeding up costs refunding: –.e.g. average time to clear the costs claimed by pilot hospitals in Paris to CPAM (local health insurance office) is now 2 weeks whereas 2 months were necessary ! For health insurance providers: Less administration, improved reliability and security of data For patients: Significantly simpler and faster procedures Interoperability of existing national systems across borders, use of the same national document for different purposes and saving investment in new electronic card systems

11. A step onward on the way towards the eEHIC Thank you very much ! noel.nader@sesam-vitale.fr www.netcards-project.eu 00 33 2 43 57 44 59