Billing of member municipalities’ contributions, i.e. fees for specialist medical care, totaled EUR 1.8 billion.
HUS charges service fees from member municipalities according to their actual use of services. In 2019, we billed member municipalities for fees one month in advance. As agreed, we sent out adjustment invoices according to actual use of services on a quarterly basis. We also adjusted the billing of member municipalities according to information on patients’ domiciles received from the Population Information Centre, allowing the correct municipalities to be billed. We also performed an adjustment for sharing the cost of expensive treatments. A procedure for sharing the costs of expensive treatments is used to distribute these costs among the member municipalities. Expensive treatment patients are defined as patients resident in any member municipality whose treatment costs exceeded EUR 60,000 in 2019. There were 2,064 such patients.
In 2019, HUS provided almost 4% more specialist medical care services for member municipalities than budgeted. The volume of services grew by over 3% on the previous year.
Billing of member municipalities’ contributions, including outsourced services, exceeded the budget by more than EUR 100 million, or 6%. However, there were considerable differences between municipalities. The total billing of member municipalities’ contributions was EUR 1.8 billion.
Outsourced services accounted for 0.6% of the budget excess. No refundable surplus for member municipalities or the Specific Catchment Area was declared for 2019.