The German Hospital Association (DKG) predicts the closure of up to 20% of hospitals in Germany to achieve a better balance between local healthcare provision and specialization.
Federal Minister of Health, Karl Lauterbach, plans a comprehensive hospital reform that includes standardized quality criteria, modified reimbursement models, and forward funding. However, there are also skeptical voices and concerns regarding the feasibility of these reforms.
The Bavarian government advocates for a substantial increase in investment funding. Their goal is to establish an annual "billion-dollar hospital program" – for Bavaria only - as the new standard to ensure a high-performing hospital system and cope with competitive pressures.
The proposed forward funding mechanism has garnered mixed reactions. Some hospital administrators express skepticism about whether this financing approach can genuinely improve hospitals' situation. Criticisms include the complexity and potential impact on the existing Diagnosis-Related Group (DRG) system, as well as the lack of planning certainty. Experts argue for setting a lower limit on forward funding to prevent losses for large hospitals.
Overall, the German hospital system is undergoing a comprehensive transformation process involving mergers, closures, and the restructuring of smaller facilities. The planned hospital reform aims to improve hospitals' financial situation, yet concerns have been raised regarding its complexity and consequences. Increased financial support for hospitals, particularly in investment funding, is crucial to ensure a high-quality hospital care system.
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