Portugal

SNS without mechanism to update amounts paid to private individuals by examinations

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Briefings

A FNS submitted a study to CEGEA proposing a regular update mechanism for SNS private examination fees. The study found that since 2014, seven key areas have seen no price changes despite a 55.8% increase in total conventional acts from 93.4 billion to 145 billion euros. Price updates are currently ad-hoc and lack a clear methodology, with medicine nuclear and radiology seeing the highest revision rates at 88.2% and 74.9% respectively.

Key points

• Seven specific medical areas (anesthesiology, pathology, hemodialysis, gastroenterology, imaging, physical medicine, and cardiology) have seen no price changes since 2014.
• Total conventional acts performed by the sector increased by 55.8% from 93.4 billion to 145 billion euros between 2015 and 2025.

Context

The study was requested by the FNS to CEGEA from the Catholic University of Porto Business School and is scheduled for presentation in Lisbon. The FNS represents six associations covering clinical analysis, pathology, radiology, and other key sectors.

Limitations

Evidence is limited to the FNS study and CEGEA analysis; no independent verification of the 145 billion figure or the 55.8% increase is provided. Regional price differentiation is proposed but not yet implemented, and the study admits price adjustments may sometimes exceed or fall below production costs.

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