Die Krankenkassen haben lange um das Recht gekämpft, das, was sie aus den ihnen vorliegenden Abrechnungsdaten wissen, auch gezielt zur Versorgungsverbesserung nutzen zu dürfen. In der Debatte darüber kamen immer wieder mögliche Negativfolgen des Datennutzungs-Verbots zur Sprache. Sie reichen von einer spät erkannten schweren Erkrankung bis hin zu gesundheitsschädlichen Falschbehandlungen mit Medikamenten.
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