Future Financing of Health Care Costs Remains a Bone of Contention.
Published: Friday, Oct 13th 2023, 17:11
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The Swiss Parliament has already decided that both ambulatory and inpatient services should be financed uniformly in the future. However, there is still no compromise on the issue of long-term care. The Commission for Social Security and Health of the Council of States (SGK-S) has voted overwhelmingly in favour of maintaining the decisions of its Council in the draft revision of the financial flows of the health system. Specifically, the integration of long-term care into the so-called monism should take place after a fixed period of seven years from the date of the revision coming into force. The National Council had originally wanted to completely exclude long-term care from the system change. At its last meeting, however, it returned to its decision, but set conditions: the integration should only take place if the tariffs in the care sector are set on a uniform and transparent cost basis and the popular initiative "For a strong care (care initiative)" is fully implemented. The SGK-S has now clearly rejected this proposal. In addition, the SGK-S is still opposed to the abolition of the patient contribution to the care services in order to avoid significant additional costs for the cantons. In order to prevent a premium increase, the SGK-S also insists on maintaining the share of the compulsory health insurance (OKP) in the financing of the contract hospitals at the current level. The aim of the complex monism proposal is to uniformly regulate the financing of health services. Health insurance companies and cantons should jointly pay for the ambulatory and inpatient services covered by the basic insurance. In the end, the "Uniform Financing Ambulatory and Inpatient" (Efas) should be cost-neutral.
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