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06/05/2014 CEE COMPLIANCE UPDATE Rozália Gyulai regional compliance manager abbvie

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Page 1: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

06/05/2014

CEE  COMPLIANCE 

UPDATERozália Gyulairegional compliance managerabbvie

Page 2: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

The views and opinions expressed in this presentatione are 

soley those of Rozália Gyulai. These views and opinions do 

not necessarily represent those of AbbVie staff, and/or 

any/all contributors to AbbVie.

Presentation Title | Date xx.xx.xx | Company Confidential © 2012 2

Page 3: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

CEE Compliance update| Date 4.2.2014

| Company Confidential © 2014 3

CPI

RANKCOUNTRY/

TERRITORYSCORE

43 Lithuania 57

43 Slovenia 57

45 Malta 56

47 Hungary 54

49 Latvia 53

57 Croatia 48

57Czech 

Republic

48

61 Slovakia 47

69 Italy 43

RANKCOUNTRY/

TERRITORYSCORE

53 Turkey 50

55 Georgia 49

67Macedonia 

(FYR)

44

67 Montenegro 44

72Bosnia and 

Herzegovina

42

72 Serbia 42

RANKCOUNTRY/

TERRITORYSCORE

94 Armania 36

102 Moldova 35

111 Kosovo 33

116 Albania 31

123 Belarus 29

127 Azerbaijan 28

127 Russia 28

140 Kazakhstan 26

http://www.transparency.org/cpi2013/results

Page 4: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

CEE Compliance update| Date 4.2.2014

| Company Confidential © 2014 4

51.197AREA (SQ. KM)

Bosnia: One country, high diversity

3.875.723POPULATION (DATA FROM JULY 2013 EST.)

Bosnian, Croatian,  Serbian

LANGUAGES (OFFICIAL)

Latin, CyrillicSCRIPTS

https://www.cia.gov/library/publications/the‐world‐factbook/geos/bk.html

Page 5: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

CEE Compliance update| Date 4.2.2014

| Company Confidential © 2014 5

Bosnia: One country, high diversity

ETHNICS RELIGIONS

https://www.cia.gov/library/publications/the‐world‐factbook/geos/bk.html

Page 6: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

CEE Compliance update| Date 4.2.2014

| Company Confidential © 2014 6

Bosnia: One country, high diversity

http://en.wikipedia.org/wiki/Federation_of_Bosnia_and_Herzegovina

10CANTONS

10GOVERNMENTS

10MINISTERS OF HEALTH

4MREMINDER: POPULATION IS APPROX.

Page 7: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

CEE Compliance update| Date 4.2.2014

| Company Confidential © 2014 7

Public sector employment in BosniaBO

SNIA

http://w3.unece.org/pxweb/dialog/Saveshow.asp?lang=1

GER

MANY

UK

34.5%14.6%24.5%

PERCENTAGE OF PUBLIC SECTOR 

EMPLOYMENT TO TOTAL

Data from 2006

Page 8: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

CEE Compliance update| Date 4.2.2014

| Company Confidential © 2014 8

Bribery news Bosnia 2014

On the first day of appointment of Kenan

Crnkić

as Director of Health 

Insurance Fund of Sarajevo Canton, said that he was shocked with

the 

current financial situation and announced a sharp and an unprecedented 

fight against systemic corruption in the health sector.

Following these promises, only one month after, three doctors employed 

in health centers in Sarajevo were suspended after that checks showed 

that during just one day visited more than two hundred patients and 

thereby prescribed an average of more than 700 recipes for medicines.

At the press conference, 5th March, Director Crnkić

announced decisive 

action to stop the illegal actions of doctors and prevent further 

accumulation of losses that have threatened the collapse of the health 

system in the Sarajevo Canton. Using very offensive vocabulary calling all 

the doctors “mafia”

and claiming that within the medical profession has 

serious criminals.Bosnia news feed, internal source

Page 9: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

CEE Compliance update| Date 4.2.2014

| Company Confidential © 2014 9

Bribery news Croatia Dec 2013

The authorities in Croatia have charged a pharmaceutical company

and 

364 people ‐

most of them reportedly doctors ‐

for allegedly rigging the 

drugs market.

Senior managers at the drugs firm Farmal bribed a network of doctors and 

pharmacists to prescribe the company's products, officials said.

Correspondents say the health system could have collapsed if all

the 

doctors implicated were sacked. There are around 5,000 doctors in 

Croatia.

Doctors and pharmacists were offered bribes, including money and

travel, 

worth between 5‐10% of the medicines they prescribed, according to Sofia 

News Agency.

The crimes allegedly took place between 2009 and 2012.http://www.bbc.com/news/world‐europe‐25538915

Page 10: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

CEE Compliance update| Date 4.2.2014

| Company Confidential © 2014 10

Hungary enforcement measures 2014

One amendment proposal to pharma law was anti‐constitutional: the authority may 

order closed questioning of a witness where exclusively the witness is present (no legal 

representative!).

Dawn raid right of the HA is included in the pharma law: „this amendment is aimed at 

the improvement of the efficiency of ascertaining the relevant facts of the case in the 

course of investigating promotion activities in order to make actions taken against 

infringements more efficient”.

Amendment regarding interactions between HCPs and pharma industry: the 

government body for pharmaceuticals will be entitled to investigate the legal 

relationship between the holder of the marketing authorisation regarding a medicinal 

product and its assignee engaged in promotion activities; between the entity engaged 

in promotion activities and a person engaged under contract that

is entitled to 

prescribe and distribute medicinal products; and between a person engaged under 

contract, who acts in the interest of the promoter and the person entitled to prescribe 

and distribute medicinal products, as well as the actual interactions between them.

Page 11: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

CEE Compliance update| Date 4.2.2014

| Company Confidential © 2014 11

Transparency reporting challenges

Bosnia:– Not EU member

– Local EFPIA member association 

established this year

– Reporting from 2017 for 2016 (one year)

Albania, Montenegro, Kosovo:– Not EU members

– No local association– Reporting from 2017 for 2016

Croatia:– Recent EU member

– Local association in learning phase– Reporting from 2016 for 2015

Page 12: New CEE COMPLIANCE UPDATE · 2014. 4. 28. · Crnkić as Director of Health Insurance Fund of Sarajevo Canton, said that he was shocked with the current financial situation and announced

Thank you!