Support for medical care provided by general practitioners
Project duration: 2 years, 7 months
Brief description
Support for tasks resulting from the processing of contracts for the provision of medical care by general practitioners. The term “general practitioner centered health care” refers to a form of care in the German health system, in which control and savings effects are achieved by tying patients to general practitioners and their “gatekeeping” function.
Supplement
The IT infrastructure includes a multiplicity of individual software developments that map processes from the area of contract fulfillment, which are continually changing as a result of dynamic requirements. Among other things, a web service based on ASP.NET is used by the producers of medical practice software for the invoicing of medical services. In addition, invoicing with CDs is available to certain federal states. An extensive infrastructure of software and hardware is required to operate this invoicing procedure.
Subject description
The Law on Modernizing Compulsory Health Insurance (2004) enables service providers, e.g. general practitioners, and health insurance companies, for the first time, to conclude contracts for general practitioner centered health care without obtaining approval from the associations of health insurance physicians. As a result, the preparation and fulfillment of contracts and the provision of the infrastructure required by the contracting parties, e.g. in the course of registrations or termination of the services provided, can be coordinated by service providers other than the associations of health insurance physicians.