Norway

In Norway EHFCN has one member:

  • HELFO – the Norwegian Health Economics Administration

HELFO – the Norwegian Health Economics Administration

Helseøkonomiforvaltningen

The Norwegian Health Economic Administration (HELFO) is a government agency under the Norwegian Directorate of Health.

The annual budget of € 4.2 . billion includes:

  • Direct payments to various health service providers and outpatient clinics
  • Individual reimbursement for certain medicines, dental services and health services abroad.

In addition, HELFO is in charge of the regular GP scheme, which entitles citizens to have a regular GP, medication and medical supplies, and the issuance of The European Health Insurance Card.

HELFO has currently  400 employees in the Main Office, 6 Regional Offices distributed throughout Norway, the Patient Referral Unit and a Service centre.

PriorityAction AreasCategoryExample
1PreventionCompliance to regulationsBoth soft and hard
2ActionCompliance to regulationsAll types of action once fraud is detected
3Financial CheckAvoid waste/overconsumptionOverly expensive services
4Detection
Compliance to regulationsData access, legal aspects, tools, ..
5Medical CheckAvoid waste/overconsumptionOverutilization of services – no medical evidence