Željko Grublješić¹*, Mladen Ivić¹, Nikola Vojvodić², Dalibor Pavlović³

¹University PIM, despota Stefana Lazarevića bb, 78000 Banja Luka, Republic of Srpska, Bosnia & Herzegovina, zeljko.grubljesic@univerzitetpim.com

²ITEP Higher School, Banja Luka, Bosnia & Herzegovina

³Health Insurance Fund of the Republic of Srpska, Office Prijedor, Bosnia & Herzegovina

PROFESIONAL PAPER

ISSN 2637-2150

e-ISSN 2637-2614

UDK  005.915:[614:65.012.3

DOI 10.7251/STED1902070G

Paper received:   03.11.2019.

Paper accepted:  21.11.2019.

Published:            29.11.2019.

http://stedj-univerzitetpim.com

Corresponding Author:

Željko Grublješić, University PIM, despota Stefana Lazarevića bb, 78000 Banja Luka, Republic of Srpska, Bosnia & Herzegovina.

zeljko.grubljesic@univerzitetpim.com

ABSTRACT

The existence of international agreements of social security rights regulate the transfer, from one state to another contracting state, of health and social security rights. Although they have existed for many years, the application of the so called, the convention on social security, and the rights derived therefrom, have not yet sufficiently taken root in the work of medical institutions, they represent ignorant and ignore their application. Some medical institutions have greater experience in obtaining benefits from service provision by contracts, but they also have reserves and unused potentials. The provision of services to foreign insurance consumer can be equated with the export of health services, which is given in a domestic institution. The benefits of providing services under international agreements also have a foreign insured person in need of the service, a health institution that receives a new consumer, and health insurance, which can indirectly and sometimes even cheaper, cover the insured event. The aim of this paper is to point out the need for an active approach to the provision of services to foreign policyholders, as well as to implement the contract in the most efficient way possible, and to achieve benefits for the institution and for the service user.

Keywords: medical institution, management, health insurance, agreements of social security, medical services.