Cost targets and cost containment measures

Per capita healthcare costs continue to rise at rates that by far outstrip the cost of living and wage growth. As a result, an increasing number of insured persons find themselves struggling to pay their monthly premiums. At the same time, many cantons are increasingly withdrawing from the premium reduction system in an attempt to make savings. That is why CSS welcomes the now intense discussion, first launched back in 2017, on suitable measures for reining in costs within the mandatory healthcare insurance (OKP) system. To this end, it mainly actively supports the introduction of a uniform system of financing for outpatient and inpatient services (EFAS), the rapid revision of central tariff structures such as TARDOC and LOA, and the wider spread of digitally supported, integrated care.

These three key reforms could be accompanied by further measures from the Federal Council's cost-containment packages, such as the introduction of an outpatient tariff agency, the right of health insurers to appeal against hospital planning, and new approaches to medicine prices. If these measures don't have the desired effect, it would make sense to set binding targets for OKP growth in order to keep future cost growth in check and make it measurable in qualitative terms. Bindings targets of this kind could serve as benchmarks for all future cost containment measures, thus making the latter both measurable and manageable. A binding target would put pressure on the stakeholders (federal government, tariff partners) to increase efficiency and quality and to reduce volumes and/or prices – e.g. to limit non-necessary services or to carry out services more efficiently while providing the same or better quality. In addition, they would strengthen the tariff partnership by increasing the pressure on tariff partners to enter into agreements that place greater emphasis on cost-effectiveness, thus reining in cost growth.

However, when formulating such cost targets, attention must be paid as far as possible to their feasibility and political acceptance (e.g. transitional periods, phased introduction, etc.). The periodicity of the cost targets is another question that arises regarding feasibility. Cost targets that are valid for more than one year are easier to achieve.

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