State Health Fund

	Financial flows in the Austrian healthcare system
	(Fin) Ministry of Finance distributes the budget for the Ministry of Health ; ; * flows directly to KV carriers; ; ** flows via pharmacy to health insurance providers; ; (←) partly direct reimbursement or exemption for mandatory verse. ; Reds: Government Sector, ; Yellows: Private Sector; Diagram according to Ziniel (2005)

The state health funds (LGF) are the public-law funds in the Austrian health system for planning, controlling and financing the health system at the state level

History and basics

In Austria, a basic agreement on the organization and financing of the health system was made in 2005 as a 15a agreement between the federal government and the federal states ( Health Reform 2005 , Amendment 2008). With this treaty the planning and control has been partially transferred to the health sector in country expertise, while the federal government using the federal health agency , gives the fund the federal level, nurmehr basic specifications.

The state health funds were set up (Art. 18 ff. 2008). They represent the financing body of the federal states. Between the health ministry (budget distribution for the attention of the finance ministry ) and the state health fund there is a federal-state balance in which the financial resources are distributed according to budget planning.

The state health funds replaced the earlier hospital funds , whose roots go back to the 18th century, and which were supposed to ensure the financing of the public, initially charitable, then state hospitals. With the health care reform of the Schüssel government , the focus on hospital medicine has been abandoned and attempts are made to build a more comprehensive and diverse health care system that strengthens the extramural sector. The system of performance-oriented hospital financing (LKF system) was introduced as early as 1997 ( Climate Government ) and will be continued in the new health fund.

Around 2002 the states of Lower Austria, Salzburg, Vorarlberg, Upper Austria and Tyrol in particular called for more competencies at the state level. The federal, state and health insurance funds make payments to the hospitals (public as well as private non-profit) through the health fund, but in some federal states a not insignificant financial contribution is made outside the LGF system.

The supreme body of the state health funds are the respective health platforms (Art. 20 2008), in which the participating actors are gathered (state, federal, cities and municipalities, social insurance carriers and their main association, medical association, hospital carriers). Planning and control are negotiated in these platforms. At the federal level, the platforms correspond to the Federal Health Commission .

The health fund

Burgenland Health Fund (BURGEF) - Eisenstadt, Josef Hyrtl-Platz 4
Carinthian Health Fund (KGF) - Klagenfurt, Bahnhofstrasse 24/6
Lower Austria Health and Social Fund (NÖGUS) - St. Pölten, Stattersdorfer Hauptstraße 6C
Oö. Health Fund - Linz, Bahnhofplatz 1
Salzburg Health Fund (SAGES) - Salzburg, Sebastian-Stief-Gasse 2
Health Fund Styria - Graz, Friedrichgasse 9
Tyrolean Health Fund (TGF) - Innsbruck, Eduard-Wallnöfer-Platz 3 (Office of the Tyrolean Provincial Government, Hospital Department)
Health Fund for the State of Vorarlberg - Bregenz, Landhaus (Office of the Vorarlberg State Government)
Vienna Health Fund (WGF) - Vienna 20, Brigittenauer Lände 50–54, staircase 2, 5th floor

Legal bases

Agreement according to Art. 15a B-VG on the organization and financing of the health care system - organization and financing of the health care system (federal government - states) . Stf. BGBl. I No. 105/2008 (i. D. G. F. online,ris.bka; first version BGBl. I No. 73/2005; health reform 2005 ).

1st main part Law of October 17, 2013 on the organization and financing of the health care system in Burgenland ( Burgenland Health Care Act 2013 - Bgld. GwG 2013). LGBl. No. 73/2013 (online); In mid-2014, LGBl. No. 5/2006 (all ris.bka).

Carinthian Health Fund Act - K-GFG. StF. LGBl. No. 83/2005 (i. D. G. Online, ris.bka).

Lower Austria Health and Social Fund Act 2006 (NÖGUS-G 2006). StF. LGBl. 9450 134/05 (in current version online, ris.bka).

State law on Upper Austria. Health Fund (Upper Austrian Health Fund Act 2013) . Stf. LGBl. No. 83/2013 (in the current version online); before LGBl. No. 2/2006 (all ris.bka).

Law of October 19, 2005 on the Salzburg Health Fund ( Salzburg Health Fund Law - SAGES Law). StF. LGBl No. 90/2005 (in the current version online, ris.bka).

Law of July 2, 2013 on the Styrian Health Fund ( Styrian Health Fund Act 2013 - StGFG). Stf. LGBl. No. 105/2013 (in current version online); in front of Styria Health Fund Act 2006, LGBl. No. 6/2006 (all ris.bka).

Tyrolean Health Fund Act . StF. LGBl. No. 2/2006 (i. D. G. Online, ris.bka).

Law on the establishment of a health fund for the state of Vorarlberg ( State Health Fund Act - LGFG). Stf. LGBl. No. 45/2013 (in the current version online); before that LGBl. No. 7/2006 (all ris.bka).

Law on the establishment of a Vienna Health Fund (Vienna Health Fund Law 2013) . Stf. LGBl. No. 42/2013 (in the current version online); before that LGBl. No. 3/2006 (ris.bka).

literature

Christina Herber: Assessment approach of the implementation of the health reform 2005 - establishment of the “Federal Health Agency” and the nine “State Health Funds”. Edited by Josef Weidenholzer, Kepler University - Institute for Society and Social Policy, Linz, 2007 ( pdf , ooegkk.at).

Karl Lehner: 10 years of new hospital funding in Austria: a critical consideration. Volume 2 of WU health. Verlag facultas.wuv maudrich, 2008, ISBN 978-370890252-4 - work on the conversion phase 1997-2005 ( limited preview in the Google book search).

Web links

↑ Burgenland Health Fund (burgef.at)

↑ Carinthian Health Fund (kgf.ktn.gv.at)

↑ Lower Austria Health and Social Fund (noegus.at)

↑ Upper Austria. Health Fund (ooegesundheitsfonds.at)

↑ Salzburg Health Fund ( Memento of the original from July 29, 2014 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. , on salzburg.gv.at @1@ 2

↑ Health Fund Styria (Gesundheitsfonds-steiermark.at)

^ Tyrolean Health Fund , on tirol.gv.at

^ Health fund for the state of Vorarlberg , on vorarlberg.at

^ Vienna Health Fund , on wien.gv.at

Individual evidence

The State Health Fund, Federal Ministry for Social Affairs, Health, Care and Consumer Protection, www.sozialministerium.at, accessed June 15, 2020.
State Health Fund, in the Lexicon of Medical Terms, Gesundheit.gv.at

↑ Reproduced in: Ch. Herber; J. Weidenholzer (Ed.): Assessment approach of the implementation of the health reform 2005 . Linz 2007, p. 133 (PDF, ooegkk.at, accessed on July 20, 2014) - there “Ziniel (2005)” without further details.
^ Compare Andrea Praschinger: Vienna hospitals from 1900: continuity and change in inpatient medical care . Volume 4 of Medizingeschichte, Lit-Verlag Münster, 2008, ISBN 978-382581315-4 , chapter Der Wiener Krankenanstaltsfonds, p. 123 ff. ( Limited preview in Google book search).
↑ Compare, for example, Upper Austria. Health Fund - Office for Intramural Tasks, land-oberoesterreich.gv.at, accessed July 24, 2014.
↑ Sobotka: states call for state health funds. Press release, APA, July 11, 2002, OTS0229.
^ Financing the public health system: Health services from hospitals, Gesundheit.gv.at, accessed July 24, 2014.
↑ New version July 2014 not yet in force

[6] Burgenland Health Fund (burgef.at)

[7] Carinthian Health Fund (kgf.ktn.gv.at)

[8] Lower Austria Health and Social Fund (noegus.at)

[9] Upper Austria. Health Fund (ooegesundheitsfonds.at)

[1] Reproduced in: Ch. Herber; J. Weidenholzer (Ed.): Assessment approach of the implementation of the health reform 2005 . Linz 2007, p. 133 (PDF, ooegkk.at, accessed on July 20, 2014) - there “Ziniel (2005)” without further details.

[2] Compare Andrea Praschinger: Vienna hospitals from 1900: continuity and change in inpatient medical care . Volume 4 of Medizingeschichte, Lit-Verlag Münster, 2008, ISBN 978-382581315-4 , chapter Der Wiener Krankenanstaltsfonds, p. 123 ff. ( Limited preview in Google book search).

[3] Compare, for example, Upper Austria. Health Fund - Office for Intramural Tasks, land-oberoesterreich.gv.at, accessed July 24, 2014.

[4] Sobotka: states call for state health funds. Press release, APA, July 11, 2002, OTS0229.

[Finanzierung-5] Financing the public health system: Health services from hospitals, Gesundheit.gv.at, accessed July 24, 2014.

[15] New version July 2014 not yet in force

Financial flows in the Austrian healthcare system
		Bonuses						→	Private insurance					Special services

														Catalog services ( after DRG )

		Contributions						→	Health insurance ( compulsory insurance)

		Taxes						FA →

			→	BM (Fin)					countries				→	BGA

						Art. 15a BV-G					↓	budget				←
														Country Fund ( LGF)
										→			→
											↓
population					Deductibles				Fund KA				←

AN , AG				(←)				→					←		fee		←
									Private KA
					some deductibles *								←	PRIKRAF		←

														Expense coverage

or.				(←)				→	Outpatient clinic				←

					some deductibles *									Flat rate + individual services

				(←)				→	(practicing) doctor				←
														Exp. f. Drugs + of pharmacy services
					Prescription fee **

patient				(←)				→	pharmacy				←

	↑
							reimbursement
(Fin) Ministry of Finance distributes the budget for the Ministry of Health ; * flows directly to KV carriers; flows via pharmacy to health insurance providers; (←)** partly direct reimbursement or exemption for mandatory verse. Reds: Government Sector, Yellows: Private Sector Diagram according to Ziniel (2005)