Overview

• KBV chief Andreas Gassen outlined an optional annual Facharzttarif costing about €200 to €350 that would allow insured patients to visit specialists without a referral or digital triage.
• Gassen argued that GP gatekeeping can suit older and chronically ill patients but is not necessary for everyone, noting younger people often view the GP detour as unnecessary.
• The Union–SPD coalition intends to introduce a binding model in which patients first visit a GP who arranges specialist appointments within a set timeframe.
• Health Minister Nina Warken said discussions will include possible charges for direct specialist treatment.
• The KBV frames its proposal as preserving patient choice by letting those who pay keep direct specialist access.