スペインのマドリッド自治州では2012年7月1日から年金受給者の医薬品の10%自己負担が始まったが、収入に応じて月額の薬代自己負担が8´00ユーロ、18´00ユーロ、60'00ユーロの上限額を電脳機に書き込みしていなかったので,年金生活者は230万0000ユーロを余計に払った
Madrid cobró 2,3 millones de más a pensionistas con el copago farmacéutico
La Comunidad empezó en diciembre a reintegrar lo pagado por encima del tope en julio y agosto
El copago farmacéutico entró en vigor el 1 de julio sin el sistema informático necesario
Elena G. Sevillano Madrid 3 ENE 2013 - 17:47 CET
Madrid claimed 2.3 million more pensioners with pharmaceutical copayment
The Community began in December to repay the amount paid over the cap in July and August
The pharmaceutical copayment took effect on July 1 without the necessary computer system
Ellen Sevillano Madrid 3 ENE 2013 - 17:47 CET
Madrid was one of the communities, to take effect on pharmaceutical copayment last July 1, were not yet prepared for that pharmacies know when a pensioner was drawing to a monthly cap filler (8, 18 or 60 euros, depending income) and therefore had to stop the drugs charge. The region lacked then and now, electronic prescription, so there was no automatic system that would stop charging once the limit is reached, as was done, for example, in Andalusia. In July and August pensioners paid 10% of the cost of their drugs without limit. The result is that the Madrid improperly charged them 2.3 million euros in these two months.
This amount has been returned, according to the Ministry of Health. The repayment of EUR 2.3 million was paid by bank transfer throughout the month of December, as noted in a press release. Health has also returned almost 7900 euros to the current accounts of users who had overpaid for discrepancies with the contribution that corresponded to their level of income. A total of 217 applications were received reimbursement for this reason, according to Health. The pharmaceutical copayment was implemented with outdated data of patients, since reference was made to the income statement of 2010. Pharmacies and health centers in Spain detected numerous cases of people who had been assigned a code-and therefore pay a percentage of drug-that is not their role.
The health minister, Javier Fernández-Lasquetty, announced in late July that pensioners Madrid would not have to pass 10% of the cost of the drugs they purchased each month. The system was launched in September consisted of a piece of card in which the pharmacist was pointing hand the amounts were paying patients. The first working day of the entry into force of this system were queues at health centers. The operation was very basic: in the window gave them the card, in which a hand-scoring administrative name, personal identification code, the contribution rate, the contribution limit (8, 18 or 60 euros, according income) and the month of validity in addition to affix the seal of the center.
Before the officer had to check all the data in the computer system. Many steps, requiring several minutes per patient. Result: breakdown in the administrative units of the health centers. "A mess," complained the first day a health center administrative General Ricardos, in Carabanchel, one of the largest in the capital, with nearly 50,000 health cards assigned. The administrative complaints forced to return to change the system. The cards stopped delivered within a few days. Lots and lots of them were stored in the health centers.
The Ministry of Health says another 150 claims totaling 5,000 euros are being processed by errors in the contribution rate corresponding to users. It has also begun the process to return the overcharged in September, which is "a very inferior" to the 2.3 million in July and August, since then pensioners already had the document so that the pharmacist scoring off payments. According to the Ministry, the accounting system of the recipes let you know afterwards if users have paid over your limit.
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