In , people were employed in pharmaceutical-producing companies . in the Pharmaceutical Price Ordinance ( Arzneimittelpreisverordnung). Seit sinkt die Zahl der Apotheken in Deutschland. Filialstruktur 05 . in der Arzneimittelpreisverordnung leicht angepasst. Index ( = ). wird in Deutschland durch die Arzneimittelpreisverordnung reguliert. and debt crisis, in particular in the second half of and

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Ambulatory nursing facilities include welfare centers with a multitude of different, cooperating professions under one roof nursing staff, social workers, occupational therapists, family therapists and private nursing care services usually owned by individuals. In return, after a multistep auditing process, the association remunerates the physician as a proportion of the lump-sum compensation paid by arzneimittelpreisverordnnung health insurer.

Women Men 1 Live births according to place of birthMental and behavioral disorders due to alcohol2 Heart failureLive births according to place of birth3 Malignant neoplasm of the breast [mammary]Angina pectoris4 CholelithiasisHeart failure5 Essential primary hypertensionHernia inguinalis6 Gonarthrosis [knee osteoarthritis]Chronic ischemic heart disease7 Stroke arzneimittelpreisverordnugn, Acute myocardial infarction8 Femur fractureMalignant neoplasm of lung and bronchus9 Perineal tear during birthCerebral injury10 Atrial flutter and fibrillationAtrial flutter and fibrillationBoth the state and federal associations are financed by member contributions, which are deducted by the associations for each SHI physician from the lump sum compensation paid by the health insurers [ 127910 ].

Number of hospitals and hospital beds [ 8 ]. The states also directly fund healthcare facilities, such as the arnzeimittelpreisverordnung clinics and state psychiatric hospitals.

Additionally, private health insurers are in principle not allowed to terminate contracts that arzneimittelpeeisverordnung to fulfill the obligation of compulsory insurance. Under certain conditions, hospitals can also treat patients on an outpatient basis.

For example, the social nursing insurance company remunerates the nursing services and pays the nursing allowance in cases of long-term care, the statutory health insurance company covers home nursing and domestic assistance, public funding covers social welfare services and investment funding at state level, while private households cover all other costs. Other contributors include the private health insurers, private households including quarterly copayments and deductiblesemployers and public funding e.


The premiums collected by the public and private health and nursing insurance companies, on the other hand, are employed for direct healthcare services, such as the remuneration of service providers e.

Thus, the emphasis is on keeping premiums stable and any increase in costs in arzneinittelpreisverordnung area results in a reduction of services elsewhere. Once a hospital is included in the hospital plan, it is SHI-approved and obliged to provide treatment to SHI insurees in the case of university clinics, registration in the university directory is considered equivalent.

Arzneimittel-Festbeträge – GKV-Spitzenverband

In return for assuming responsibility for the service guarantee contract, the SHI-approved hospitals have a right to remuneration from the health insurance companies for the services provided, as well as public investment funding from the state government. A main feature of the statutory health insurance scheme is social reconciliation Solidarausgleichwhich is expressed in two main ways: If the existing provisions do not meet the requirements, additional hospitals are included in the needs assessment.

National Center for Biotechnology InformationU. This includes negotiating contracts and remuneration packages with the state health insurance associations. The compensation is initially paid as a preliminary installment the physician receives the remaining proportion once all SHI-services in the individual health planning district have been settled.

Hospitals not in the hospital plan have to individually negotiate a service provision contract with the state associations of statutory health insurers in order to be authorized to treat SHI insurees SHI-approved hospitals. In turn, these contractually obligate healthcare providers and facilities to deliver the services. Only in extremely serious diseases and under strict conditions can non-prescription medicines be prescribed for coverage by the statutory health insurance company.

The health insurers arsneimittelpreisverordnung contractually obliged to negotiate a budget and a nursing care allowance with each hospital in the hospital plan.

The person requiring nursing care submits an application for services to the nursing care insurer, which in turn instructs the review board to assess the type and extent of nursing care required.

The hospital system has a joint self-administration structure.

The German healthcare system

Funding of the German healthcare system as compared with international standards in percent of gross domestic product [ 114 ]. The premiums are subject to the same income thresholds as for statutory health insurance and family members are also insured for free. The associations also represent the interests of the SHI physicians in the public sphere and have input in important health policy decisions at state level. Some hospitals employ a chief executive officer, who carries the overall responsibility for the hospital.



The associations of SHI physicians 17 in total assume state duties as statutory corporations, but at the same time also represent the interests of the SHI physicians.

To improve the control of medicine sales and distribution, set prices were defined for some SHI-covered medicines, which are remunerated in full by the health insurance companies. Only after this time can other manufacturers distribute the medicine as generic product.

The 10 most frequent inpatient diagnoses in Germany in [ 6 ]. In paying this amount, the service guarantee contract Sicherstellungsauftrag can hereby also be understood to have passed from the health insurers to the association of SHI physicians. Nursing insurance encompasses and organizes the tasks of the ambulatory and nursing treatment.

The German healthcare system

As part of the health risk portfolio process, the applicant has to release physicians and any other involved healthcare workers from their non-disclosure agreements.

Nursing insurers are required to negotiate service provision contracts with the funding bodies of nursing facilities. If the terms of the contract are repeatedly violated, the service provision contract can be cancelled by the nursing insurer with immediate effect.

If higher prices are demanded e. Over-the-counter medicines can be sold in grocery and drug stores, as well as in pharmacies.

For billing of private insurees, the applicable SHI fee schedule is taken as a starting point, and this amount can then be multiplied by a factor of up to 3.