Overview

• The report to the Bundestag cites a federal projection that the average supplementary contribution could reach 4.05% by 2029 if current trends persist.
• Outlays jumped 8.2% year over year, the sharpest rise in three decades, with insurers’ reserves largely depleted after years of drawdowns.
• Auditors urge immediate expenditure-side measures across all benefit areas and flag a possible €47 billion financing shortfall in 2025.
• They warn against diluting core elements of the hospital reform and question plans to remove budget caps in parts of outpatient care.
• The GKV umbrella group calls for an expenditure moratorium and says federal loans are no structural fix, while the health minister seeks steps before the commission reports.