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CSS Insurance

TARMED revision

CSS considers the complete overhaul of TARMED, which is being conducted by the tariff partners, to be necessary. In some instances, the existing TARMED tariff structure no longer reflects individual services in a way that corresponds to the medico-technical or economic realities of service provision. This leads to false incentives in the behaviour of service providers, which has negative consequences for both the cost efficiency and quality of service provision. In addition, the Federal Council previously intervened in the tariff structure in 2014 to improve the situation of the basic care providers (redistribution). The foremost priority of any revision by the partners must be the appropriate restructuring of TARMED using evidence and data-based practices. This includes both making the necessary adjustments to the underlying cost models to bring them into line with current practice models, and modifying the intrinsic values. In addition, ways of further simplifying and aggregating the tariff structure and of adapting the minute values to modern circumstances must be looked into. CSS supports the professional tariff office ats-tms AG as a crucial factor in the complete overhaul and subsequent maintenance of the tariff structure. CSS plays an active role in the necessary preparations through its involvement in curafutura. As the partners in this process have not yet been able to reach agreement on a tariff structure, the Federal Council has made use of its subsidiary powers. CSS welcomes this intervention by the Federal Council, which should achieve cost savings of CHF 470 million. However, an approach based on partnership must be adopted in the long term.