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142 Orthodontics KCE Reports 77
6 BELGIAN SITUATION: RIZIV/INAMI
EXPENDITURES
6.1 INTRODUCTION
It is the aim of this part of the study:
• to analyse the evolution of the RIZIV/INAMI-registered treatments (in
number and in expenses) in the past
• to analyse the RIZIV/INAMI-expenses over the sexes, the age categories, the
regions and the provinces jjjjj
6.2 MATERIAL AND METHODS
On the basis of data provided by the RIZIV/INAMI, the evolution of the overall
orthodontic RIZIV/INAMI-acts as well as the RIZIV/INAMI-expenses from 1975 to 2005
will be described. Note that, since for the historical data, only data by ‘date of
facturation’ are available, no data by ‘date of actual treatment’ are presented here. For
the data on consumption by age group, gender and region/province facturation data of
the year 2006 are presented.
6.3 EVOLUTION OF OVERALL ORTHODONTIC RIZIV/INAMI-
ACTS AND EXPENDITURES FROM 1975 TO 2005
6.3.1 Evolution of all orthodontic acts
Looking at the total number of acts, we can see that in 30 years (1975 to 2005) the
total number of acts was almost the triplicate from 428 998, namely 1 284 391.
The orthodontic RIZIV/INAMI prestation 305616 ("forfait for monthly regular
treatment", also called monthly activation visits for controlling evolution and for
activating the appliance for the next month) by far exceeds all other orthodontic acts; it
is the major occupation of the orthodontist in his daily practice. In Figure 35 with the
transposed costs of these orthodontic acts since 1988, it can be calculated that the total
RIZIV/INAMI-expenses for orthodontic acts in the years 1988,1998 and 2005
respectively amount 10 179 919.9 €, 21 968 420.72€ and 30 873 832.6 €. From 1988 to
1998 this represents an increase with 53.7% and from 1998 to 2005 an increase with
40.54%.
Also in terms of expenses, the 305616 act also represents the highest cost in the total
of the RIZIV/INAMI-costs for orthodontic treatment. In 1988, the cost for 305616 (ie
4 853 613 €) already represented 48% of the total budget (10 179 920 €). In 2005 the
cost for 305616 (i.e. 15 131 186 €) represented 49% of the orthodontic budget (ie
30 873 833 €).
jjjjj Note: so far no historical comparison is possible between the orthodontic care provided by specialists
and non-specialist orthodontic care providers, as no distinction could be made between them at the level
of the RIZIV/INAMI for the past years. Moreover, the data provided in the annual year reports of the
RIZIV/INAMI so far have always been a mixture of dental and stomatological care providers reported.