Adam Marek je analytik \u00datvaru hodnoty za peniaze na ministerstve financi\u00ed, venuje sa zdravotn\u00edctvu. Na z\u00e1klade jeho zisten\u00ed spred troch rokov za\u010dal Protimonopoln\u00fd \u00farad vy\u0161etrovanie mo\u017en\u00e9ho kartelu medzi laborat\u00f3riami a\u00a0aktu\u00e1lne \u0161tyrom najv\u00e4\u010d\u0161\u00edm hr\u00e1\u010dom udelil pokutu 14,5 mili\u00f3na eur.<\/p>\n
Marek v\u00a0rozhovore hovor\u00ed:<\/p>\n
ako fungoval kartel medzi laborat\u00f3riami;
\n\u010di s\u00fa kartely v\u00a0zdravotn\u00edctve be\u017en\u00e9;
\n\u010di je v\u00e4\u010d\u0161\u00ed probl\u00e9m nemocn\u00edc neefektivita alebo nedostatok pe\u0148az\u00ed;
\nale aj o\u00a0tom, \u010di p\u00f4jde na zdravotn\u00edctvo op\u00e4\u0165 viac pe\u0148az\u00ed.<\/p>\n
Protimonopoln\u00fd \u00farad udelil najv\u00e4\u010d\u0161\u00edm hr\u00e1\u010dom na trhu laborat\u00f3ri\u00ed pokutu takmer 15 mili\u00f3nov eur za kartel. Pokuta je nepr\u00e1voplatn\u00e1 a\u00a0v\u00e4\u010d\u0161ina z\u00a0laborat\u00f3ri\u00ed sa odvolala. Protimonopoln\u00fd \u00farad za\u010dal vy\u0161etrovanie na z\u00e1klade blogu, ktor\u00fd ste nap\u00edsali pred tromi rokmi. Op\u00edsali ste, \u017ee laborat\u00f3ri\u00e1 s\u00fa ve\u013emi dobre platen\u00e9 a\u00a0\u017ee ich spr\u00e1vanie pripom\u00edna kartel. Pre\u010do ste sa za\u010dali zaobera\u0165 touto t\u00e9mou?<\/p>\n
Bolo to v\u00a0lete 2021. Rie\u0161ili sme dofinancovanie cel\u00e9ho verejn\u00e9ho zdravotn\u00e9ho poistenia a\u00a0V\u0161eobecnej zdravotnej pois\u0165ovne (V\u0161ZP). V\u00a0r\u00e1mci toho sa diskutovalo \u2013 nie prv\u00fdkr\u00e1t \u2013 \u010di treba \u00fasporn\u00fd pl\u00e1n pre V\u0161ZP, kam peniaze id\u00fa a\u00a0kde je priestor na zn\u00ed\u017eenie v\u00fddavkov. Martin Smatana n\u00e1s vtedy ako predseda dozornej rady V\u0161ZP upozor\u0148oval na laborat\u00f3rne zmluvy. Sumy za PCR testy boli premenen\u00e9 na takzvan\u00e9 limity na v\u0161etky ostatn\u00e9 v\u00fdkony. Tieto zmeny zml\u00fav neboli \u00faplne hospod\u00e1rne.<\/p>\n
\u0160tudoval som zmluvy a\u00a0dodatky, a\u00a0za\u010dal som si v\u0161\u00edma\u0165 to, \u010do sme potom v\u00a0blogu opisovali. Bolo ve\u013emi zvl\u00e1\u0161tne, \u017ee V\u0161ZP so \u0161tyrmi ve\u013ek\u00fdmi laborat\u00f3rnymi firmami v\u017edy podpisovala rovnak\u00e9 dodatky v\u00a0rovnakej \u0161trukt\u00fare na rovnak\u00e9 obdobie. Ve\u013emi to pripom\u00ednalo kartelov\u00e9 spr\u00e1vanie alebo minim\u00e1lne koordin\u00e1ciu medzi \u0161tyrmi firmami a\u00a0V\u0161ZP. Kombin\u00e1ciu t\u00fdchto dvoch vec\u00ed \u2013 potenci\u00e1lne kartelov\u00e9 spr\u00e1vanie a\u00a0to, ako boli PCR testy premenen\u00e9 na dlhodobej\u0161\u00ed biznis pre laborat\u00f3rne firmy \u2013 sme nap\u00edsali v\u00a0blogu. Z\u00a0ministerstva financi\u00ed i\u0161iel form\u00e1lny podnet na Protimonopoln\u00fd \u00farad, ktor\u00fd sa t\u00fdm za\u010dal zaobera\u0165, a\u00a0teraz \u2013 takmer po troch rokoch \u2013 m\u00e1me v\u00fdsledok \u0161etrenia.<\/p>\n
V\u00fdsledok v\u00e1s musel pote\u0161i\u0165.<\/p>\n
\u00c1no.<\/p>\n
Firmy robili PCR testy a\u00a0potom to premenili na dlhodobej\u0161\u00ed biznis. Ako to fungovalo?<\/p>\n
Na za\u010diatku pand\u00e9mie laborat\u00f3ri\u00e1 nemali na PCR testy limity. Mohli ich robi\u0165 bez obmedzen\u00ed. Bolo to z\u00a0dobr\u00fdch d\u00f4vodov a\u00a0\u00faplne legit\u00edmne. Funguje to toti\u017e tak, \u017ee laborat\u00f3rne firmy maj\u00fa s\u00a0pois\u0165ov\u0148ami mesa\u010dn\u00fd limit. Robia r\u00f4zne v\u00fdkony, tie maj\u00fa body, ktor\u00e9 maj\u00fa ur\u010den\u00fa cenu. Nar\u00e1tava sa to do v\u00fd\u0161ky limitu, a\u00a0ke\u010f sa na\u0148 dostanete, za dodato\u010dn\u00e9 testy u\u017e dostan\u00fa firmy zaplaten\u00e9 menej. Firmy nemaj\u00fa amb\u00edciu limity prekra\u010dova\u0165, tie definuj\u00fa strop, ko\u013eko m\u00f4\u017eu dosta\u0165 z\u00a0verejn\u00e9ho zdravotn\u00e9ho poistenia. Do tejto situ\u00e1cie pri\u0161la pand\u00e9mia.<\/p>\n
Ako to zmenilo situ\u00e1ciu?<\/p>\n
Z\u00a0ka\u017edej strany bol z\u00e1ujem, aby sa PCR testov robilo \u010do najviac. Do zml\u00fav tak pois\u0165ovne firm\u00e1m pridali PCR testy tak, \u017ee nespadaj\u00fa do limitu. Nik nechcel by\u0165 v\u00a0situ\u00e1cii, \u017ee by ste mohli robi\u0165 \u010fal\u0161ie testy, ale nesprav\u00edte ich, lebo nem\u00e1te limit od pois\u0165ovne. PCR testy mali na za\u010diatku cenu okolo 50 eur za test, a\u00a0\u010d\u00edm viac ich firma spravila, to\u013eko navy\u0161e \u2013 nad limit \u2013 dostala. Fungovalo to od \u00favodu pand\u00e9mie asi do za\u010diatku roka 2023. Pand\u00e9mia u\u017e vtedy kon\u010dila, \u013eudia boli zao\u010dkovan\u00ed a\u00a0asi v\u00a0m\u00e1ji 2023 boli zaveden\u00e9 aj indika\u010dn\u00e9 obmedzenia na PCR testy. To znamen\u00e1, \u017ee test bol preplaten\u00fd z\u00a0pois\u0165ovne, len ak ho predp\u00edsal v\u0161eobecn\u00fd lek\u00e1r. Ke\u010f sa to udialo, po\u010det PCR testov ve\u013emi klesol.<\/p>\n
St\u00e1le v\u0161ak existovalo riziko, \u017ee pr\u00edde \u010fal\u0161ia vlna pand\u00e9mie a\u00a0ceny \u010di po\u010dty PCR testov vyletia hore. V\u0161ZP vtedy rozhodla zaradi\u0165 ich do limitov, \u010do je samo osebe legit\u00edmne. D\u00e1 v\u00e1m to istotu, \u017ee v\u00fddavky spolu s\u00a0t\u00fdmi testami neuletia, keby pri\u0161la \u010fal\u0161ia vlna. Ale to, \u010di je nav\u00fd\u0161enie limitu adekv\u00e1tne, z\u00e1vis\u00ed od toho, ko\u013eko testov bude v\u00a0bud\u00facnosti treba a\u00a0ak\u00e9 ve\u013ek\u00e9 nav\u00fd\u0161enie urob\u00edte. Toto nav\u00fd\u0161enie bolo pr\u00edli\u0161 \u0161tedr\u00e9. PCR testov z\u010faleka nebolo treba to\u013eko, ako bolo zazmluvnen\u00e9 a\u00a0ako sa dostalo do limitov, ale firmy a\u00a0poskytovatelia si ten limit postupne vyplnili in\u00fdmi v\u00fdkonmi. A\u00a0zaplnili ho.<\/p>\n
V\u00a0blogu ste p\u00edsali aj o\u00a0tom, \u017ee laborat\u00f3ri\u00e1 s\u00fa v\u00fdnosn\u00fd biznis. Mar\u017ee dvoch z\u00a0firiem boli vy\u0161\u0161ie ako mar\u017ee ve\u013ek\u00fdch technologick\u00fdch firiem ESET a\u00a0Pixel Federation. Ako sa stalo, \u017ee sa laborat\u00f3ri\u00e1 stali tak\u00fdm v\u00fdnosn\u00fdm biznisom v\u00a0r\u00e1mci zdravotn\u00edctva?<\/p>\n
I\u0161lo o\u00a0obdobie tesne po pand\u00e9mii, najlep\u0161ie roky mali<\/p>\n
\t\t\t\tTento \u010dl\u00e1nok je exkluz\u00edvnym obsahom pre predplatite\u013eov Denn\u00edka\u00a0N.<\/p>\n
\t\t\t\t\t\tM\u00e1te predplatn\u00e9?
\n\t\t\t\t\t\tPrihl\u00e1ste sa<\/p>\n","protected":false},"excerpt":{"rendered":"Adam Marek je analytik \u00datvaru hodnoty za peniaze na ministerstve financi\u00ed, venuje sa zdravotn\u00edctvu. Na z\u00e1klade jeho zisten\u00ed…\n","protected":false},"author":2,"featured_media":71583,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[43,40,44,39,42,45,41],"class_list":{"0":"post-71582","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-slovensko","8":"tag-sk","9":"tag-slovak","10":"tag-slovak-republic","11":"tag-slovakia","12":"tag-slovencina","13":"tag-slovenska-republika","14":"tag-slovensko"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@sk\/116584871688054107","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts\/71582","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/comments?post=71582"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/posts\/71582\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/media\/71583"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/media?parent=71582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/categories?post=71582"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/sk\/wp-json\/wp\/v2\/tags?post=71582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}