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ABOUT US > People >> Tomáš Macháček

Tomáš Macháček

MUDr. Tomáš Macháček
Chairman of the Board and Member of Health Reform.cz


tomas.machacek@healthreform.cz

   
   

Tomas Machacek M.D. graduated from Charles University in Prague and since 1992 he has been a practicing primary care physician. He is one of the three founders of the think tank Health Reform.cz and Chairman of the Board since 1st September 2006. He was responsible for agenda of four International Health Summits held by Health Reform.cz in 2004-2008.

Tomas is an expert in the field of health insurance and systems of health care financing; these issues he studied in the United States as well as South Africa. He is a pioneer of managed care tools in the Czech Republic: He has designed and implemented the first capitation contracts between IPAs (Individual Practices Associations) and health insurance company. Furthermore, he has been the driving force behind first Czech experiments with integrated managed care health plans based on a capitation contract.

Being founded in 2000, his company Klient PRO Ltd. operates as a third party administrator of managed care projects for health insurers and IPAs. The MEDIPARTNER system run by Klient PRO for Hutnicka zamestnanecka pojistovna is the first Czech system integrating public health insurance, organizing of health care providing in the preferred providers network and motivation scheme for clients based on the principles of a reward based health care.


Tomas is co-author of the Czech health care reform proposal. Within the reform, he designed and tested a model combining health insurance and health savings subsidized with risk adjusted public contribution. He is an advocate of introducing nominal premium system into the Czech health insurance scheme. As a member of Minister Tomas Julinek's reform team he has elaborated a legislative framework for public health insurance administration through competitive standardized products (health plans) offered by health insurance companies at a regulated market, including the concept of high deductible health plans in combination with health savings accounts.

During years 1996-1998 and 2006-2008 he worked as an advisor to the Minister of Health. Currently he plans to get back to this position again in 2016.




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