Overview

• On July 7, a federal-state working group convened to outline comprehensive reform proposals for Germany’s statutory long-term care insurance system.
• The insurance covered 5.6 million beneficiaries in 2024 with expenditures of €63.2 billion, incurred a €1.54 billion deficit and faces a projected €12.3 billion shortfall by 2029.
• Berlin’s Senate adopted the Landespflegeplan 2025 on July 8, prioritizing fall prevention, barrier-free housing renovations and advisory home visits for residents over 70.
• The ratio of caregivers to patients in Berlin’s ambulatory services fell from 0.77 in 2013 to 0.55 in 2023, increasing each caregiver’s caseload by about 40%.
• Reform talks will examine sustainable funding options, from full insurance coverage to increased public support and incentives for private caregiving.