16 KVs protest against special medical care

Berlin - 16 Statutory Health Insurance Physicians' Associations (KVen) have drawn up joint position paper against the planned specialist medical care, as stipulated in the draft for the Supply Act in Section 116 b of the fifth social code. The KVen Baden-Württemberg, Bavaria, Brandenburg, Bremen, Hamburg, Hesse, Mecklenburg-Western Pomerania, Lower Saxony, Rhineland-Palatinate, Saarland, Saxony, Saxony-Anhalt, Schleswig-Holstein, Thuringia, North Rhine and Westphalia-Lippe all reject the position paper the planned regulations and request corrections to the draft law.

In detail, they

• demand quarterly transfer reservation by contract doctors
• the mandatory inclusion of cooperation agreements
• quality assurance by the KVen
• The same quality standards in both sectors, namely personal provision of services while maintaining the specialist standard.
• Invoicing via the KVen
• Individual service remuneration with the same remuneration for medical work in both sectors without Quantity limit
• no adjustment of the morbidity-oriented total remuneration per insured person at the KVen
• the replacement of the regulatory requirements intended for the Federal Joint Committee with tripartite contracts between those involved in the specialist medical care
• the limitation to rare diseases (five diseases per million inhabitants) and proven supply deficits
• the involvement of the statutory health insurance physician unions to clarify need for security

According to the KVen, the intention of the legislature to overcome the sectors could turn into its opposite without these corrections. The new specialist medical care level would then bring new interface and transition problems.

The KVs have sent their joint demands to Federal Health Minister Daniel Bahr (FDP) and, for information, to the members of the Bundestag Health Committee. They also informed the health ministers of the 15 federal states. At the end of June, the (MB) had already turned against transfer reservation for specialist medical care. "The whole approach of the planned outpatient specialized medical care only makes sense if it achieves better, cross-sectoral interlinking of specialist medical services," said the first chairman of the MB, Rudolf Henke. This includes, among other things, that patients are free to choose their doctors.