General overhaul of the DRG system| Bibliomed Manager

The DRG system has many friends Financing and structural reform are interrelated. But what can be done if the countries do not follow them? The focus is on per-case flat rates. Even though the Institute for the Remuneration System in Hospitals (InEK) adjusts the DRG system annually, the deficiencies remain clearly visible. Hospitals are sometimes penalized for good medicine, for example by charging more minutes of ventilation. The false incentives have attracted harsh criticism from the medical profession, the health insurance funds and politicians. "Same price for same performance - this is the biggest nonsense that has been trumpeted around the world for 15 years. Some people earn stupidly and stupidly - others are left behind," judges Stefan Wöhrmann, head of hospital department of the Association of Statutory Health Insurance Funds (VDEK). Hospitals that feel disadvantaged are also speaking out more and more loudly. However, one quite remarkable finding of recent months is that hardly anyone in the scene would like to completely abolish the DRG system. Bernhard Ziegler, head of the Interessenverband Kommunaler Krankenhäuser (IVKK), is the most radical of all: "The DRGs are not basically good or bad, they are like kitchen knives: they are good for peeling potatoes, but if I stab my neighbor with them, they are bad. The list of false incentives is long. "The incentive to increase the volume in the DRG system cannot be argued away, and the question of how to finance reproaches cannot be solved through DRGs," says Ziegler. But he also concedes that there must be competition for quality and that something similar to a DRG system could certainly continue to exist. Here, too, there is a bunch of half-baked ideas. Translated from German - Read more at: - More updates and useful links can be found in our blog at:

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Verrechnungsverbot Gegen Rechnungskorrektur

Derzeit handeln GKV und DKG ein neues Prüfverfahren für die Abrechnungsprüfung aus. Das Verrechnungsverbot der Kassen könnte ebenso aufgehoben werden wie das Verbot der Rechnungskorrektur für Kliniken. Weiterlesen auf -

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Extension of the lower limits for nursing staff (in German)

Berlin – Die Deutsche Krankenhausgesellschaft (DKG) kritisiert die geplante Ausweitung der Pflegepersonaluntergrenzen (PPUG) auf weitere Fachrichtungen. Das wiederum stößt auf Unverständnis bei den Krankenkassen. Gestern war bekannt geworden, dass das Bundesministerium für Gesundheit (BMG) ab Januar 2021 PPUG in vier weiteren stationären Bereichen einführen will: der Inneren Medizin, der Allgemeinen Chirurgie, der Pädiatrie und der pädiatrischen Intensivmedizin. Read more at -

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Call against the DRG system (in German)

Hospital financing Call against the DRG system The initiative "hospital instead of factory", ver.di and other organizations plead in an appeal for the abolishment of the hospital financing over flat-rate payments. Krankenhausfinanzierung Aufruf gegen das DRG-System Die Initiative »Krankenhaus statt Fabrik«, ver.di und andere Organisationen plädieren in einem Appell für die Abschaffung der Krankenhausfinanzierung über Fallpauschalen. — Read on

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PWC German Clinic Benchmark 2020/ in German

The gap between public and private clinics in Germany is becoming ever wider in terms of their financial situation. One reason for this is the different levels of investment. Especially in terms of cost coverage and liquidity, public hospitals perform significantly worse than private and non-profit hospitals. However, subsequent invoice corrections by the Medical Service of the Health Insurance Funds (MDK) are also causing increasing concern for hospital management. Read on-

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