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• Implementation of reforms has progressed substantially from March to November 2012 and today stands in the middle of a long way (see Table below)
• Prescription by active substance and compulsory lowest priced medicines substitution began in late November 2012 • Consolidation of all existing health insurance in a single universal social health insurance organisation expected to be finalized by December 2012 • Fees for medical services outsourced to private providers and expenditure to private clinics and diagnostic services has gone out of control in the second semester of 2012
• Introduction of automatic claw-back mechanism (quarterly rebate) on the turnover of pharmaceutical producers has not yet been implemented due to pharmaceutical companies' initiation of legal action on some aspects of the system.