Gematik: Doctors have to pay IT disruption from operating expenses

According to the National Association of Statutory Health Insurance Physicians, around 80,000 doctors, psychotherapists and dentists’ practices are affected by the largest IT disorder in health telematics to date. As the project company Gematik now reports, the cost regulation for the use of the IT service providers is “ensured”: The service providers have to pay the expenses from their flat-rate operating costs, which amount to EUR 248 per quarter. Regardless of this, Gematik is pressing for the problem to be resolved quickly by the end of the quarter. If the VPN router called the connector does not work by then, there are problems with the billing of medical services.

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The one found by Gematik Cost regulation for the work of IT service providers Flat fee for ongoing operations of 248 euros per quarter is sufficient to account for the exchange of security certificates. Finally, the update can be carried out in cooperation with the IT service provider “manually via remote maintenance or at an on-site appointment”. In special cases, higher costs could be incurred, but “good and comprehensible documentation by those affected” is required for these cases.

The National Association of Statutory Health Insurance Physicians criticizes the regulation. She continues to see one State of uncertainty, because in individual cases the repair work can exceed the flat rate. The repair consists of exchanging certificates with the connectors from RISE, Secunet and T-Systems. The KoCoBox connector Med + is only affected after this messageif DNSSEC has already been used. There are obviously different ways that incorrect change of trust anchor to fix (as pointed out by a heise online reader).

Regardless of the fault rectification, the German General Practitioners Association requests one detailed fault analysis of the fault. This also includes “an inventory of which services really need to be operated (and fail centrally) via a central infrastructure and which do not.”


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