[et_pb_section fb_built=”1″ admin_label=”!!! PLEASE DO NOT EDIT !!!” _builder_version=”4.19.5″ _module_preset=”default” global_colors_info=”{}”][et_pb_row admin_label=”!!! PLEASE DO NOT EDIT !!!” _builder_version=”4.19.5″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.19.5″ _module_preset=”default” global_colors_info=”{}”][et_pb_text admin_label=”TO BE EDITED – SUMMARY – Click on the WHEEL icon to open the textarea where you can paste or type your summary. The summary condenses the main points for the news that starts below. The summary is in bold and not longer than 300 characters, including spaces. The counter at the bottom can help.” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||20px||false|false” global_colors_info=”{}”]<\/p>\n
Estonia\u2019s Health Insurance Fund plans 2026 reforms to make health funding fairer and more efficient, linking family doctor payments to patient illness and regional needs. It will cut lab budgets, expand preventive screenings and mental health coverage, and add new treatments, despite facing a \u20ac105 million budget shortfall.<\/strong><\/p>\n [\/et_pb_text][et_pb_text admin_label=”TO BE EDITED – TEXT OF THE NEWS – BLOCK 1 – Click on the WHEEL icon to open the textarea where you can paste or type your news. PLEASE USE ONLY THE FEATURED IMAGE FUNCTION on your right column to add the image.” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”]<\/p>\n The Estonian Health Insurance Fund (EHIF) has proposed significant updates to healthcare financing and service coverage for 2026, focusing on fairer funding distribution and cost efficiency. The main reform would update the capitation model\u2014payments to family doctors\u2014by factoring in both patient age and disease burden, creating six risk-based categories. Separate payment rates are also planned for independent and group practices, and new \u201cdistance fees\u201d will consider regional poverty and facility density rather than only proximity to hospitals.<\/p>\n EHIF also plans to revise ambulance and remote consultation payments, expand psychiatric case management, and update service coverage for cardiac surgery, diagnostics, ENT, and pathology. Laboratory service caps will be reduced by 15%, a temporary measure expected to save \u20ac24 million but likely to impact large hospitals. Smaller facilities could benefit through redirected funds for emergency care readiness.<\/p>\n Preventive health measures will expand, including nationwide newborn cystic fibrosis screening, extended lung cancer pilot screening, and updates to colorectal cancer testing. Coverage for new cancer and rare disease treatments will be added, and pneumococcal vaccination groups broadened. Despite the cost of these reforms estimated at \u20ac5.07 million, EHIF faces a \u20ac105 million shortfall and pressure to reduce expenditure while maintaining essential care.<\/p>\n [\/et_pb_text][et_pb_text admin_label=”TO BE EDITED – TEXT OF THE NEWS – BLOCK 2 – Click on the WHEEL icon to open the textarea where you can paste or type your news. PLEASE USE ONLY THE FEATURED IMAGE FUNCTION on your right column to add the image.” _builder_version=”4.21.0″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Estonia\u2019s Health Insurance Fund plans 2026 reforms to make health funding fairer and more efficient, linking family doctor payments to patient illness and regional needs. It will cut lab budgets, expand preventive screenings and mental health coverage, and add new treatments, despite facing a \u20ac105 million budget shortfall.The Estonian Health Insurance Fund (EHIF) has proposed…<\/p>\n","protected":false},"author":2098,"featured_media":987791781,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[134,3046,126],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987791778"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/news"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/2098"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987791778"}],"version-history":[{"count":4,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987791778\/revisions"}],"predecessor-version":[{"id":987791799,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987791778\/revisions\/987791799"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987791781"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987791778"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987791778"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987791778"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}