Overview

• On July 1 six additional statutory health insurers increased their supplementary contribution rates to cover rising hospital, pharmaceutical and administrative expenses.
• The federal budget for 2025 provides no extra grants for health and long-term care insurance and allocates only a 2.3 billion-euro loan.
• The GKV-Spitzenverband calls the loan inadequate, arguing it postpones funding shortfalls and will intensify future contribution pressures.
• McKinsey’s GKV-Check-up 2025 and health economists warn that up to 60 statutory insurers could face insolvency without comprehensive reforms.
• Industry leaders and the KBV propose measures such as expenditure moratoriums, targeted levies on tobacco, alcohol and sugar, and expanded federal subsidies to stabilize the system.