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KBV Floats Paid 'Facharzttarif' to Bypass GP Referrals

The proposal offers a paid opt-out for patients under the planned GP-first system.

Overview

  • KBV chief Andreas Gassen proposed an annual 'Facharzttarif' that would let insured patients see specialists without a referral or digital triage.
  • The suggested fee range is about €200 to €350 per year, according to comments published by Redaktionsnetzwerk Deutschland.
  • Germany’s Union–SPD coalition plans a binding primary-care gatekeeping model in which GPs coordinate referrals and guarantee timely specialist appointments.
  • Gassen argued gatekeeping suits older and chronically ill patients but is unnecessary for many younger people who prefer direct access.
  • Health Minister Nina Warken said models such as charges for direct treatment will be considered, as reported by dpa and partner outlets.