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Warken Weighs Practice Fee or Bonuses for Primary-Care Reform as Commission Starts Work

The push responds to a looming multibillion-euro gap in statutory insurance finances.

Overview

  • To steer patients through GPs before specialist visits, the health minister is considering either a fee for direct specialist access or a year-end bonus for those who use referrals.
  • She rejected a blanket per-visit charge and a special tariff for bypassing GPs, arguing she does not want to deter people from seeing a doctor or create inequities.
  • A new commission will deliver initial, quickly implementable proposals by March 2026 to stabilize contribution rates to statutory health insurance.
  • Raising prescription co-payments, unchanged since 2004, is under review with employers suggesting increases to up to €15, while the GKV federation urges prioritizing structural savings first.
  • Parallel steps include expanding pharmacy authority to administer all inactivated vaccinations, improving the electronic patient record’s usability, and evaluating technical flaws in the cannabis law.