For some years now, parliamentary motions have been pending that call for a unified system of funding for outpatient and inpatient care. Today, the cantons pay up to 55% of costs incurred in inpatient treatment, while health insurers cover 45% of the costs. In the case of outpatient care, on the other hand, all costs are covered by the health insurance.
Thanks to medical advances, more and more treatments can now be administered in an outpatient rather than an inpatient setting. This transfer of treatment to outpatient care is borne entirely by the payers of health insurance premiums. A unified system of funding would mean that what is essentially a desirable transfer of treatment to outpatient care would be partly financed by the cantons, i.e. the taxpayer, resulting in a parallel development of the proportions covered by taxes and premiums in the future. This would be expected to curb costs because outpatient care can be provided more cheaply and any false incentives that exist can be eliminated.
On 15 May 2018, the Social Security and Health Committee of the National Council (SSHC-N) opened the consultation on its preliminary draft for unified funding of outpatient and inpatient services. The consultation process ran until 15 September 2018.
Interpharma issued a press release on 12 September, together with various associations of insurers, pharmacies, hospitals, physicians, patients and consumers, explicitly welcoming the pragmatic consultation proposal of the SHCC-N.
The partners involved in the unified funding of outpatient and inpatient services will continue to provide constructive support for the reform process.