| Approved list of health performances |
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The Ministry of Health in cooperation with professional companies, health insurance review doctors and the Association of Health Insurance Companies of the Slovak Republic is gradually preparing new lists of health performances for individual specializations.
An approved new list of health performances for individual expertise can be found HERE.
The new list is continuously complemented by other specialization fields.
| PILOT 2 Þ from 1.4.2026 |
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Basic information
On April 1, 2026 the Ministry of Health in cooperation with the Association of Health Insurance Companies of the Slovak Republic launches a pilot operation of a new health performance list for another group of expertise:
- Angiology
- Diabetology, nutrition metabolism disorders
- Endocrinology
- Cardiology
- Clinical immunology and Allergology
- Clinical oncology
- Nephrology
- Otorinolaryngology
- Paediatric endocrinology and diabetesology, nutritional metabolism disorders
- Paediatric cardiology
- Paediatric nephrology
- Paediatric rheumatology
- Rheumatology
The aim of the pilot is to obtain the most realistic description of the activities provided by the doctor and nurse in the practice, to obtain data on the frequency of new performances, to verify the timing of performances and to calculate new weights of health performances based on real data.
The length of the pilot is 1 year. The reporting phase of new performances shall be 6 months, followed by an analytical 6 months phase aimed at calculating health performance weights and adjusting performances.
The choice of pilot health care providers (specialised ambulances) is in the collection of health insurance companies, one of the basic conditions being the valid contractual relationship of the healthcare provider with all 3 health insurance companies at the date of pilot launch.
During February 2026 educational webinars will be organized for piloted specialization fields. Invitations to individual webinars will be addressed to selected healthcare providers who have been invited to cooperate on the pilot operation of the new health performance list.
Documents
- Frequently Asked Questions (FAQ)
- Monthly statement of hours worked - for providers involved in pilot operations from 4/2026
- Approved new health performance lists
- Pilot 2 performance
Pilot contact: == sync, corrected by elderman ==
To speed up communication with the pilot provider, please indicate the provider's ID or code to the subject of the email message.
| PILOT 1 |
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Update: Analytical phase complete. From 1.7.2026 to 30.9.2026 begins the transitional period for ambulances included in Pilot 1.
These offices will have extended the current contractual terms (offered flat rate including incentive bonus) until 30.9.2026. Related supplements will be distributed by health insurance companies in the second half of June. The healthcare provider shall report to the health insurance undertaking for the first time for the healthcare provided in July.
Start of voluntary sharp operation (new codes, new number of points and new price of point) for all offices in the licensed expertise is planned From 1.10.2026. Draft supplements to the contracts will start to be sent by health insurance companies during September.
Basic information
On July 1, 2025, the Ministry of Health of the Slovak Republic and the Association of Health Insurance Companies launched a pilot operation of a new list of health performances for 5 types of specialist practice:
- Internal medicine
- Geriatrics
- Neurology / Paediatric Neurology
- pneumology and phtizeology / paediatric pneumology and phtizeology
- dermatovenerology
The aim of Pilot 1 was to get the most realistic description of the activities provided by the doctor and nurse in the practice, to get data on the frequency of new performances, to verify the time-consuming performances and to calculate new weights of health performances based on real data.
Pilot 1 course
- 1.7.2025 - 31.12.2025 reporting phase
- 1.1.2026
- 1.6.2026 published updated list on the website of MZ SR and in the dial NCZ; IS suppliers modify SW PZS
- 1.7.2026 published updated list with number of points in the NCZI dial; IS PCS are ready to report new performance codes
- 1.7.2026 – 30.9.2026 transitional period for piloting ambulances with retained bonus
- 1.10.2026 the launch of a voluntary lively operation for all offices in pilot 1, except for specialised offices in constitutional health institutions.
Summary of key findings
A total of 222 ambulances were involved in Pilot 1. A total of 820 thousand new health performances were reported, with 3 basic health performances (comprehensive/targeted/control) of a total of between 20% and 33% of the total reported healthcare in piloted expertise. The analysis phase included optimization of the list of new performances, and the characteristics and rules for reporting health performances as found in the pilot were refined, missing health performances added, overly atomised performances merged into one single health performance. The review of the list of health performances was carried out in close cooperation with the members of the relevant expert working groups and review doctors from each health insurance undertaking.
New health performance has been given weight (demand) by number of points after re-assessment of the list. The parameters that entered the weight determination are the doctor's net time, the nurse's net time in medical performance, the time of use of instrument equipment, if this is the performance where the instrument is necessary. The score structure for non-instrumental performances was 50% doctor, 20% nurse, 30% directing. 70% of the health performance has a weight determined directly from pilot's actual data, which covers 99 per cent of the volume of medical care reported in the pilot. Health performances reported in the pilot less than 5 times have a weight derived from the statistical derivation method from the inputs of health insurance companies and are listed as marked by the symptom --*-- These scales are informative for the time being. In practice, they will only be used in voluntary live-in operations from 1.10.026 when health insurance companies calculate the relevant point price and agree on an overall reimbursement mechanism (including ceilinging) with associations representing providers in negotiations with health insurance companies. Weights (number of points) for general performances, which are also used in Pilot2, will be recalculated at the end of Pilot 2.
Further information is part of the presentation of the results of Pilot 1 published in the section "Documents'.
Next steps
From 1.7.2026 the so-called transitional period for ambulances included in Pilot 1 starts, which means that health insurance companies are left with a set-off, including a monthly incentive bonus of EUR 1 000. From 1.7.2026 onwards, these ambulances will report on the health care provided according to an updated health performance list, which is also published on the NCZI website.