Slovakia

Slovakia has been a member of the European union since 2004, the Euro zone since 2009, and the Schengen zone since 2007. Slovakia is a parliamentary democratic republic with a head of government, the prime minister who holds the most executive power, a head of state, the president who is the formal head of the executive, but with very limited powers. The country is subdivided into 8 regions, each named after its principal city. These have been given a certain degree of autonomy since 2002. The general health of the Slovak population has increased substantially over the last 15 years and the healthcare sector has undergone major reforms. Most indicators of population health status remain below the EU average, and substantial disparities in population health outcomes persist across ethnic and socioeconomic groups. In addition, and despite current low levels of expenditure, the healthcare sector faces long-term fiscal sustainability challenges, which will require continuing improvements to its efficiency. The official language is Slovak.---

Healthcare budget

$10.2 billion

Inhabitants

5.4 million

GDP per capita

$21.789

Currency

EUR

World Ranking

GDP 59th

Statistics as April 21st 2021

Slovakian Healthcare

Three health insurance companies (one public and two private ones) operate the compulsory healthcare system in Slovakia, setting up contracts with health providers and negotiating quality, prices, and volumes individually. The Health Care Surveillance Authority serves as an independent monitoring body for the health provision, insurance and purchasing markets. The Ministry of Health functions as the main regulatory body within the health system. It is also the single shareholder of the biggest health insurance company (VšZP), covering a little over 60 % of the population. Risk equalisation has been implemented to redistribute health insurance company revenues to compensate for socioeconomic, demographic, and general health status differences among those insured.

Slovakia spends much less on health than the EU average, both in absolute terms (EUR 1 600 per person in 2017) and as a share of GDP (6.7%) which is a much lower share than the EU average of 9.8%. Around 80% of healthcare expenditure is publicly funded, which is like the EU average of 79%. Overall, the healthcare system remains very hospital-centric, with a limited role for primary care. Most healthcare spending is publicly financed (80% in 2017).

Pharmaceutical environment

Slovakia has a developed and established EUR 1.25 billion Rx market. Spending on pharmaceuticals is above the EU average, which is a sign that the sector could be better regulated, and that controlling the high level of spending on pharmaceuticals has been a longstanding challenge in Slovakia.

Any drug applying for reimbursement can only be reimbursed if there is an EU reference price (at least one within EU28). The reference price is the average of the three lowest ex-factory prices with the exchange rate being set by an average over the last 12 months. Application for reimbursement is conditioned by existence of officially set prices of that medicine in at least 5 different EU member states, otherwise reimbursement is set at the level of 80% of final pharmacy price.

Since introduction of a shortened reimbursement process for rare disease medicines (1st January 2018), several such medicines received reimbursement approval.

Todays challenges

Life expectancy at birth was 77.3 years in 2017, four years more than in 2000, but still nearly four years below the EU average (80.9 years). Slovak women live about seven years longer than men. Life expectancy of men and women at age 65 has increased substantially since 2000, but many years of life after that age are spent with chronic diseases and disabilities.

Tobacco consumption is a major public health concern - in 2014, almost one-quarter of the adult Slovak population smoked daily, and this proportion has not decreased during the last decade which contrasts with nearly all other EU countries. One in seven adults were obese in 2017, a rate close to the EU average with being overweight and obese among adolescents on the rise.

Services

Sales and Marketing

Entering the European market is not easy. 44 countries with different healthcare systems. What is your strategy? Apart from the Big-5, what do you do with the other 25 countries? We offer a solution for 25 countries. Sales and marketing is our core business.

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Distribution

We manage, through our logistic partners with their regional warehouses, the distribution to our region (25 countries). They have the capability to handle the most demanding of specialized product order management, storage, handling and distribution requirements.

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Early Market Research

You know that market research is critical. It provides customer insights, competitive intelligence, behavioural tendencies, and product positioning. And market research increasingly is becoming an important component for linking R&D and marketing teams.

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Market Access

Achieving reimbursement and getting the right price are the 2 most important drivers for a successful launch of an innovative pharmaceuticals in our part of Europe. Health Authorities in any European country decide individually based on their local regulations, policies, framework, social values and available health care budget.

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Market Authorisation

Unlike other regions, in the EU a number of options is available to obtain a marketing authorisation. Centralised at the European Medicines Agency in Amsterdam or decentralised with the individual competent authorities of the member states, each marketing authorisation application procedure has its pros and cons.

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Pharmacovigilance

Pharmacovigilance is the science and activities relating to the detection, assessment, understanding and prevention of adverse effects or any other medicine-related problem.

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