Since the introduction of per-case flat rates for billing, diagnoses and treatments have become an important basis for compensation. The SwissDRG data processing policy describes data processing by the health insurance provider and ensures that data protection and data security rules are complied with.
Since early 2012 inpatient services provided by hospitals have been billed on the basis of per-case flat rates. The changes include the fact that diagnoses and treatments now form an important basis of the compensation. Thus medical information has acquired an entirely new significance. However, the personal rights of the insured person must be respected. The SwissDRG data processing policy describes how the health insurance company processes data, which organisational units are entrusted with this task and how the requirements of the Health Insurance Act (KVG) and data protection and data security rules are implemented.
Article on SwissDRG
The accompanying article on SwissDRG per-case flat rates provides an overview of the relevant issues. It describes data processing and presents it in the context of the legal basis. It also describes how the applicable provisions of data protection legislation should be implemented.
Commissioned data processing
Helsana processes data relating to the handling of SwissDRG per-case flat rates on behalf of the health insurance companies (subsidiaries) that form part of the Helsana Group. This SwissDRG data processing policy therefore applies to the health insurance companies Progrès Insurance Ltd, Avanex Insurance Ltd, Sansan Insurance Ltd and Indivo Insurance Ltd. It can be accessed via the same link.