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German Insurers Propose Single Digital Triage and Neutral Booking to Cut Specialist Waits

The proposal seeks allocation by medical need rather than insurance status through a unified digital first assessment.

Overview

  • GKV-Spitzenverband chief Oliver Blatt called for one digital entry point, potentially via a health insurer app, to collect symptoms with structured questions and advise on the appropriate care setting.
  • The system would enable direct booking at a GP practice and allow electronic referrals to specialists with clearly visible free appointment slots.
  • A share of outpatient appointments would be published on a neutral platform so distribution follows medical urgency rather than private or statutory insurance.
  • Blatt said urgent medical needs must still receive appointments and that non-digital access, such as by telephone, would remain available.
  • The idea dovetails with the coalition’s planned GP-first model and term guarantee, though operational design and capacity questions are still unresolved.