Innovation in European healthcare – what can Sweden learn? - LIF

The key players all face challenges in the current
health care system
The federal
state
The federal state must contain the expenditure of the SHI:s and therefore the ancillary wage costs
Through the different legislations this was achieved: In the end of 2012 the GKV and the
Gesundheitsfonds together had financial reserves of around 23,5 bn €
The federal state must contain the possibility to get care in all parts of Germany, also in rarely
populated areas (inpatient and outpatient care)
Implementation of innovations into the health care sector is an on-going discussion topic
SHI (Die
Krankenkassen)
The Health Care
Providers
From 2009 and onward the central government has set the contribution %age nationwide (15,5%) -
contributions then have to be paid into a new health funds, and SHI will get money through the
health funds leading to mergers between SHI funds. (First examples: merger between TK und IKK
direkt; KKH and Allianz BKK -> seen for the first time in Germany)
The new additional contributions directly from the insurees, if an SHI-fund does not get enough
money from the health funds, lead to massive loss of insurees (example DAK), because insured
persons have the right to change SHI funds, when additional contributions apply; this has led to a
very cautious, risk-avoiding financial policy of all SHI funds
It is crucial for the hospitals to adapt to the DRG system in a profitable way
Price and cost development do not match – costs are growing faster than the prices
Pharmaceutical companies have to adopt their business strategy to new rules for innovative drugs
MedTech companies complain about the time gap before an innovation is properly paid within the
SHI
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