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GKV Chief: Care Insurers May Need 2026 Liquidity Rescues With €4.2 Billion Loans Tapped Out by 2027

The government plans to present a reform proposal in February following criticism of the Bund‑Länder working group’s paper.

Overview

  • Oliver Blatt says federal loans of €4.2 billion are propping up the system and cover 2026 only on paper.
  • The GKV expects several Pflegekassen will need liquidity assistance in 2026, after a first rescue request to the Ausgleichsfonds in February 2025.
  • A funding gap equivalent to roughly 0.3 contribution-rate points is projected for 2027 once the loans are exhausted.
  • The Bund‑Länder “Zukunftspakt Pflege” output drew complaints from insurers and associations for offering stocktaking without financing solutions.
  • Political proposals range from tightening eligibility and targeting benefits to broader financing reforms, with Health Minister Nina Warken signaling a critical review of services.