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Berset caught off guard Spitex with a reduction of the maintenance contributions

Shortly before the summer break, health Minister Alain Berset the home care services and the health insurance funds, thickness Post. With a regulation the Dep

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Berset caught off guard Spitex with a reduction of the maintenance contributions

Shortly before the summer break, health Minister Alain Berset the home care services and the health insurance funds, thickness Post. With a regulation the Department has determined this week the cash contributions to the care new. The insurer will have to increase from next year, their contributions to patients in nursing homes by 6.7 percent, to pay in return, but 3.6 percent less home care services-care at home. The bottom line is more cost of 83 million Swiss francs per year of the funds, the Spitex services, failures of 32 million are threatened, while the cash increase contributions to the home care 115 million.

this redistribution exercise is Justified by a cost balance sheet, the created Bersets Department last year. The political objective set in the introduction of the new care financing in 2011 was that the cost-participation of the mandatory health insurance for nursing homes as for the home care remains stable. The Review showed, however, that the nursing homes of the funds received annually 115 million Swiss francs is too little, the ambulatory care services 32 million too much.

cantons: "Strange Signal"

Indeed, could be to warn the Spitex services in July 2018 published balance pre. However, since the financing of care is subject to a court order for the payment of maintenance material, a total review, not expecting the actors with an isolated collective correction. The Federal administrative court had decided in 2017, the cost of maintenance material, such as associations, hoses, and devices shall be provided to the health insurance funds separately in the invoice.

under pressure from the Parliament Bersets Department is now preparing a change in the law that allows for the calculation of the maintenance material to the funds again. Similarly, Berset checks, whether the Fund will be adjusted contributions for the care of the rising cost of care. Due to these open questions of financing, the cantons would not have expected that Bersets Department Michael Jordi, General Secretary of the conference of cantonal health Directors said the Spitex contributions effectively soon. The Department will send a "strange Signal". Properly, it would be to Fund the outpatient and inpatient services finally, although in the care sector.

To be able to look forward to the cantons, because you will be relieved under the dash to 83 million per year. Bersets the Department assumes, therefore, that the cantons pay in the case of the Spitex costs. If the cantons of the failures from the 1. January 2020 to take, however, is open. At least according to the law, the cantons and the municipalities have to bear the uncovered residual costs for outpatient and inpatient care.

"A slap in the face"

However, each Canton has the rest of the cost of acquisition differently regulated, in part, the municipalities are responsible. All the cantons have settled by the end of the year, who pays for the cuts in home health care, is therefore rather unlikely. "The contribution reduction is a slap in the face of the Nursing professionals that provide as a freelance or in a nursing service, day in and day out the much-needed care services," says Yvonne Ribi from the professional Association of nursing professionals. In outpatient care, it was already with the applicable Fund contributions is hardly possible any more to cover our costs. This Situation will only get worse now. "The Department adopted just before the summer break, while the indirect counter-proposal to care initiative in the consultation process and the care of material is not always paid."

The Association of home care, the procedure Bersets finds irritating. The reduction reflected the intention to serve the people as much as possible at home instead of in a nursing home to speak to Marianne, Pfister, managing Director of Spitex Switzerland says. Incomprehensible was that the Department had taken the decision in isolation, rather than an overall analysis of the financing of the outpatient care.

The health insurance Association Santé-suisse don't understand, however, why the premium payers the extra cost of 83 million to be passed – especially the patient more would be charged, such as speaker Matthias Müller says.

(editing Tamedia)

Created: 05.07.2019, 22:16 PM

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