Primary Care Reimbursement Service: Statistical analysis of claims and payments 2007

Abstract

The Medical Card Scheme (GMS) and Community Drug Schemes are at the centre of the Primary Care Infrastructure of the Irish Health System. The net cost of the Schemes has more than doubled in just seven years, from €1.024 billion in 2001 to more than €2.289 billion in 2007. The volume of claims processed has also increased commensurately. This expenditure represents 20% of total current public health budget, a very significant element of total health spending. The Primary Care Reimbursement Service (PCRS), which is part of the Health Service Executive (HSE) Finance Directorate, has a national operational role in relation to making payments to Primary Care Contractors for services provided by them under the Community Drug Schemes. The objectives of the PCRS are to deliver an efficient shared reimbursement service and support the delivery of enhanced accountability and value for money against a standardised Financial Management Framework.

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