The deadline for transposition into Member States legislation of the Directive 2011/24/EU on the application of patients’ rights in cross-border healthcare was 25 October 2013. Article 20 of the Directive requests a report to be submitted by 25 October 2015 to the European Parliament and to the Council including information on related processes in place and the overall operation of the Directive in the first years of its implementation. The present study therefore aimed at analysing the functioning of the Directive by means of a number of evaluative questions, which may be grouped according to three main areas: Reimbursement of cross-border healthcare; Quality and safety of cross-border healthcare; Undue delay. The study was carried out at EU-28 level with the aim of gathering reliable and comparable information from all Member States on the implementation of the Directive.