Presentation by Martina Zorko Kodelja (Health Insurance Institute of Slovenia) at the international conference on innovations in Civil Registration and Vital Statistics (CRVS) systems - Ottawa on 27-28 February 2018. See more at http://crvsinnovations.net

1. Unique identification number for achieving
universal health coverage in Slovenia
Martina Zorko Kodelja
Consultant, Information Centre
Health Insurance Institute of Slovenia

2. Slovenia – Small, beautiful and unique
General facts
• 2 million inhabitants
• 20.273 km2
• 34.063 $ GDP per capita
• Ljubljana is the capital city,
280.000 inhabitants
• Member of EU since 2004
Health indicators
• Life expectancy – male: 77,8 years
(OECD: 77,9)
• Life expectancy – female: 83,9 years
(OECD: 83,1)
• Infant mortality: 1,9 (OECD: 3,9)
• Population coverage: 100 %
(OECD: 97,9 %)
• Share of out-of-pocket expenditure: 2 %
(OECD: 3 %)
Unique identification numbers
Unique
citizen
number
Tax
number
Health
insurance
number

3. Unique citizen number is assigned
at birth in a hospital
20.000 births per year
99 % of births in hospitals
14 hospitals
Hospital IT
E-Births
app
Central
register of
population
Register
of civil
status
Unique citizen
number
Date of birth
Time of birth
Gender
Name and Surname
Vitality
Mother data
Father Data
Other

4. Effective in managing
compulsory health insurance
Health insurance institute
of Slovenia
• The only provider of compulsory
health insurance in Slovenia
• Budget: 2,5 Billion EUR
• 1,7 % of the budget for operating
costs of HIIS
• 853 employees
Central
register of
population
Health
insurance
database
Daily exchange of
data on new entries
(new unique citizen
numbers) in the CRP
and on changes of
data in the CRP
(change of address,
surname…)
New health insurance
number is dedicated to
each new unique citizen
number.
This is the basis for
inclusion into health
insurance and issuing of
the health insurance
card.
HIIS
Collecting insurance
payments from
contribution obligors
Ensuring the rights to
health care services
and financial benefits
to insured persons
Paying for healthcare
services to healthcare
providers

5. Successful at including people into health
insurance scheme
• By law, everyone with permanent residence in Slovenia must be included into
health insurance scheme
• Population coverage = 100 %
• HIIS is obliged to systematically invite everyone, who does not have a
valid health insurance for more than 20 days, to get included into health
insurance scheme
• If contributions for insurance are not paid, the health insurance
rights are temporarily withheld. Only urgent healthcare services
are available to such persons (20.000 people does not have
paid contributions).
• Everyone can check the validity of their insurance (using their
health insurance number) on the portal or with a mobile phone.
2016 insured persons family members all %
workers 755.940 412.832 1.168.772 56%
entrepreneurs 73.024 31.749 104.773 5%
farmers 12.153 6.619 18.772 1%
pensioners 546.669 31.679 578.348 28%
unemployed 19.019 5.268 24.287 1%
citizens with no income 50.683 11.962 62.645 3%
persons who pay contributions themselves 56.662 10.835 67.497 3%
others 45.831 15.293 61.124 3%
1.559.981 526.237 2.086.218 100%

6. Rationally paying for healthcare services
• Health insurance card of the patient must be presented each time, when using
healthcare services.
• Healthcare providers charge each service per person (based on the health
insurance number).
• Automated procedures, paperless billing, more than 600 automatic controls.
Business intelligence
• HIIS is collecting detailed data of healthcare
services, medicines, medical aids, other used rights.
• Areas of analyses: costs of medicines, costs of
acute hospital treatments, sick leave trends, …
• Data warehouse and analytical system for supporting:
• decision making,
• tracking business results, predicting future trends,
• finding errors and fraud,
• discovering and promoting good practices of
quality and efficiency of healthcare services,
• preparing further development steps.
Nationally important:
• Comparability of
statistical and
accounting data
• Analytical data for
planning and strategic
decision making

7. Thank you!
Questions welcomed!
Martina.Zorko-Kodelja@zzzs.si
Photos by: Marijan Močivnik Studio Ajd, Marko Šinkovec, Nea Culpa d.o.o., Jošt Gantar, Iztok Medja, Ubald Trnkoczy, Aleš Frelih, www.slovenia.info