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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The contracts must specify the type, content and extent of the general nursing services, which the nursing facility is obliged to provide and for which it is entitled to receive remuneration from the nursing insurers contracted nursing institutes are also entitled to state investment funding. The DRG system has been binding for all hospitals, except for psychiatry, psychosomatic and psychotherapy here arzneimittelpreisvedordnung departmental rates apply since 1st January The subsidization model [ 1 ].

By thus relieving the burden on the state, they are in turn granted substantial say in health policy, and also represent the interests of their members and implement government regulation.

The German healthcare system

However, this right only extends to medicines that are, firstly, only available on prescription and, secondly, not expressly excluded in SHI service catalogue. Sincepsychotherapists can also apply for the status of SHI-approved physicians, if they are members of the applicable association of statutory health insurance physicians and participate in the SHI fee distribution system see below. 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 StrokeAcute myocardial infarction8 Femur fractureMalignant neoplasm of lung and bronchus9 Perineal tear during birthCerebral injury10 Atrial flutter and fibrillationAtrial flutter and fibrillationUnlike the statutory health insurers, private health insurers do not have a contractual obligation to accept applicants.


This board in turn elects a board of directors, which represents the health insurance companies in the public sphere [ 12 ]. In joint self-administration with the state associations of the SHI and the private health insurers, they reach framework decisions for the negotiation of overall budgets and the daily rate for patient care, as well as for hospital planning.

Ambulatory nursing facilities include welfare centers arzneimittelpreksverordnung a multitude of different, cooperating professions under one roof nursing staff, social workers, occupational therapists, family therapists and private nursing care services arzneimittelpreisverordnunb owned by individuals.

Nursing care premiums are calculated based on income and are paid jointly by members and their employers. The aim of this article was to give an overview about the German healthcare system and gain an understanding of its complexity and principles of organization.

A prerequisite is that adequate treatment is only possible if the hospital physician in question is authorized to provide outpatient treatment. The nursing insurance system employs a system of general revenue and cost sharing, which is implemented by the German Federal Social Insurance Office.

A SHI insuree is free to seek treatment in any SHI-approved hospital, regardless of whether it is specified in the hospital plan. In this scheme, the insuree, not the insurance company, is the contractual partner of the individual health service providers.

Cooperation in the form of joint self-administration with health insurers is compulsory for the associations. These self-administration committees report to the state.


SHI insurees are entitled to the provision of medically necessary drugs. 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.

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Open in a separate window. The private health insurer provides the insuree with cash benefits, in the form of reimbursements for medical treatment arzneimittelpreisverordbung.


An applicant must consent to the assessment and has to meet certain criteria to qualify for nursing care. Basic principles of social rights are used as the framework for ensuring social security in cases of illness, and must be followed by both the health insurance companies and health service providers.

Arzneimittel-Festbeträge – GKV-Spitzenverband

They can also demand additional risk premiums or exclude particular services from the contract with arzneimittelpreisberordnung exceptions. 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. Within the SHI system, the insuree can choose between various health insurance companies and has also been free to switch between funds since In addition to the lump-sum compensation, services that the state believes require special promotion e.

Contracts are generally concluded for an indefinite period and any increase in fees must be clearly justified. In contrast, hospitals must apply to the government for funding of larger investment measures, such as new buildings or renovation. Each hospital has physician, nursing and business administration teams, which are headed by a medical director, director of nursing, business director, respectively, who together comprise the hospital management.

For instance, the nursing facilities ambulatory, partial inpatient, or full inpatient arzneimittelpreisvsrordnung be managed by a qualified nursing specialist, guarantee performance-oriented and cost-efficient nursing care, have a proven in-house quality management system and meet specified staffing prerequisites. Additionally, private health insurers are in principle not allowed to terminate contracts that serve to fulfill the obligation of compulsory insurance.

Additionally, every nursing facility has to conclude a nursing contract with each nursing recipient.