Editing Eopyy.gov.gr

= Eopyy.gov.gr =

EOPYY (National Organization for the Provision of Health Services) is the main public health insurance organization in Greece, established in 2011 to manage a unified health insurance fund and act as the sole purchaser of publicly funded health services. Here are the key aspects of EOPYY:

== Organization and Governance ==

- EOPYY operates under the supervision of the Ministry of Health as a self-governing public entity.
- It functions as a monopsony, being the sole purchaser of health services for over 95% of the Greek population.
- EOPYY is responsible for negotiating, contracting, and remunerating both public and private healthcare providers.

== Key Responsibilities ==

- Manages the unified health insurance fund
- Provides a comprehensive health benefits package through the Unified Health Benefits Regulation (EKPY)
- Contracts with public healthcare providers (PEDY primary care networks and ESY hospitals) and private providers
- Sets preconditions for contractual commitments with healthcare providers
- Reimburses healthcare costs for insured individuals

== Health Services Network ==

- Public providers: PEDY (primary care networks) and ESY (public hospitals)
- EOPYY-contracted private providers: doctors, clinics, diagnostic laboratories, etc.
- Offers primary, ambulatory, and hospital care services

== Reimbursement and Pricing ==

- Uses a system of third-party payments with regulated patient co-payments
- Reimburses contracted providers based on negotiated contracts, insurance prices, or state tariff lists
- Hospital inpatient care is reimbursed using KENs (equivalent to Diagnostic-Related Groups)
- Publishes reimbursement tariffs and contracted health professionals on its website

== Patient Access and Benefits ==

- Insured individuals have access to a unified health benefits package
- Services are provided through public and EOPYY-contracted private providers
- Co-payments vary depending on the type of service and provider affiliation
- Public facilities generally have no co-payment requirement for the EOPYY health benefits package

== International Role ==

- Acts as the Greek liaison body for reimbursement of sickness benefits under EU Regulation 883/2004
- Serves as the competent institution for place of stay or residence in cross-border healthcare
- Member of the European Healthcare Fraud and Corruption Network (EHFCN)

== E-services and Tools ==

- Operates an e-prescription system for monitoring pharmaceutical consumption and referrals
- Provides e-tools for accessing information on benefits, reimbursement tariffs, and contracted providers
- Implements the e-disbursement initiative (e-DAPY) for services, costs, and administrative functions of private providers

== Challenges and Reforms ==

- Established as part of major structural reforms in the Greek healthcare system
- Aims to improve efficiency, transparency, and cost control in healthcare provision
- Faces ongoing challenges in managing healthcare costs and ensuring access to services

EOPYY plays a central role in the Greek healthcare system, aiming to provide comprehensive health coverage while managing costs and improving efficiency in healthcare delivery.