Greece
In Greece EHFCN has two members:
- National Organization for Healthcare Services Provision – EOPYY
- National Centralized Health Procurement Authority – EKAPI
National Organization for the Provision of Health Services (EOPYY)
ΕΘΝΙΚΟΣ ΟΡΓΑΝΙΣΜΟΣ ΠΑΡΟΧΗΣ ΥΠΗΡΕΣΙΩΝ ΥΓΕΙΑΣ – ΕΟΠΥΥ
The National Organization for the Provision of Health Services (EOPYY) was established in 2011 to manage a single unified health insurance fund and to act as the sole purchaser for publicly funded health services delivered by the National Health System. Private providers are also contracted by EOPYY.
The Greek health care system comprises elements from both the public and private sectors.
The National Health System (known as «ESY») is financed by the state budget via direct and indirect tax revenues and social insurance contributions. ESY provides emergency pre-hospital, primary/ambulatory and inpatient health care through rural surgeries, local primary health care and public hospitals.
In addition, EOPYY contracts with the private health sector for the provision of primary health care services, hospital care, special treatments and medical devices, in accordance with the Unified Health Benefits Regulation (EKPY) of EOPYY on benefits in kind.
EOPYY is administered as a self-governing public entity and operates under the supervision of the Ministry of Health. It functions as a monopsony as it is the sole purchaser of health services since 2014 setting the preconditions required for contractual commitments with health care providers. EOPYY is responsible for negotiating, contracting and remunerating public/state and private-contracted healthcare providers, covering the healthcare costs for over 95% of the domestic population.
EOPYY is the Liaison Body and the competent institution of the place of stay or residence for sickness benefits in kind (A.C. 351/13/05.08.2013) regarding the implementation of EU Regulations 883/2004 & 987/2009.
It is also the Hellenic National Contact Point regarding the implementation of the Directive 2011/24/EU for Cross-border Healthcare and the SPOC for BREXIT healthcare issues under the WA and the TCA.
| Priority | Action Areas | Category | Example |
|---|---|---|---|
| 1 | Prevention | Compliance to regulations | Both soft and hard |
| 2 | Action | Compliance to regulations | All types of action once fraud is detected |
| 3 | Medical Check | Avoid waste/overconsumption | Overutilization of services – no medical evidence |
| 4 | Financial Check | Avoid waste/overconsumption | Overly expensive services |
| 5 | Detection | Compliance to regulations | Data access, legal aspects, tools, .. |
National Centralized Health Procurement Authority – EKAPI
National Centralized Health Procurement Authority (N.C.H.P.A.) is a body governed by private law under the supervision of the Ministry of Health. It is a Central Purchasing Body (CPB) which initiates central tendering processes for the procurement of medicines, medical equipment, disposables etc. on behalf of all the public hospitals of Greece.
N.C.H.P.A. is an organization of public interest and its mission is ensuring the implementation of centralized procurement, as well as the control of consumption and pricing of the entire logistics of the supply chain of products and services of the public health system.
According to the law 4865/2021, the mission and role of N.C.H.P.A. is:
- The central strategic and operational planning of the economic and logistical supply chain of products and service of the health system, as well as the monitoring and control of consumption in the field of Public Health.,
- The creation, maintenance and continuous updating of the Electronic Health Procurement Platform, and the related data, which includes the following e-registers: a) Register of Products, Services and Suppliers, b) Register of Central Procurement, c) Register of Costs and Expenses and d)Register of Technical Specifications,
- The planning of the procurement of products and services required to cover the bodies subject to the law, in accordance with the Strategy of Centralized Procurement (SCP) of Products and Services and the individual Operational Plans of Central Procurement (ESCP), which are drafted for this purpose by N.C.H.P.A.
- The preparation of the terms of the tender announcements, which it conducts, the monitoring of the process of awarding health products and services, the conduct and awarding of all tendering procedures, in accordance with the provisions of the Law 4412/2016 (A ‘ 147), the monitoring of the execution of the contracts and the supply of the entities subject to the law.
- The maintenance of an electronic monitoring file of all the contracts being executed in the health sector, through NCHPA’s platform, the “Central Electronic Register of Monitoring of Contracts (C.E.R.M.C.)” and the “National System of Electronic Public Contracts (N.S.E.P.C.)”, where the bodies subject to the law will enter all the necessary information regarding the course of execution of the contracts.
- The creation of a mechanism for the internal circulation of products and services between the bodies subject to the law, to support exceptional and urgent needs arising from extraordinary and unforeseeable events”.
| Priority | Action Areas | Category | Example |
|---|---|---|---|
| 1 | Prevention | Compliance to regulations | Both soft and hard |
| 2 | Detection | Compliance to regulations | Data access, legal aspects, tools, .. |
| 3 | Action | Compliance to regulations | All types of action once fraud is detected |
| 4 | Financial Check | Avoid waste/overconsumption | Overly expensive services |
| 5 | Medical Check | Avoid waste/overconsumption | Overutilization of services – no medical evidence |