Psychotherapy system change leads to large increase in costs
Published: Friday, May 3rd 2024, 11:50
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The costs of psychological psychotherapy covered by basic insurance rose sharply last year compared to 2022. The reasons for this are increased treatments, but also a system change introduced in July 2022 from the delegation model to the order model.
This is shown in an initial monitoring report by the Federal Office of Public Health (FOPH), which was published on Friday. According to the report, projections for the treatment year 2023 assume costs of between 700 and 750 million for psychological psychotherapy. The increase in costs compared to the previous year is projected to be between CHF 175 and 200 million.
According to the FOPH, the analyses show that a good half of the cost increase is due to a higher tariff compared to delegated psychotherapy. As the tariff partners have not jointly agreed a nationwide tariff agreement, provisional cantonal tariffs are currently still being applied.
Psychological psychotherapists have been able to work independently and on their own account at the expense of the compulsory health insurance (OKP) since July 1, 2022. The prerequisite is a doctor's order. Previously, their services were only reimbursed under basic insurance under medical supervision in the so-called delegation model.
According to the report, other reasons for the rise in costs can be attributed to the long-term trend of a steady increase in volumes and costs as well as population growth. According to the FOPH, almost 30 percent of the cost increase is potentially due to shifting effects from the supplementary insurance and self-payer sectors to the OKP.
In-depth analyses, such as the impact of the new regulation on the quality of care, will follow as part of the 2024/2025 evaluation.
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