Particle.news
Download on the App Store

Bundesrat Blocks Health Insurance Savings Plan, Forcing Mediation and Rate‑Hike Warnings

Insurers warn that shelving a €2 billion plan—largely a temporary curb on hospital payments—creates immediate budget gaps that could push 2026 surcharges above 3 percent.

Overview

  • The Bundesrat referred the package, which was attached to the Pflegekompetenzgesetz, to the mediation committee, preventing the measures from taking effect for now.
  • The proposal sought about €2 billion in savings for 2026, including roughly €1.8 billion by suspending the Meistbegünstigungsklausel to limit hospital payment growth.
  • Länder governments opposed the hospital savings, saying they would harm clinics and risk lower reimbursement baselines in future years.
  • Health fund leaders, including TK chief Jens Baas, expect many insurers to raise Zusatzbeiträge in 2026, with Baas forecasting an average above 3 percent as funds rebuild reserves.
  • The mediation schedule is unknown, other reforms in the bill are paused, and insurers are setting 2026 budgets with the current average surcharge around 2.9 percent.