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Germany's Hospital Reform Faces Uncertainty Amid Political Disagreements

The proposed reform aims to address hospital inefficiencies, but its future hinges on approval from the Bundesrat next month.

  • The reform seeks to reduce hospital overcapacity and improve care by shifting from inpatient to outpatient treatments where possible.
  • A new payment system will replace case-based fees with fixed allowances to alleviate financial pressure on hospitals.
  • Patients may access hospital care directly in areas with a shortage of ambulatory specialists, integrating services across sectors.
  • Private health insurers are encouraged to contribute to a transformation fund, with potential legal action if they decline.
  • Despite reaching a consensus within the coalition, the reform's implementation by January 2025 remains uncertain due to potential delays in the Bundesrat.
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