1. Coheur Alain : Mutualités Socialistes de Belgique Coheur Alain : Mutualités Socialistes de Belgique Common Challenges for Health and Care Facing the challenges : cross- border experiments

2. WORKSHOP Guidelines for operational cross- border care, practical dimension - introduction - the global level - the local level - conclusions

3. INTRODUCTION  aim of cross-border experiments is to get all hospitals, practionars and insurers working together  To allow European citizens to move around more easily  Do the Euroregions have any real autonomy in the field of health ?

4. THE GLOBAL LEVEL  1992, first community initiative = Interreg  General principle = the national borders should not be an obstacle to balanced development or to integration of the European territory  Three elements characterise and constitute the added value of the Interreg Initiative  Support for development  Method of partnership  Grassroots visibility  The most significant results and progress achieved as regards cross-border accessibility to health care have been under the Interreg programme  Our complementary projects have given rise to four results :  An easing in the administrative procedure  Parternships  Bilateral agreements  exchanges

5. THE LOCAL LEVEL  Choosing the most relevant projects for the insurers and for the hospitals  Highlight the gaps in the health cover,  Highlight the needs of the population  How to set up and implement the actual possibilities for cross-border care ?  How can we ensure that health managers are able to cohabit ?  Do we need to set up official bodies ?

6. How the project is organized

7. Decision making process relating to the subprojects External "researchers" (3) (3) 10 10 Coordinators Member organizations Project teams 4 5 10 9 8 Executive Bureau 1 2 6 11 12 13 Steering Committee Monitoring Committee European Commission 7 = project proposal = project (proposal) approved = (sub)project completed

8. Selection criteria The award of the subprojects always takes place following a check on their appropriateness in relation to the overall objectives of the project The projects selected are then classified according to priority The projects are choosen on the basis of very precise criteria What specific know-how is necessary Preference is always given to what meets the real needs of the insured persons/patients