The National Health Service of Latvia

What The National Health Service of Latvia does

The National Health Service of Latvia (Nacionālais veselības dienests, NVD) is a government administrative institution under Latvia's Ministry of Health, headquartered in Riga with five territorial units across Kurzeme, Latgale, Vidzeme, Zemgale, and Riga. Established with a staff of 45, NVD administers the Latvian state budget allocated for healthcare, contracts with all state-funded providers — hospitals, family doctors, specialist clinics, pharmacies, and home care services — and operates as the single payer for state-covered medical services. Its functional responsibilities include tariff calculation, maintenance of the reimbursable medicines list, approval of medical technologies and clinical guidelines, administration of the Medical Treatment Risk Fund, and operation of Latvia's Contact Point under EU Cross-border Healthcare Directive 2011/24/EU.

The organization's core technology asset is E-veselība, a unified national electronic health information system accessible to citizens and providers through the eveseliba.gov.lv portal. The platform comprises e-prescription (E-recepte), e-sick-leave certificate (E-darbnespējas lapa), e-referral (E-nosūtījums), laboratory results, and an organ donation registry, with 52,989 donation declarations registered as of mid-2026. E-veselība exchanges e-prescriptions and patient summaries with ten EU member states under the MyHealth@EU initiative, with laboratory data exchange scheduled to begin in April 2027. DRG-based hospital payment classification and cross-border interoperability are the principal technical differentiators.

NVD has no commercial revenue model. All funding originates from the Latvian state budget and EU structural instruments, including a €181.5 million (excl. VAT) EU Recovery Fund allocation approved on 13 July 2021 for integrated healthcare development. Citizens entitled to state-funded care pay only statutory co-payments (typically €1–35 per service, capped at €570 annually, with exemptions for children, pregnant women, and disabled persons) regulated under Cabinet of Ministers Regulations No. 1529. NVD distributes services indirectly through its contracted provider network, the Rindapiearsta.lv scheduling portal, the E-veselība portal, and phone hotlines (80001234, 67045005, 66016001). Patient co-payments are not a revenue source for NVD but rather flow to contracted providers.

Name

The National Health Service of Latvia

Legal name

Nacionālais veselības dienests

Website

https://vmnvd.gov.lv

Company type

Public

Operating status

Operating

Headcount range

11–50 employees

Short description

The National Health Service of Latvia (NVD) is a government authority under the Ministry of Health that administers the state healthcare budget, contracts with national providers, and operates the E-veselība e-health platform serving all Latvian residents entitled to state-funded care.

Ownership category

akta.pro rank

Product category

Public Healthcare Administration

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health Care and Social Assistance (62)

SIC

Services-Health Services (8000), Hospital & Medical Service Plans (6324), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

State/Provincial/Regional Health Departments (HLAJAAAA)

akta.pro secondary industries

Health Policy & Legislation Authorities (HLAJACAA), Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

Keywords

• Public healthcare administration
• National e-health platform
• State-funded health services
• Medication reimbursement program
• Cross-border healthcare coordination

Headquarters

HQ city

Riga

HQ country

Latvia

HQ region

Europe

Offices6 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Others

Revenue model

1. State Budget Healthcare Administration: NVD administers the state budget allocated by the Ministry of Health for healthcare services. The organization contracts with healthcare providers (hospitals, clinics, pharmacies, family doctors) and reimburses them for state-funded services. Revenue comes entirely from the Latvian state budget and EU structural funds. The EU Recovery Fund has allocated 181,500,000 EUR (excl. VAT) for healthcare sector development under the Recovery Fund plan.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels4 records

Core offering

The National Health Service of Latvia (NVD) is a government administrative institution that administers Latvia's state healthcare budget, contracts with healthcare providers (hospitals, clinics, family doctors, pharmacies), sets service tariffs, and operates the E-veselība national electronic health platform. It also manages the medication reimbursement system, issues the European Health Insurance Card (EVAK), runs a family doctor consultative telephone hotline, and serves as Latvia's Contact Point for EU cross-border healthcare under Directive 2011/24/EU.

Product overview

The National Health Service of Latvia (Nacionālais veselības dienests, NVD) operates the E-veselība electronic health system—the national digital health infrastructure—as its core product, supplemented by state-funded healthcare service administration. E-veselība serves as a unified patient portal and healthcare data exchange platform comprising sub-products including E-recepte (e-prescriptions), E-darbnespējas lapa (e-sick leave), E-nosūtījums (e-referrals), laboratory results access, and organ donation registration. NVD also manages the reimbursable medicines system (Kompensējamie medikamenti), European Health Insurance Card (EVAK), and coordinates 181.5 million EUR in EU Recovery Fund investments for integrated healthcare development. The organization operates through a central office in Riga and five territorial units (Kurzeme, Latgale, Vidzeme, Zemgale, Riga).

Differentiator

Problem solved

Functional benefit

Products and services

• E-veselība (E-Health Portal) National electronic health information system providing citizens and healthcare professionals access to e-prescriptions, e-referrals, e-sick leave certificates, laboratory results, and organ donation registration through the eveseliba.gov.lv portal.
• State-Funded Healthcare Service Administration Centralized administration and coordination of state-funded healthcare services including primary care, specialist consultations, hospital care, diagnostics, emergency care, and medication reimbursement; delivered through contracted providers across Latvia.
• Reimbursable Medicines System (Kompensējamie medikamenti) National medication reimbursement system organizing drugs into Schedules A, B, C, and M and covering 100%, 75%, or 50% of medication costs for eligible residents based on diagnosis and prescription category.
• European Health Insurance Card (EVAK karte) European Health Insurance Card issuance and management enabling Latvian citizens to access emergency and necessary state-funded healthcare during temporary stays in other EU/EEA countries and Switzerland.
• Family Doctor Consultative Telephone (Ģimenes ārstu konsultatīvais tālrunis) 24/7 medical advice hotline (66016001) providing consultations for simple illnesses outside family doctor working hours, staffed by medical professionals.
• E-nosūtījums (E-Referral System) Electronic referral system that enables doctors to refer patients to specialists and diagnostic services and allows patients to book appointments at multiple healthcare facilities with a single referral.

Quantifiable outcome

• 30% year-over-year increase in organ donation registrations on E-veseliba portal, reaching 52,989 registrations
• +1 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature5 records

Partnerships

Three partnerships are on record, tiered core and minor.

• EU Member States (Cross-border Healthcare Directive 2011/24/EU)coreStrategic or Co-development Partner · 25 October 2013Under the EU Cross-border Healthcare Directive, NVD serves as Latvia's Contact Point enabling citizens to access healthcare in other EU/EEA countries and Switzerland, with reciprocal rights for foreign citizens in Latvia. Operational e-prescription exchange with Lithuania, Estonia, Poland, Czech Republic, Spain, Cyprus, Croatia, and Finland. Greece and Portugal planned.
• Latvian Digital Health Center (Latvijas Digitālās veselības centrs)coreTechnology or IntegrationThe Latvian Digital Health Center operates the E-veseliba.gov.lv portal and collaborates with NVD on cross-border healthcare data exchange, laboratory data exchange projects, and digital health service development. NVD coordinates with the center on E-health projects including e-prescriptions, e-referrals, and patient data systems.
• World BankminorOthersWorld Bank experts conducted evaluations of Latvia's healthcare system, including conferences and expert visits to healthcare facilities, providing technical assistance and recommendations for healthcare sector improvement. Reports include assessments of healthcare quality and patient safety.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• TEHIK (Estonian e-Health and Social Welfare Information Systems Centre): Operator of Estonia's national e-health infrastructure, directly comparable to NVD's E-veselība mandate. Manages cross-border health data exchange and digital health records for Estonia, making it the closest technical peer to NVD's platform operations.
• National Health Insurance Fund under the Ministry of Health (Lithuania, VLK): Lithuania's statutory health insurance administrator performing the same provider contracting, reimbursement administration, and cross-border e-prescription coordination role as NVD, with live e-prescription exchange already established between the two Baltic systems.
• Danish Health Data Authority (Sundhedsdatastyrelsen): Denmark's national authority responsible for health data infrastructure, e-health platforms, and cross-border health data exchange under EU directive. Closely comparable role to NVD's platform operations and EU integration mandate.
• Czech Health Insurance Bureau (ČPZP / Czech health insurance administration): Czech statutory health insurance administration with active cross-border e-prescription exchange with Latvia. Comparable function in central EU member state, with live MyHealth@EU integration.
• Estonian Health Insurance Fund (Tervisekassa): Estonia's national health insurance fund administering state-funded healthcare, operating a digital health platform, and coordinating cross-border e-prescription exchange under the same EU Directive. Closest functional peer by population size, digital maturity, and Baltic regional context.
• Swedish eHealth Agency (eHälsomyndigheten): Sweden's national agency for e-health, including e-prescriptions, patient summaries, and EU cross-border data exchange. Direct functional equivalent of NVD's E-veselība platform scope within a Nordic welfare-state context.
• Kanta Services (Finnish national e-health platform): National e-health platform operator in Finland providing electronic prescriptions, patient records, and cross-border EU data exchange. Directly comparable to NVD's E-veselība product scope and EU MyHealth@EU integration role.
• Kela (Finnish Social Insurance Institution): Finland's statutory social and health insurance administrator handling reimbursable medicines, sickness benefits, and EU cross-border coordination. Operates at larger scale but performs the same bundle of statutory health-benefit administration and cross-border functions as NVD.

Broad incumbents

• NHS England: Operates at vastly larger scale but performs the analogous statutory role of commissioning, contracting providers, and administering public healthcare budgets. NHS England is the canonical reference peer for national healthcare administration bodies, including NVD.
• NHS Scotland: Statutory public healthcare administrator in Scotland with similar provider contracting and digital health record responsibilities. Broader scope than NVD but analogous governance structure and territorial-unit delivery model.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/VMNVD
• YouTubeyoutube.com/user/VMNVD
• Facebookfacebook.com/VeselibasDienests
• LinkedInlinkedin.com/company/the-national-health-service-of-latvia

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about The National Health Service of Latvia