Health and Care Reforms: Spahn sees many things

Thursday, 01.03.18 , written by Annabell Meyer If the members of the SPD vote in favor of the grand coalition, Jens Spahn (CDU) is likely to be responsible for health and care. Its tasks include curbing the skills shortage in nursing and reducing the differences between statutory and private health 

 Reformen bei Gesundheit und Pflege: Auf Spahn wartet viel Arbeit

The GroKo plans many changes in health and care

  • The SPD and Union envisage some changes in the coalition agreement to address existing health and care issues.
  • There are a number of challenges awaiting the designated Minister of Health Jens Spahn.
  • Its core tasks include, for example, a stronger alignment of statutory and private health insurance.

Particularly in terms of care, a lot has changed in recent years under the previous Minister of Health, Herrmann Gröhe. But the CDU politician leaves his designated successor Jens Spahn some difficult tasks. In addition to the creation of more foster homes and a better pay for nurses, this includes, among other things, a greater alignment of statutory and private health insurance. A major challenge for Spahn is to bring together the different interests in the health and care sector in the best possible way .

Nursing improvements: Spahn supports GroKo plans

The Minister of Health Gröhe has initiated a comprehensive care reform with the Nursing Legislation, which has brought numerous improvements, especially for those in need of care. The controversial Nursing Profession Act is also intended to polish up the reputation of the nursing profession.

In addition, the SPD and the Union have stated in the coalition agreement to create around 8,000 new nursing care posts and to pay nurses faster in the future according to the collective agreement. In front of the editorial network Germany, the designated Health Minister Spahn explains: “We will increase the training capacities, improve the pay and the collective bargaining coverage in the care.”

How these projects are financed, however, is not fully understood. It also seems unclear how the newly created posts can be filled. Already, fewer and fewer people are choosing to take on a nursing profession. Whether the intended appreciation of the nursing profession can counteract here remains to be seen.

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Adjustment of fees: Do doctors get more money for health insurance patients?

Citizens’ insurance could not enforce the SPD in the coalition negotiations. Nevertheless, the Union and the SPD have agreed to reduce the differences in treatment between private and public health patients in the future. Among other things, this includes a possible reform of the doctors’ fees. Currently, physicians receive more money for the treatment of privately insured persons than for legally insured persons, which results in preferential treatment. This could change with the new Health Minister Spahn. “We must also, as agreed in the coalition agreement, talk about the compensation of doctors for health insurance patients, ” he tells the editorial network.

In order to reassure citizens of the dual system of health insurance, GroKo also plans to finance the contributions to the statutory health insurance (GKV) on an equal footing in the future and to counteract the shortage of doctors in rural areas. In addition, Spahn wants to ensure that there are no longer any differences in appointments in the future. “Privately and legally insured must be able to get a doctor’s appointment in the near future,” he emphasizes. For self-employed persons, the coalition agreement also provides for a lower minimum contribution to statutory health insurance.

Health insurance contributions vary greatly

Even if the employer participates in the overall contribution to the statutory health insurance in future, the costs continue to differ significantly. In order to find a cheap yet powerful cash register, it is therefore advisable to contrast different offers.

Private health insurance: insurers hope for reforms

In the private health insurance (PKV) could also be imminent changes with the new federal government. Similar to many insured, the increasing contributions as well as the lack of flexibility in old age are a major criticism of private health protection for Spahn. “Once you commit yourself, changing in later years is harder than a divorce. Anyone who has to pay more and more contributions certainly comes to their pondering age, “says Spahn. In his eyes , the PKV therefore “massive need for reform” .

That’s exactly what some private insurers hope for. In order to avoid large jumps in contributions in old age, the companies want to adjust the cost of insurance coverage by means of a change in legislation in the future uniform, said the chairman of the private health insurance association, Uwe Laue, the Süddeutsche Zeitung. The association has been aiming for such a change for several years, but so far without result.

Here you will find tips and further information on the statutory health insurance. >

Annabell Meyer

editorial staff

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