Was the reform of the Krankenhaus brought – the most important fragments and answers

There have been major changes since 240 days since the health care reform in Germany, the Bundestag am Donnerstag mit der Mehrheit der Ampel-Koalition beabschiedete. Federal Minister Karl Lauterbach (SPD) announced the major reform in 20 years.

The coalition started a project for two years, the Ampel faction will not last another 50 years. The Bundesrat is the new regulation that does not provide immunological protection, but can counteract the vermittlungssausschuss.

Die Ziele: weniger Finanzdruck und meer Spezialisierung bij komplizierteren Eingriffen. There is no indefinite time when the prize is not so great. Was the Grossoperation für die Patientinnen und Patients bedeutet?

Is the question a reform at all?

Deutschland has the expertise of nachbarländern experts in the Vale Kliniken. There is a big problem: financial debts, personal debts, a trio of 480,000 Betten are no longer financed by the Health Ministry.

Lauterbach sees the reform as a notorious one: the Clinical Insolvency Clinics, their treatment and their further development. It is clear that Deutschland does not have the average price and does not have a personal amount for 1,700 Krankenhäuser. If you do that, it is possible that your home will have a balanced economic foundation.

Welche Fehlanreize gibt es bisher?

Aktuell bekommen Kliniken pro Patient or Behandlungsfall een pauschalen Euro-Betrag (Fallpauschale). If Lauterbach is played with a “Hamsterrad effect”, it may be that more actions have been performed in the most favorable manner in which machines have been performed, or that Anreize has undergone his unnoticed actions. If the knee prosthesis is used, it probably won’t be like that.

© dpa/Bernd von Jutrczenka

It is worth taking a risk, while the Clinics no longer extend care for the treatment of the disease, or vermeintlich few lucrative medical treatments.

Who would have done this?

For 20 years there has been a processing system of the autumn scales on which the legend is based. Künftig soll is een phenomenal Sockel van 60 Prozent der Vergütung schon allein dafür geben, dass Kliniken een Grundausstattung mit Personal und Geräten für bestimmte Leistungen vorhalten, unabhängig von der Zahl der Fälle.

The Feuerwehr was never again considered once the Commission’s argument, the Vorschläge for the Reformation, arose. Additional care has been taken for the care of children with pediatric health care, emergency care, intensive and emergency medicine, special care facilities and emergency care.

Was this the same with the treatment quality?

The new Fix-Vergütung is a clinic for the “Leistungsgruppen” that comes to the Zuwe Land. If you look at the Medizinische Leistungen, and you will earn a lot of prizes if you want to use the factory settings. Ausgangspunkt sollen 65 Gruppen sein, the largest part of a model from North Rhine-Westphalia zurückgehen – etwa “OPs an der Wirbelsäule” or “Leukämie”.

© dpa/Frank Hammerschmidt

These are certainly jewels that have a personal and durable appearance in terms of quality. Lauterbach power wiederholt clear, the keine Abstriche zu machen. Denn dies in such a state of dismay that more and more treatments are being carried out in the clinics with special knowledge.

Were clinics closed?

That Antwort lautet Yes. In 1719, Krankenhäuser no longer became personal, many hospitals wrote rote cases and saw the financial institutions, argued Minister Lauterbach. With the help of reform will be informed by the clinicians: “If it is at the end of 20, if the patient is ill, if the care is taken better, then it is more important.”

A Reihe von Regelungen soll for all small Clinics in the region of the country helps: In the Solchen Häusern sollen Fachärzte ihre Leistungen can be treated on an outpatient basis for patients and patients.

The mancherorts weite away in a fachpraxis entfällt damit. If you use a “Sicherstellungshäuser” in the federal states, which is invisible to the Grundversorgung, the quality of the Leistungsgruppen is strengthened.

Since Finanzhilfen planted?

Das Gesetz sees Finanzspritzen vor. So the costs of the clinics are, among other things, at the rates already the Beschäftigten schon of diesem Year and not more than half term, without full of the general health insurance funds were financed.

A major walk through the new structure will become a “Transformations Fund”, from 2026 to 2035 up to 25 million euros can be flown – sofern sich Länder in jeweils glleicher Höhe. Comes with money from the middle of the general funds and – entsprechend ihrem Anteil und de Behandlungen – der privateen Krankenversicherungen.

What about the great Umbau?

I think that the Ministerium has obtained a “Effizienzgewinne and Minderausgaben” by a strong cord, a high degree of care. The annual cash flow for the clinic costs 94 billion euros. There is a war going on with the joint Leistungsausgaben.

© dpa/Thomas Frey

The greenhouse has provided a special specialization for more quality – warn of another “cost avalanche” in one of the longer financial situations. The hospitals and the states went through a short financing round, while the sick houses only went through a reform in a few years that was no longer possible.

Was monitoring Kritiker?

Before all trade unions in the Bundesländer start working with the Widerstand in the Bundesrat and the Anrufung des Vermittlung-sausschussen. If you are skeptical, you can follow the Klinikster reform in your country of origin. The costs are higher: the Clinics for the reform phase will have to work for years with a so-called Transformation Fund in a volume of 50 million euros.

Half of the Gelderland comes from the federal states, the other half ends up in the gesetzlichen Krankenkassen, the dagegen ebenfalls Sturm laufen. Lauterbach has decided that the financing of private greenhouses is no longer possible – in general and on the welchem-gesetzlichen way, nor unclear.

What’s next?

The Ampel Coalition must remain part of the reformist society, as Lauterbach points out. If the federal states make a greater effort – and abschließend by the Bundesrat muss das Gesetz noch. That is no longer the case, but this is a sister immunity issue. The Länderkammer can find itself in community with the parliament, which thus expresses itself and thus expands.

In Kraft Treten, the reform will take place on January 1, 2025. The new structure will be restructured in 2029. Vorgesehen ist, die Länder until the end of 2026 in the Clinics of the Jewels of the Leistungsgruppen zuweissen. The funding that took place in 2027 and 2028 was updated on the new system while the ministry was in place. (dpa/AFP)