Follow-up audit Recommendation to clarify the criteria of effective, appropriate and economically efficient in relation to medical treatment - Federal Office of Public Health
Audit number: 21512
The Federal Act on Health Insurance (HIA) stipulates that only effective, appropriate and economically efficient (EAE criteria) medical services are covered. The Confederation conducts an assessment if there are doubts about the general appropriateness of a service. Insurers also carry out assessments in individual cases, using a different approach.
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