Krankheit - ein facettenreicher Begriff
Ausgabe: 2/2022
68. Jahrgang
Der Krankheitsbegriff und das Prinzip der Wirtschaftlichkeit in der gesetzlichen Krankenversicherung
The concept of illness in health insurance law is broad and is neither intended nor used in practice for limiting services from the perspective of economic efficiency. Limitation and control of services are effected by explicit exclusions and implicit specifications, which influence the scope of services provided and arranged by physicians. In the health insurance system, unlike in the context of private medical treatment, not every physician is allowed to provide every service, quality must be documented, and the remuneration system works against an expansion of services.
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