Hospital.Help

Berlin – The Federal Council wants to achieve a significant reduction in bureaucracy in statutory health insurance (GKV). A corresponding resolution was passed today by the state chamber.

The resolution states that a reduction in bureaucracy in the statutory health insurance system is urgently needed in order to achieve noticeable relief for hospitals, doctors, medical and medical aid providers, pharmacies, health insurance companies as well as for citizens, businesses and administration. This requires “many small steps and the greatest possible digitization of administrative processes”.

It is emphasized that the process initiated by the Federal Ministry of Health (BMG) with the “Key points paper on reducing bureaucracy in the healthcare system” is expressly supported by the federal states. The Federal Council calls on the Federal Government to take immediate implementation steps.

The resolution contains various tips and suggestions for reducing bureaucracy. For example, electronic signatures should be generally accepted in healthcare, thereby preventing media disruptions. The collection and transmission of data as well as the sending of information letters should also be carried out exclusively electronically.

The process of data reporting for risk structure adjustment (Morbi-RSA) could also be simplified. The procedure for checking the legality of the data reported by the health insurance companies as part of the risk structure adjustment is currently associated with an excessively high administrative burden for both the Federal Office for Social Security (BAS) and the health insurance companies and must be streamlined.

A reform of the Morbi-RSA came about with the Fairer Fund Competition Act (GKV-FKG) from 2019. Among other things, the law was intended to improve the possible manipulation of RSA data reports. Some types of health insurance companies have benefited from this in the past, but the balance between the health insurance companies should now have been established. This was most recently shown in a report by the Federal Office for Social Security in May 2024. © aha/aerzteblatt.de