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Health Systems and Policy Monitor (HSPM)
An innovative platform that provides a detailed description of health systems and provides up-to-date information on reforms and changes that are particularly policy relevant.
For detailed information on country policy responses to the COVID-19 pandemic during 2020-2021, see our separate COVID-19 Health Systems Response Monitor (HSRM).

Updates
Mandatory electronic billing for outpatient services
16 September 2025 | Country Update
From September 2025, doctors and dentists must electronically bill sickness funds for outpatient services. This aims to reduce billing errors, simplify administration and speed up payments. Paper billing is only allowed in specific cases, that is, doctors aged 67+ as of 1 January 2023; dentists aged 63+ as of 1 January 2024; and occasionally, if billing occurs outside the office and electronic billing is technically impossible or in cases of force majeure preventing electronic billing.
Authors
- Sophie Gerkens
Country
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