Faster appointments, more consultation hours, better services for statutorily insured patientsPatients are to receive doctor's appointments more quickly, health insurance services and care are to be improved. These are the goals of the "Act for Faster Appointments and Better Care" (Appointment Service and Care Act, TSVG), which was passed on 11. May 2019 in effect.
The core of the law is the expansion of appointment service centers. They are to become central contact points for patients and be available 24 hours a day, 7 days a week. At the same time, the minimum number of consultations offered by contracted physicians will be increased. In underserved areas, the associations of SHI-accredited physicians must open their own practices or offer alternative care in the future.
Furthermore, the scope of services provided by statutory health insurance will be expanded to include additional offerings. Health insurers will be required to offer electronic patient records for their insured patients by 2021 at the latest.
What you should know about the appointment service law
As a legally insured person, can I now get a doctor's appointment faster? Will insurers pay for more services as a result of the new law? Federal Health Minister Jens Spahn answers the five most frequently asked questions about the Appointment Service and Care Act.
On the arrangements in detail:
Patients to get appointments faster
Appointment service centers will be established by 1.1.2020 to evolve into service sites for ambulatory care and emergencies:
Also appointment mediation to family doctors and pediatricians and support in finding family doctors, pediatricians and adolescents who provide permanent care;
4-week period also applies to the arrangement of scheduled preventive medical examinations for children (U examinations);
Via nationwide uniform emergency service number (116117) no later than 1. January 2020 available 24 hours a day, seven days a week (24/7);
In acute cases, patients are seen no later than 1. January 2020 also mediated during office hours to doctors' offices or emergency rooms or even hospitals;
waiting time for psychotherapeutic acute treatment must not exceed 2 weeks;
Online offer on appointment service points (so that appointments can be made not only by phone, but also online or via app);
The National Association of Statutory Health Insurance Physicians (Kassenarztliche Bundesvereinigung) regulates the details of uniform implementation by the associations of statutory health insurance physicians. Specialist groups of primary care physicians. Care close to home (e.g.B.B. Conservative ophthalmologists, gynecologists, ENT physicians) must offer at least 5 hours per week as an open consultation hour (without prior appointment); partners in the federal management contract agree by 31 December 2009 on the use of cryopreservation. August 2019 Details;
The associations of SHI-accredited physicians will in future check compliance with the care orders, including the minimum consultation hours, on a uniform nationwide basis.
Physicians are better compensated for additional services
Extrabudgetary payment, surcharges, de-budgeting or better funding for:
Successful mediation of an urgent specialist appointment by a primary care physician (surcharge of at least 10 euros from the 1. September 2019);
(Acute) services for patients referred by the appointment service center (extrabudgetary reimbursement for all services in the treatment case and in the quarter, as well as from the 1. September 2019 additional surcharges staggered according to waiting time for treatment);
services for new patients in the practice (extrabudgetary reimbursement for all services in the treatment case and quarter);
Services provided during open office hours (extrabudgetary reimbursement for all services in the treatment case and quarter);
Services for patients taken over after an appointment has been made by a general practitioner (extrabudgetary reimbursement for all services in the treatment case and in the quarter).
Medical care in rural areas to be improved
Mandatory regional surcharges For rural physicians;
Structural funds of KVs will be mandatory and doubled to up to 0.2 percent of total reimbursement; purposes of use expanded (e.B. also for investment costs in the case of practice takeovers, etc.);
KVs are obliged to set up their own practices in underserved areas (own facilities) or offer mobile and telemedicine care alternatives when there are too few physicians;
Countries can determine whether existing Admission freezes For establishment in rural or structurally weak areas, if applicable. can be omitted.
More services and better care
Tenders for Aids (z.B. Incontinence and walking aids) will be abolished. This ensures that there is no reduction in the quality of the supply of medical aids.
For the Remedies providers the prices for therapists' services will be reduced on 1. July 2019 will be aligned at the highest level nationwide. The fee development is decoupled from the basic wage sum. Allows for higher fee increases than before. In addition, there will be uniform contracts nationwide, the conditions for therapists to access care will be improved, and therapists will be able to make more independent decisions about patient treatment (so-called. "blank prescription"). Corresponding contracts are to be signed by 15. November 2020 to close.
For young adults who are diagnosed with cancer, the cost of the Cryopreservation covered by the statutory health insurance funds. Through the preservation of germ cell tie, eggs and sperm cells, this group of patients can still have children after cancer treatment.
Drugs to prevent infection with the HI virus ("Pre-exposure prophylaxis, PrEP") are covered by the statutory health insurance funds for people with an increased risk of infection.
The provision of vaccines will be improved. Eliminates the option for exclusive contracts with individual manufacturers for seasonal influenza vaccines. Pharmacy reimbursement for these vaccines will be revamped. Assistance with household management. Home care services such as z.B.B. Have conversations, provide memory enhancing activities, accompany us on walks, etc.) are approved for the provision of services in kind in outpatient care. This improves care at home because more professionals are available to provide care.
The supply of Midwives is improved. The GKV-Spitzenverband is given the task of offering insured persons a search directory on the Internet (and via app) for contact data and the range of services offered by midwives. Former midwives and maternity nurses will find it easier to return to their profession. Hospitals receive support to provide their midwives with suitable child care.
The Fixed allowances for dentures will start to develop from the 1. October 2020 increased from 50 to 60 percent of standard care costs. This will relieve the financial burden on insured persons who are dependent on dental prosthesis care.
More digitalization in care
Patients want easy, safe and fast access to their treatment data. For this electronic patient file become a daily routine. It also improves medical care. That's why we are obliging health insurers to offer their insureds such files by 2021 at the latest. Those who want to should be able to access medical data with a smartphone or tablet even without using the electronic health card.