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Berlin Signals Health Service Cuts as Top Adviser Urges Practice Fee and Insurers Raise 2026 Charges

Chancellery chief Thorsten Frei prepares Germans for service reductions to contain rising healthcare costs.

Overview

  • Frei said some benefits must be removed to make the system cheaper and called for stronger gatekeeping by primary care doctors.
  • Economist Monika Schnitzer backed higher patient cost sharing, proposing a streamlined practice fee collected by insurers.
  • Schnitzer warned contribution rates could drift toward 25% and urged scrapping non‑evidence treatments such as homeopathy.
  • The GKV umbrella group argued a practice fee would not curb spending, citing a projected €23 billion rise in 2026 outlays to about €370 billion and calling for structural reforms.
  • Verivox counts 31 sickness funds announcing higher additional contributions for 2026, as a roughly €2 billion December savings package is judged insufficient.