Sunday, March 6, 2011

What Do Guy Prefer, Hollywood Or Brazilian

07.03.11

28.02.11 experts also consider income for doctors covered


doctors earn in the treatment of insured patients more money than its officials have identified with health insurance. The average net income of any medical practitioner is, according to the health insurance at 164.000 euro - the target of 105,000 euros was exceeded by far.


doctors earn in the treatment of insured patients more money than its officials have identified with health insurance. Contract doctors achieved "on average a higher net return per regular practice owners than from the Self-government partners have agreed, "says a study by the specialized health issues IGES Institute for the central association of statutory health insurance (SHI). The cash also fear that lead planned improvements to the supply of fee increases.

" If the so-called rural doctors more want to give money, then you have to redeploy within the medical profession "demands of the Vice-Chairman of the Association of Statutory Health Insurance Funds, Johann-Magnus von Stackelberg." With an average total income of all physicians from around 164,000 € is enough money in the system. It must be distributed only better. "Among those taken off the practice costs, revenue from treatment of private patients were admitted. Stackelberg stressed that they wanted to not lower the fees charged currently. "But with the motto: Always be more for the doctors, the pay, after all the contributors, has to stop!"


physicians 'association: The average working doctors 51 hours a week

Andreas Köhler, CEO of physicians' Confederation (KBV), replies that long waiting times, proved to full waiting room and the shortage of doctors, "that health insurers and doctors all must do to make the medical profession to be attractive especially in the establishment ". On average, worked Physicians 51 hours a week. "Who then speaks like that here too much is earned, threatened with a still good supply."

Stackelberg says, however, already received the doctors' fees more clearly than it has even kept the CBD as their advocacy for appropriate ". In October 2007 we have set a target of 105,000 euros, the average salary of a senior physician at the hospital. This sum will now surpassed criticized Stackelberg and refers to the term-study on the plausibility of the calculation of medical fees. The Institute finds it "clear indications that the average physician income in comparison to that in the calculation scheduled physician income is too high. "The panel doctor fee is calculated by multiplying the performance-based points with point values. The amount is negotiated between the sickness funds and the CBD. Currently the score is 3.5 cents. The CBD has a point value of 5.1 cents is economically necessary.


In the CBD to the 105,000 euros were no target, but only one of several benchmarks. why is irrelevant to the allegation. The term Institute is however to the conclusion that the income practice owners - despite a 3.5-cent "real power price, 31 percent lower than the imputed value point" - that of the self-administration of fixed income exceeding 105 572 € wide. 2007 the average net income has reached 142 000 €. Today he is, according to SHI Association at 164.000 euro. Stackelberg sees it the actions of the doctors done, the point value of 3.5 cents was too low: "With this legend, the report does finally end." (FAZ)


28.02.11 lead to higher medical fees cash contributions?


Supply Act against a lack of doctors in the country


higher medical fees lead to higher cash contributions? The Federal Health Minister planning a new Pensions Act. Country doctors will in future receive higher compensation to offset the shortage of doctors in rural areas. The health insurance companies fear the other hand, further increases in contributions.


02/28/2011 Does a fee increase for doctors more cash contributions?


The association of statutory health insurance (SHI) fears that planned by the black-yellow coalition fee increases for physicians a significant increase in insurance premiums. The federal government wants the law to supply the shortage of doctors in the country . Proceed With higher fees and premiums should be made to physicians, doctors' offices to open in rural areas. The health insurance denied the other hand, a serious shortage of rural doctors.


The statutory health insurance companies fear a further rise in insurance premiums, although it was raised only at the beginning of the contribution rate to 15.5 percent. The Federal Health Minister Philippe Rösler (FDP) is planning a new Pensions Act, to ease the shortage of doctors in the country. In essence, physicians receive a private practice with higher fees when they move to the country. Precisely the fee increase could be for Insured negative effect. Finally, the higher health costs to the Panel members will be passed on.


In an interview with "World Online", the Minister stressed that they wanted to make sure to pick up the shortage of doctors in the country. This would require incentives for doctors. Finally, we must ensure that it reflects more doctors, "said Roesler. Situation is completely different to the Federation of health insurance. Especially in cities conquer a real surplus. The physician density is so high that it is actually 25 000 doctors too much give up. On the other hand, land just missed 800 doctors instead of that of Roesler number of 20,000. A better strategy is to reallocate the fees within the medical profession, the deputy chairman John SHI-Magnus von Stackelberg told the "Frankfurter Allgemeine". "If you want the so-called rural doctors to give more money, then you have to redeploy within the medical profession." This means that the health insurance propose to reduce the fees of doctors in the cities and the rural doctors to provide higher compensation.


But the federal government wants to hear nothing of such proposals. On the contrary, instead of spending millions of dollars more are planned. "Hospitals in underserved areas are given financial incentives for when they train junior doctors in general practice", said the health minister. Parallel to the ceilings of the cash expenditures are reserved for practicing dentists. From the ranks of the coalition, it was said that this had an annual sum in the three-digit number can be applied. The news agency "dpa" is now for a similar position paper of the Federal Government. It states among other things, that doctors should receive more funding if they give up in a city with a high density of physicians in a practice and instead the Country to open a. Exact amounts are in the paper but not mentioned. Even here, however, should the funds go into the millions. In March of this year, will the black-yellow coalition negotiating within their parties on the draft Rösler. At the same time wants the Federal Minister of Health with the countries enter into negotiations.


The Health Insurance Association made it clear that the doctors have already had very high remuneration. On average, a physician in private practice earned around 169 000 € (excluding taxes, practice costs, including income from private patients and services). That means a net profit year on year by around 5000 € per Year. Overall, the health insurance companies have to pay for doctors' fees to 33.4 billion euros. They are an estimated 1.3 billion euros more than in 2010.


criticized in this regard, the Vice-Chief of the General Local Health Insurance Association of AOK, Jürgen Graalmann the unreliability of the government in terms of agreements. So this told the "Handelsblatt": ". We have to trust that the Union will reach its announcement not to burden the contributor for additional fee increases for doctors, dentists and hospitals," Now give it the pressure of the doctors lobby for, so Graal man.


There has never been so many doctors, as is now the case, warned the chairman of Federation of spare cash, Thomas ballast. In the period from 1993 to 2009 the number of doctors has risen to 104 600 137 400. Ballast demanded that doctors with a security scheme must always be treated legally insured. Recently, namely the Association of Otolaryngologists of its members had been asked to deal with fewer insured patients in order to sell more private services may.


must increase their contributions to health insurance, the insured must bear the burden on contributions itself. For the parity Principle was abolished in January in the course of the health reform. The employer's share has been frozen until further notice. (Sb) (naturopathic naturopathy &) is


1:03:11 The tale of the doctors surplus


it lobbies in many healthcare. Only the patients have no strong. Federal Health Minister Philipp Rösler (FDP) has been about a noble task. He wants to take better care to patients and their medical care after the past few years, particularly the interests of different professional groups were served.

But the task is difficult. For whatever is changed in favor of the patient, has an impact on doctors, pharmacists or nursing services. Thus, Roesler is in these days, the simple but difficult question: Do we have enough doctors for a good, close to home medical care for the population? The response of the health insurance is clear: "Germany has more doctors than are needed for good medical care," said the head of the Health Insurance Association yesterday. In Germany there are about 24,000 doctors too much. From the perspective of the cash that is one in five practice doctor is unnecessary. Many patients, for days and even weeks at a Doctor's appointment waiting to be shaken in the face of this calculation only the head.

a question of hours

fact, there is not such a great doctor surplus. Nevertheless, the bill of health insurance is theoretically correct. It is based on the planning of the Federation. This determines how many doctors per capita are expected to work in a region. Based on these figures, there are actually too many doctors in Germany. But the planning was built in 1993 and has to do with today's realities, nothing more. What is decisive is not how many doctors work in a region, but how much work the doctors.

And this show figures from the Federal Medical Council, that was the total number of hours worked in 2007 about the level of 1997. The individual doctor is working, therefore, on average only 33.2 hours per week, while ten years after 36.8 hours. The significant increase in doctor numbers was offset by increases in part-time work and total shorter working week, because young doctors put more emphasis on leisure and family.

Substituting the volume of total hours worked in relation to the significant increase in number of treated cases of illness, it appears that doctors today have even less time than before for the treatment of a patient.

remains true that the supply is regionally different. Anders than in large cities are missing in the country more and more doctors. The problem is difficult to solve because the number of young doctors is not enough to replace the doctors who go into retirement soon. It is therefore to act at the time. The health insurance companies should recognize the interests of the insured. Which it will not help if the cash will keep it low for fear of higher costs, the number of physicians. Because of illness, a doctor is more important than a low contribution rate. (Frankfurter Rundschau)


01:03:11 will win cash billion dispute over cholesterol drug


The lipid-lowering drug Lipitor by the statutory health insurance funds continue to pay only a smaller amount. This was decided by the Federal Social Court (BSG) in Kassel. The ruling relieves the statutory health insurance from a risk of costs in the billions. But have tens of thousands of patients who are taking Lipitor afford to remain a high co-payments.

background, the so-called fixed amounts in the statutory health insurance. You select a maximum amount, pay the health insurance for certain drugs or drug groups. If the price is higher, the insured must pay the difference out of pocket. The

is still patent-protected drug Lipitor Atorvastatin for Group of statins. The funds are used to lower the blood levels of the dangerous LDL cholesterol. To high LDL levels are among the main causes of cardiovascular diseases. From 2005 to statins, a fixed amount established and then lowered several times. Depending on the dosage, the additional payment for patients, by up to more than 100 € per month. Through the co-payments, the market share of Lipitor fell 50 percent (1.4 billion prescribed daily doses) in 2004 to around one percent (19.2 million days doses) 2009.

Regulations 2009 correspond to a figure of 52 600 patients. In his application, the pharmaceutical company Pfizer claimed that compared with other statins Lipitor bring for 150,000 patients in Germany therapeutic benefits. In the opinion of the SPA, the pharmaceutical company could not prove this but. The active ingredient atorvastatin was not compared with other statins beneficial, "therapeutic improvement by Lipitor has not been established, were the judges in Kassel.

This showed the SPA from the action of an affected patient. After the verdict Kassel patients in atypical cases, but still be able to apply to the health insurer exception. Pfizer announced in Berlin, not to decrease despite the BSG Case prices for Lipitor. (AFP)


02 03:11 Tips for health insurance fund or private?


Since January, consumers can easily switch to a private health insurance. But the rates are often more expensive than it seems: "financial test" has compared the performance of statutory and private providers - and shows what buyers should look for in a replacement.

fund or private? Since early 2011 more people will be spoiled for choice: employees may now back out private insurance if their income once the insurance liability limit of 49 950 € gross was. So far, their merit had three years above the limit.

But beware: the choice of insurance is often a decision for life. Back in the state insurance insured can usually only if they are as a worker with income to cover the insurance liability limit. From the age of 55 years remains the way in which public health insurance in almost all cases, blocked.

a private health insurance can have many advantages: in most rates, the higher the fees insurers pay to doctors, take over-the-counter medications, treatments by alternative practitioners and the cost to the chief doctor.

However, this has its price: The contributions are for young earners but often lower than in the statutory system, but can rise sharply over the course of life. No matter how much the insured then earned - he must pay the high fees. Once guaranteed benefits remain valid until expiry of the contract.

For social health insurance, the contribution shall, however, always according to income. Those who earn less, pay less. Non-working spouses and children are insured free of charge. But the benefits are not secure. In recent years politicians have launched a consultation fee, among other things, reduced the subsidy to dentures and deleted the reimbursement for eyeglasses and prescription drugs.

officials have private health insurance anyway - even the little policeman with low incomes. The employer pays him instead of an employer subsidy half of medical services. For the other half is on the insurer. The insured must have the performance to advance, however. As he half of the fee paid by the employee gets a private insurance for civil servants is generally very favorable.

What makes a good wage - and what it costs

employed persons generally receive no aid for medical services, and income is also not safe for all time. For them, the private is therefore a financial risk. Therefore, for them the legal insurance is usually the better choice.

a disadvantage both: Because the life expectancy and healthcare costs steadily increasing, insurers have to calculate the contributions regularly. Therefore increase the contributions. As a rule of thumb is: After 30 years, the contribution of at least tripled.

To lift to reach retirement contributions should be able to put insurance money aside each month. Those who are not civil servants and does not aid should save up a month in addition to contribution from about 150 to 250 euros. Because the contribution is even too high, usually leaving only the change to a different rate - with fewer benefits.

does not always more than the private health insurance, health insurance funds - this is true in many cases for the refund Psychotherapy, or loss of earnings for a long illness. For the dying in hospice or home care after a hospital stay, the private sector generally pay even nothing. (Mirror)


03:03:11 fees. No clauses. Rösler waived competition among dentists


Use of opening clauses in the tariff would make private health insurance with dental treatment fees and agreements which are exempt from the state guidelines. So if there is more competition. But Minister Roesler, the project has now tilted.


desired by the private health insurance clauses in the fee structure of the dentists (GOZ) is not there. The Health Minister has announced Philipp Rösler (FDP).

means of the clauses would make the private insurance companies to doctors fees and treatment contracts that deviate from the state guidelines and allowing for more competition. The President of the Federal Chamber of Dentists, Peter Engel, said that it had "reached one of our main goals." An "important and correct step," said the Federal Chamber of Dentists.


private insurance see Rösler announcement critically

The Federal Chamber of Physicians, in the reform of the GOZ provides a precursor for reform of the fee structure of the doctors schedule (), found an opening would have "a price dumping through selective agreements to ensure that the quality of reduced patient care and physician groups placed in the direct dependence of private insurance.

This saw the announcement Rösler in the "Medical Newspaper" critical. Clauses are needed, said association director Volker Leienbach. In addition, the GOZ is only one adjustment and amendment does not prejudice the fee structure for for doctors, in the face a fundamental structural reform.


expressed less satisfied the dentists on the second part of the reform. With only 6 percent fall from the fee increase is too small, complained angel. That was after 23 years of stalemate unacceptable and contrary to "the requirements of the Act and Dentistry of the coalition agreement". The higher rates of fees also take insured patients, because part of the dental services will be charged to private. The change in the GOZ must agree to the countries. (FAZ)


4:03:11 annual balance sheet. Health insurance live from Substance. The tight financial situation makes additional contributions likely


order to prevent additional contributions, many health insurance in 2010 lived on the substance. Their financial position makes it likely that they do not get along with constant transfers from the health fund with the money.


Many public health insurance in 2010 have lived on the substance to prevent additional contributions. Even in big cash as the financial situation is tense. Private plans to negotiate with the union over a contract agreement plight. Had health insurance in 2009 still a surplus of 1.1 billion euros recorded, so this is largely melted away in 2010.

This is clear from the data requested by this newspaper data of the annual accounts 2010, the gathering of the associations of health insurance currently. The spare cash register but claims to have a surplus of 212 million €. Is but an overall view of the POS system by deficits of company funds (103 million €), guild funds (70 million €) and miners (17 million €) have largely absorbed. Of the general local insurance companies, which with 24 million policy behind the statutory health insurance is the second largest group, was reported it expected a deal "to the zero line."


members of high migration affected

The tight financial situation makes it more likely that more funds get along with constant transfers from the health fund with the money and not raise additional contributions. The revived merger talks as among the guild coffers. Currently 14 operational and two spare cash have to rely on additional contributions. The contributions are thus about 5.5 members - more than 10 percent of all health insurance members.

In some cases such as the City and BKK BKK Hoesch he is since the beginning of as many as 15 € a month or 180 € a year. Funds that charge an extra premium, are of exceptionally high emigration affected members, which complicate the financial situation in each case further can.


how tense the situation, data from the Association of private plans. There, the engineers health insurance has a surplus of just over half a billion euros (and twice as large fortune) off, smaller funds such as the HEK and HKK are clearly positive - also in view of their reserves. The KKH alliance but has achieved only because of additional contributions by a small surplus.

leader Barmer / GEK which requires of its 4.3 million members, no additional contribution is called a net loss of 298 million € and has to have his assets to 308 million euros, almost halved. The DAK is despite the additional contribution from 8 € a month with 79 million Euros in deficit. According to data of the spare cash reserves to cover the Association of DAK and KKH Alliance nor the expenditure of a day. Already being negotiated with an emergency contract agreement. Is to allow damp spare cash to reduce the working week from 38.5 hours without a salary decrease by up to five hours. (FAZ)


07:03:11 First AOK before additional contribution


The twelve local German health insurance in 2010, half a billion euro loss did. AOK Bavaria is planning to levy additional contributions. has


from a surplus of 771 million euros in 2009 Part of the twelve General local health insurance the previous year with a loss of 500 million € complete. , Reports the Handelsblatt, citing cash circles. The cause of the deficit reduction requirements apply through the disease-risk compensation among the 150 health insurance companies. The Federal Insurance Office has corrected payments from the pot later. Without this reimbursement the local sickness had made no losses.

What AOK has a deficit? Known so far that the AOK Bavaria 91 million euros must be paid to the health fund. It administers the federal insurance office. The nation's largest local box office with 4.2 million insured persons (contributors and Family members) has also yet to arrears of 19 million euro fee Bavarian family physicians.

respond, as the local banks on the deficit? After the black and yellow health reform must raise additional debt cash contributions, pay only for workers and retirees. Officially denied by a spokesman for the AOK Bavaria, that it is this demand from their 3.1 million members. According to reliable information about the fund but plans to offset its deficit by it. Eight to € AOK members pay extra per month. Whether the amount be paid by April or in July, seems to be open. The Board of Directors of the AOK Bavaria wants 15 March to decide. So far, ten members pay health insurance this additional contribution.

anger is the AOK Bavaria, even after termination of the contract doctor in the house. The Health Minister Philippe Rösler (FDP) and Markus Söder (CSU) urge the AOK Bavaria, complete with family doctors a contract for the GP-centered care.

Here are the doctors get more fees than their physicians' association. In addition, tens of thousands of insured has opposed the dismissal of the old general practitioner contract. Here, the Munich prosecutor under investigation for suspicion of fraud against the AOK Bavaria. Showing she has Renate Hartwig, author and chairman of the citizens to Shoulder. (SOUTH PRESS)


03:03:11 employed tests for Type 2 diabetics are unnecessary


The Cologne Institute for Quality and Efficiency in Health Care is of the opinion: blood glucose monitoring for type 2 diabetes does not work.


The health service in Germany have to save, if not the contributions are expected to rise even more. That is why many are already available or in pre-market scientific standing medical and pharmaceutical products under scrutiny. There is the issue: the existing products have an advantage or offer new products an additional Benefit? The Cologne Institute for Quality and Efficiency in Health Care (IQWIG) evaluates from existing studies that meet scientific standards - that is objectively verifiable and which are not influenced by interests.

Based on the Institute's recommendations will be decided by the Federal Joint Committee (G-BA) - the joint self-administration of health insurance, doctors' associations and hospitals. The G-BA determines whether the products are paid for by health insurance at all, and also influenced the decision to be determined market price.

Looking at the significance of the studies on the subject test strips for type 2 diabetics falls on two things: First, set the - albeit few - science-based studies suggest that in stable set, non-insulin-dependent type 2 diabetes no measurable benefit for patients - and no clinically significant disadvantage - in the case of a regular measurement or non-measurement to determine the blood sugar level is. plays for the health of this diabetic group it does not matter whether it is now measured or not, is how the IQWIG. Measure is more expensive, but does nothing.

Even more striking, however, that further study is repeatedly cited as supposed evidence of the benefits of measurement in this patient population, some inconsistencies exhibits. First, both this study and their later supporters in medical journals sponsored almost entirely by the pharmaceutical industry, especially from Roche Diagnostics GmbH - a leading manufacturer of blood glucose meters and test strips. Above all, this study - the so-called Rosso study, published in 2006 - a severe methodological difficulties.

According to a GEK-Heil-aids Report 2008 analysis published in the Rosso study basically two diabetic groups were compared. Those that perform blood glucose tests and as a comparison group of those that do not perform measurements. Significant influence on the outcome however, had the allocation of patients to the respective groups: For it came just those with diabetes in the measured group that was at least one year continuous blood glucose monitoring documented and who had previously suffered no typical secondary disease such as heart attack, stroke, blindness, amputation and kidney failure. In short: At the beginning of the study were those measured clinically with diabetes significantly healthier than the non-control group.

For in the second group were not measured in diabetic patients with complications have already occurred. Nevertheless, the study leader to assert today that it had been the blood sugar measuring, one group a lower disease risk (minus 28 percent) and lower have risk of death (42 percent) brought. Many scientists Rosso study therefore speak from any evidence.

The Bremer health economist Gerd Glaeske keeps restricting the prescription of blood glucose test strips as state insurance fully justified medically. There is "no evidence on which also occupies only approximately, that the use of test strips from treated exclusively with diabetes tablets makes sense," said Glaeske. The evaluated scientific studies have shown that regular blood glucose monitoring in stable controlled type 2 diabetes only minimal benefits "without any clinical significance for the Health offer.

There is also documented by studies anomalies in the health system in terms of uncontrolled prescription of test strips. Thus it has been found were "some far-coated Regulations of 10,000 test strips per person," said Glaeske. There, the question of "whether these individuals, the test strip may have further prescribed or traded. This applies to prescription abuse costs the insured in the GKV to counteract it.

Glaeske stressed that the non-insulin-dependent type 2 diabetics with about three million people by far the largest group of the 4 to 4.5 million diabetics treated were in Germany. It is no coincidence that "three products, which are among the 20 best-selling products in the pharmaceutical market, are test strip products." Critics of the prescription restriction had "more economic interests rather than clinical arguments."

The health economist also said that blood glucose monitoring for insulin-requiring patients with more intensive treatment and related training in advance makes sense. "There's no doubt about it, with four or five test strips daily and annually makes about 1800 to 2000 test strips per patient, the blood sugar control in these patients well."

DAPD / cl (The World)


Sunday, February 27, 2011

Letter Of Reconsideration Vacation Rejection

28.02.11

22:02:11 doctor comparison portal for AOK Baden-Württemberg


The AOK Baden-Württemberg deepened in mid-March to work with the compass medi GmbH . The AOK Baden-Württemberg with its 4 million members now actively recommends the dentist comparison portal Zahngebot.de to your members. The ongoing since January 2009 Cooperation between the AOK and zahngebot.de is due to the positive experiences now intensified and expanded. From mid-February, the AOK Baden-Württemberg your insured not only your internet portal on the service of Zahngebot.de out, but communicates the capabilities of Zahngebot.de also in the course of telephone counseling and service agencies. ... (Financial News)


24.02. 11 election rates: In the SHI improve the performance


had time for the year adjusted all insured under the statutory health insurance to new rules. Probably the most dramatic experience was the increase in contributions. Positive effects on the other hand the innovations being at the election rates. Here, members of the health insurance not only improve performance but are now in their rights as well as better.

election rates in the SHI - More power?


With the help of the optional plans insured by the statutory health insurance, at least in some respects similar to private health insurance patients.


Even though hardly any of the leaders like to hear this, in the eyes of the insured's health care for 2-tier health system has become. On one side are the eight million private patients, on the other hand, the members of the GKV. Use the optional plans offer health insurance a way to enjoy similar benefits as the insured private health insurance.


Thus, the insured may in rates rebates in the election claim charged directly with the doctor or take off to the reimbursement principle. In the waiting room seems to be an advantage. Especially as the deadline for remaining in this election rates for the 01 January have been eased. At the same time concerned to the collection of an additional contribution by the statutory health insurance now switch easily. Benefits, you should nevertheless consider the disadvantages.

expensive visits to the doctor

who receive medical treatment as a private patient, at first surprised at the level of costs. Especially since it is not even sure if the costs are generally covered in full by health insurance. The problem: While the doctor charge you by the GOÄ, provides for the cash-fee schedules different. It will be applied to the cost of medical expenses you would incur too loud EBM. The result: Patients have to cover a portion of the costs out of pocket.


election tariff or insurance?

The extent to which the election is to pay real rates will not be answered at this point. Instead, the reference to another solution, how can approximate the performance of SHI to a private health insurance - about insurance. The latter can be for several years to complete for specific treatment areas and thus tailored to the individual situation. (Private health insurance in comparison)


24.02.11 million fraud in HIV drugs


Originally, the preparations for patients in South Africa. Pharmaceutical distributors they are illegally brought back to Germany and have made millions €.

Several prosecutors and the Federal Criminal Police Office are a major fraud case in the pharmaceutical industry on the track. According to information from NDR Info nationwide, various pharmaceutical wholesaler for patients in Africa provided, subsidized HIV drugs in bulk, repackaging, have illegally taken to Germany and sold here with an extremely high profits.

The research showed that the HIV medications as part of the so-called bulk - so loose tablets in boxes and bags - illegally imported from South Africa to Belgium and Switzerland to Germany, although they are not allowed here. Then the vendors will have the drugs billed at regular prices. Estimates of the AOK Lower Saxony, the financial loss is only for health insurance to at least a two-digit million amount.

the accused from Schleswig-Holstein and Rhineland-Palatinate, which deny the allegations, according to NDR Info or do not comment, should have violated the drug laws. According to the prosecutor Flensburg those suspected of committing commercial fraud threatens to have between 3 months and 10 years in prison


At present we will be the effectiveness of the drugs was not affected. However, there were still investigating whether the preparations were made for example by interrupting the cold chain damage. Possibly also the expiry date had been exceeded.

busted was the alleged fraud in August 2009 Delmenhorster in a pharmacy. In subsequent studies of the drug by the Munich-based manufacturer GlaxoSmithKline have been found that had been forged among others, the outer package and the package insert. The company had withdrawn for safety reasons, the batch in question. And the manufacturer Boehringer-Ingelheim in 2009 and 2010 had recalled several batches in a similar case of an HIV drug. (Time)



24.02.11 Healthcare Centers Union poses FDP will "bow to the medical lobby" before


The coalition improve medical care, but between the armed Union and FDP is inevitable. It is about country doctors, practice centers and to the interests of doctors, health insurance, Clinics and countries.


Union and the FDP have agreed on the first outline for the planned care law. It aims to ensure that even in areas that are only sparsely populated, or have a weak social structure, the supply is guaranteed a high level. The key points for this are: better coordination of the medical establishment, more university places, reference for dentists, new rules for medical care centers and to expand cooperation between hospitals and outpatient doctors. The coalition intends to continue the talks in March. Then go to the federal-state negotiations. Early 2012, the law enter into force.

Provide dispute in particular the proposed changes in medical care centers (MCC). In MVZ doctors work as employees. Ownership of the practices are other doctors, hospitals and other private investors. MVZ are popular among young doctors, because here they have fixed working hours and income, may also operate an outpatient basis, but do not bear the economic risk of an establishment must practice. Medical boards require that only physicians may have a majority stake in MCC, to avoid any impact of activities of doctors. At the instigation of the FDP, a MCC can not be done in the form of a public company also the medical director had to work in the MVZ. Exceptions should apply to underserved areas. In the Union is outraged a "prostration of the FDP before the doctors lobby referred.


Outpatient planning is solely for the doctors and cash - so far

With better planning should be made in future ensure that not too many in one place, elsewhere settle for too few doctors. Today, the planning areas are identical to the boundaries of cities and counties. The distinction is to be flexible. It leads today to the fact that - as in Berlin, which is considered a planning area - in some districts Too many doctors, established in others too few, although statistically there is no shortage. As the small-scale planning is to be is a moot point in the coalition, according to participants. The country must now make only in the hospital planning guidelines. The outpatient plan is solely for the doctors and cash. In future, the countries have a say here and get to file a complaint. That they do not go far enough. The states have a strong position because they have to agree with the law in the Bundesrat.

doctors should also get financial incentives to settle in underserved areas. So shall dispense with them on cuts to be determined if the treatment could be exceeded should also be possible surcharges. Doctors from hospitals and rehabilitation centers will be more involved in medical care, medical care organizations must operate in an emergency and temporary clinics with salaried doctors. Doctors should be allowed to be represented, for their children for three years. can


dentists have not settlement services more than 107 million euros

for medical students are more - also co-financed by the federal government - places will be created. If you commit yourself to work later as a country doctor is, the usual Selection can work around. In addition to the approval process be changed and more geared to practical skills.

For dentists, the coalition wants to redeem its pledge to repeal the doctors as budgeting. According to calculations of the dentists' association in 2008 of the dentists services over 107 million euros was provided, but not your expense account. This does not happen in the future. The coalition is talk of additional costs in the "low hundreds of millions". In addition, the dentist's fees of the funds to be aligned. Today, pay the private plans about ten percent more per treatment point value than their competitors. This should approaching local, guild and enterprise funds increased costs, the spare cash to the same extent reduce expenses. (FAZ)


24.02.11 Electronic health card. New scheme launched in October


The constant moving is over: With almost six years late in October but will now be issued the controversial electronic health card to the citizens.

doctors and health insurers have agreed on the modalities for the financing of the terminal for the planned electronic health card. The National Association of the panel physician said on Thursday in Berlin. Before the introduction the new health card from October to get the medical and dental practices modern readers.


failures, bad luck and mishaps

The electronic health card should actually already be introduced January 2006. The aim was to simplify the administration to avoid duplicate investigations and adverse drug effects and ultimately to grant access to an electronic patient record. Technical problems and privacy concerns of the doctors, however, slowed the project. Only at the end of last year the government decided that the card is inserted but 2011 - albeit in slimmed down form.


provide cash grants

The agreement of health insurance, doctors and dentists were needed to finance the investment practices. You can get the cash for stationary reader 355 €, 215 € for the installation and mobile Readers € 280.


The insured may use the "health card" received from the end of the third quarter. But continue to apply the existing health insurance smart cards. Before 2013 will spend the cash, only electronic card, if the doctors are up to that point sufficiently equipped with card terminals.

First, the new system, especially the so-called master data of the insured online match, to prevent card fraud. Also can be stored on the emergency data card, if the insured so desires. In the medium term, physicians can share about the system of cards, readers and online connections findings and information about their patients. (Focus)


25.02.11 Many company retirees get back money from insurance


Many company retirees can now retrieve money from their insurance company. This must be wrong to report conceded contributions to health and nursing care, retroactively and that for four years. However, only if the following signs: a continuing direct private insurance runs in the name of pensioners, not to the company. If so, sufferers should take action and demand your money back, says Martin Schafhausen by the Association of Social Law of the German Bar Association (DAV). By itself it returns nothing.


funds reacted to verdict had not

In autumn last year ruled the Federal Constitutional Court: Who paid for his resignation from the company not only the articles themselves, but assumed equal to the whole pension contract completely and continues privately added, must not with health and care insurance premiums be occupied. That would be unconstitutional (Ref.: 1 BvR 1660/08). Pensioners who had written to then its cash bit, but often on granite.

"recovery are promising"

A further decision by the Federal Social Court in January this year, has now confirmed once again: you must pay definitely only on the portion that comes from the premiums paid by former employer, not even the self-financed radical (AZ.: B 12 KR 20/10). "Recovery are promising," says the Frankfurter Attorney Schafhausen.


An example: in a direct insurance are paid at age 70 000 €. 30 000 € bonuses come from the former company. The remaining 40,000 euros has raised the company retired after leaving themselves as policyholders. In that situation, the fund must not only demand on the 30,000 € health and nursing care contributions to everything settled before Andrew Heyer of the Consumer Saxony.


There is a lot of money goes to cover operating

pensioners in every case, a lot of money. The health insurance long heavily: The full contribution rate for health and nursing care for most retirees currently at 17.45 per cent (2010: 16,85 percent). Specifically, this means about 17 percent less money for those affected. If the pension paid in a lump sum of a direct insurance, the contributions are allocated to ten years. Who gets 100,000 euros for example, must pay € 145 per month contribution. Viewed over ten years, it is therefore a many thousand €.

health insurance with reference to judgments write

How can retrieve overpaid? Concerned should write to their health insurance and a review of contributions under paragraph 44 Social Code X require explains Sozialrechtler Schafhausen. This is for four years, retroactive possible. At the same time, the Supreme Court judgments of the Federal Social Welfare and the Federal Constitutional Court are given with reference number.


The letter should also stand when the direct insurance was rewritten by the company on its own behalf. And what contributions then flowed out of pocket in retirement. The insurer is then required to report on Paid for this and the previous four years. "There will benefit many people," Tanja Leopold, a lawyer specializing in labor law from Nuremberg, is convinced.

who needs assistance can get help from the consumer centers. In complicated cases, a specialist lawyer be turned on.


Many Company retirees have contracts not rewrite can

back no hope of money there is for retirees who find the look in her contract that still your company is in the insurance policy and not herself "This will be a lot of people make bitter," says Rainer Strauch , general counsel at the social VdK in Bavaria. On leaving the operating numerous contracts have remained unchanged. and not just pay the contributions themselves - who as a first private company pension agreement concluded after the termination of the operation should continue to let him rewrite complete:


important for future retirees. He becomes a purely private provision. And that may not be charged. The former employer and the provider must, however, join it. (T-online)



Sunday, February 20, 2011

Which Stage Lorena Herrera Had The Cancer

21.02.11

14:02:11 physicians do not practice with her in the province


The government wants to encourage physicians who work in the country, and stop the brain drain to foreign countries. Many German doctors are unhappy, according to a study.

irritating life as a country doctor, very few medical students: Only five percent of the doctors can think of to open a practice in the country. In the case of self-employment attracts the city: 42 percent said they would settle in a big city, 36 percent in a small town. One representative survey of the research institute TNS showed on behalf of Commerzbank than 300 established and employed physicians.


"What doctors do not tell"

Nine out of ten doctors expect that the future is lacking in rural areas of medical talent. Attractive than a practice in the village is working abroad. Of the doctors who are planning a career change, it takes one third of the border. More than three-quarters believe that in future more medical centers and will communities.


The current study sheds light on two major problems in health care: The shortage of doctors in the country and the increasing migration of health professionals abroad. The average age of the German doctors now stands at 52 years. Thousands of divorce due to age over the next few years. By 2020 there will be fewer than 7000 family doctors today, expected before the medical associations. At the same time migrate more and more doctors from Germany, 2500, it was in 2009. The black-yellow coalition plans this year a law specifically to improve medical care in Germany. The focus of the Pension Act while there are no measures, the rural areas more attractive for physicians.

are planned to include financial incentives for doctors who are willing to go in under-served regions. "This may include investment subsidies, salary increases or promotion of students are," says a 14-point document of the health policy of the Union. Thought is also about setting up in depressed areas medical care centers (MCC) and physicians stations, in which doctors from different disciplines to offer consultations. In addition to hospitals and doctors work more closely together.


What practice Doctors will prefer

The surplus supply in the cities of the coalition through the acquisition approach of practices. "The previous practice in which the law can be for the settlement with the insurance companies in Germany is virtually inherited and sold to end," calling for the health policy-makers. The Pensions Act to the shortage of physicians is expected to close in March outlined at least in his key points, announces the CDU politician Health Jens Spahn. He even calls 2011 the "Year of the patient" and refers to a "challenging program in health policy." Because, besides the Pensions Act, the coalition is planning a patient's rights law, the care reform by mid-year and a law to improve hospital hygiene. Spahn: ". All actions that put the patient and his needs at the center of the considerations"

welcomed the panel physician Federation that plans to adopt the policy of the regional managed care. "The current planning is too rigid," says KBV chief Andreas Köhler. "The supply planning must be flexible and take into account the special needs of villages, small, medium and large cities." The Federal Medical Association called for the debate about the shortage of doctors making the medical profession generally more attractive.

How to the attractiveness of the profession is ordered, it also gives the Commerzbank-study information. So there a third of the physicians to be dissatisfied. However, while only one in four hospital doctor said that he was less or not satisfied with his job situation, the figure for nearly half of all doctors (44 percent).

What makes a successful doctor? This also has asked TNS Emnid. The result: work around professional competence, emotional resilience, self-motivation and the ability to draw people, according to the respondents of a good doctor. Just highlights the investigation to the relationship between patient and doctor: Because time for discussion and understanding is for the patient's situation, according to the doctors less important for a good doctor. (The World)


16:02:11 depression cost billions €


Hamburg has the most days lost in Germany because mental illness. Health insurance companies to demand more health on


usually catches the disease from creeping. We sleep at night no longer in the morning, tired and sweating and feels marginalized in the workplace. Stress and anxiety in the job to take. At the end, then often the diagnosis of depression or other mental illness. According to the Health Report the health insurance company DAK, the number of mental disorders in Germany almost doubled since 1998. "One in four women and one in eight men will once in a lifetime psychological problems attests," Hans-Peter Unger, chief doctor says the Center for Mental Health at the Asklepios Clinic Harburg. For the Health Report evaluated the DAK and the IGES institution sick leave of 2.6 million workers insured.


three days was an average of 2010 every hamburger sick due to mental disorders, according to a study presented yesterday also hosts the Health Insurance Fund (TK). Thus, the Hanseatic city on a nationwide level at the top. "Mental illnesses cause a longer disability than other ailments. The diagnosis is now recognized but the doctors in the city earlier. Patients also go faster than in the past to the doctor because depression can no longer be stigmatized as strong, "says Unger. In addition, the Hanseatic city now had a well-elaborated psychosomatic treatment system." Mild problems we are oversupplied in the city, major- disorders still underserved, "said the doctor.


In four out of five enterprises employees have high pressure


victims are not only the patient but the entire Economy. According to the Federal Statistical Office, cause mental illnesses cost a total of almost 30 billion € per year. One reason for the disease is found in the workplace, the trade-related research institute Hans-Böckler Foundation has found. "In four out of five German companies employees are constantly under extreme time and performance pressure, mental stress at work have grown in recent years," according to a study by the Institute. In 84 percent of German firms there are employees who work permanently at high time and performance pressure.

If you add up all sick leave in Germany, are, according to the technician Health insurance young workers in the top position. Are you sick twice as often as their older colleagues. The 15 - to 25-year-olds are missing, therefore an average of twice per year. Older workers were on average only once a year at home. However, take the time to failure with increasing age. While medical leaves just below the youngest employees between 15 and 19 is six days, there are the over-55s almost 19 days.


The main reason is the more severe diseases with increasing age. "Diseases such as back pain, cardiovascular disorders and mental disorders, according to experience are very lengthy occur more often in older workers, "says telecommunications expert Gudrun Ahlers." However, we also see in younger workers in recent years a significant increase in sick leave due to psychological diagnoses. "In addition to increased demands of the working world to play the uncertainty through fixed-term contracts with illness in young people a role.


companies to their employees' health promoting


DAK also surveyed 3000 people in employment aged 18 and 29. About 60 percent of young workers have thus feel more to be able to afford, as required in the job is. A prolonged underload can also cause stress.

for the German economy it is important in view of demographic change and the declining number of qualified professionals to promote the health of their employees in the long term, the TK. For years, the sickness rate in Germany is probably too low for fear of the workers before a job loss. The TK coming in 2010 Germany had a rate of 3.3 percent for its policyholders. When there are DAK 3.4 percent nationwide and 3.2 percent in Hamburg. (Hamburger Abendblatt)


17:02:11 DAK health insurance chasing criminals


Not every massage can settle on a cash cost - but often it is made

pay just is not always to the liking of the German Employees' Health Insurance. She looks at the bills very carefully - and brings more and more fraudsters to track. The abusers do not just sit in the medical profession.

in the health system more and more accounting frauds are discovered. Investigators concluded the insurance company DAK last year from 861 cases, 56 percent more than in 2009. About two million € could be retrieved in this way, shared with the DAK in Hamburg. That was 52 percent more money than last year. Manipulated give detailed accounts in all areas. Focus were just under 40 percent of remedies such as massage and speech therapy. It scams follow the medical treatment, nursing or aids such as wheelchairs and hearing aids, each with around ten percent.


were processed in 2010 total nearly 1000 new references. DAK is currently the Hamburg headquarters to 2,000 suspected cases. "Could see and bring back more money for our policyholders," "Our balance sheet for 2010, we improved research methods more cheaters and" Black Sheep, DAK said to the chief investigator Volker Heide. "The broad mass of the supplier under the contract settles and can get nothing wrong. "

The results are based, according to the DAK only to cases where there is deliberate accounting fraud with criminal backgrounds or imposed for breach of contract which, because of penalties. Monetary returns from the routine payroll audit had not been included. The DAK is working to combat misconduct in health care with other providers, associations of panel doctors and dentists as well as the police and the prosecutors together. (Focus)


18:02:11 PKV commissions


go of the criticism against high BaFin.Unionsparteien PHI commissions. FDP indicated their support. (FAZ)


18:02:11 Rösler: doctors should their services


order to improve billing (FAZ)


18:02:11 Rösler coding billing system moves the doctors


Federal Health Minister Dr. Philipp Rösler (FDP) will not reform the accounting system of the doctors for the time being. The new so-called "outpatient coding guidelines" were of the physicians' been Confederation (KBV) and the SHI-leading organization designed to enable more detailed and therefore the cost-cash settlements. Several physician groups and physician associations, individual cash (KVs) had protested vehemently against it. From the Federal Ministry of Health (BMG) said now that the Neureglung will come earlier than the end.


should

Under the new coding guidelines, the patient's diagnosis in their encrypted form in much more detail than was previously reported to the Panel. This should create the conditions to pay doctors to just after illness of their patients. Numerous medical associations worry more bureaucracy and are concerned about data protection.


Originally, the new rules are already in place at the beginning, then a transition period was agreed by mid-year. The new shift is to "allow time for all concerned partners to simplify the application in everyday practice significantly. In a letter to the parties established the provisional Rösler stop with the fact that the coalition wanted to reform the medical field this year anyway with a power law.


support in principle the Ministry of the introduction of the new guidelines: "They provide a correct and unambiguous diagnosis encryption, "said a spokesman for BMG. "This is the basic prerequisite for the health of the insured may be taken into account in the allocation of funds in public health insurance." (AP / PHARMACY ADHOC)


18:02:11 fees. Doctors unduly subordinated


What's your expense account for their treatment, measured by the fee schedules of the doctors schedule () and dentists (GOZ). The costs orders are getting on in years and should be modernized. But the mantle of the fees impeding competition. An analysis of Andreas Mihm.


Insurance companies require the ability to enter into contracts with physicians on a deviation from the tariff


18th February 2011

lawyers and notaries expect their performance after a scale of fees, architects and engineers for a fee scale, only doctors and dentists have two price lists: one for the treatment of funds insured, the bread-and-butter business of the average practice one for private patients. What is billed for their treatment is calculated, in accordance with the fee schedules the doctors schedule () and dentists (GOZ).

The costs orders are getting on in years, so has black and yellow promised their modernization. It seems that this remains, however, depend in part in the thicket of conflicting interests of physicians, state and private insurance. Only the core completed new fee structure of 85 000 dentists may soon come into force. It is regarded as an example for the financially significant reform of the scale of the 324 000 doctors, but the latter will hardly occur before the election 2013. Too big is the need for changes to the comprehensive health care reform and policy agenda with a country doctor supply.


This is not good news for doctors. Many private medical services are a necessary extra income for their survival under-funded by the treasury practices. Unlike cash, they know the patients private patients already in treatment, which brings them into euros and cents. Moreover, they can easily settle on performance drivers several times the rate of royalty. Not least, private medical services, other than cash benefits, not limited in quantity. The doctor can diagnose and treat what he deems necessary, the costs are passed on to private insurance. This is reflected in their spending. Commutes Proportion of outpatient treatment costs to the expenditure of the funds for years around 17 percent, he is in private insurance to 24 percent.

insurance industry fears cost push

From the perspective of the doctors could all remain so if performance specifications and cost estimates did not come from the eighties. Since then, new treatment methods were introduced, inflation has nibbled at the fee. There are constant therefore conflict with patients and insurance companies for the "right" interpretation of the tariff. want to see


As much therefore the insurance industry, these uncertainties adjusted, so much fear they right to a cost push through the revision of fee schedules. It requires, therefore, the possibility of concluding contracts with physicians on a deviation from the tariff. The under high cost pressure private insurers to justify not necessary savings but plan to improve quality: more money for more quality, but based on a narrowly calculated fee structure. Also, it was free the doctors to accept the offers. Encouragement learns the private insurance in the interior ministries. They see a chance, its growing aid spending for the privately insured officials reduced.

dispute clause

The Medical Association in which a vigorous campaign there, rejects this, as well as the Dental Council. Both drives the fear of price-cutting and "destructive" competition, before the possible loss of free choice of doctor and alteration of the supply. But the accusations have no reason to deny clauses. Conversely, a shoe out of it: the mantle of the fees regulations impeding competition for prizes and services to ensure quality. If that was not a starting point for a liberal Minister of Health.

can Philipp Rösler But in a dispute with doctors, state and private insurance gain little. Therefore much to be said for a Postpone with doctors and a lukewarm compromise the dentists with adherence to a little better tariff. Because the private insurance saves money, and the doctors have been spared the clause.

But why should not apply to private insurance, which can be insured patients for several years at the supply - to use special offers to their insurance companies, such as special treatment contracts - voluntary and in moderation? Many doctors have made it experiences. In this respect, sound survey of private insurance, which the doctors were open to selective contracts over plausible.

involve clauses for the private insurers but also risks. So far they are only in relationship to their customers. The more they turn on in the care given and negotiations with the doctors, the closer they move to the statutory funds. There is no indication if they adjust the systems to compete for better care. But then the next step would be not far off: the cost to a single order for cash and private patients of doctors and dentists, as with the lawyers and notaries, architects and engineers. (FAZ)


18:02:11 The rate of doctors is not yet the time being amended


really is in the coalition agreement that is to be renewed, the fees for doctors in this legislative period. This is now adjourned, as the FAZ has learned. Instead, only the dentists' fees are amended. For patients, this could be expensive.

By Andreas Mihm


14th February 2011

The black-yellow coalition wants to amend no longer meet their commitments in the coalition agreement, the fees of doctors in this legislative session. "On the agenda is only the reorganization of the scale of the dentists," the FAZ learned from well-informed Circles of the government coalition. The new fee structure of the dentists are on the fee increases to 10 percent in the conversation, should therefore be introduced without delay. For this Thursday, a top-level talks with representatives of the Federal Chamber of Dentists and the Association of Private Health Insurance (PHI) with Health Minister Philippe Rösler (FDP) is attached.

The fee schedules are the fees covered by the 326 000 84 400 active physicians and dentists for the treatment of private patients expense account. Both fee schedules are from the eighties and are therefore not as many medical innovations. Therefore, it always comes back to battle about the "right" amount of the settlement between patients, insurance companies and doctors. Against the background is what the years by doctors and dentists reform demanded a new description of the benefits associated with an increase in fees would be. could


fee increase for dentists to insured patients by beating

The Federal Chamber of Dentists in such a specially provided recalculation had calculated an increase of 55 percent. Because such gains, however, are not enforceable, it brought in political discussions, no such claim. Involved in the talks expect that will come out on balance an increase in "low double-digit percentage range." Such a fee increase at the dentists could in part be felt among patients on a cash, because teeth are treatments that go beyond the standard care of the cash, paid for by private fees. Dentists make about 40 percent of their income from private fees, and the rest from the settlement with the insurance. to be charged

The Association of Private Health Insurance (PHI), which has long complained about more than the cash and avoid further cost increases will as far as possible, opening clauses required in the fee schedules. This should he Enabling legal depart from the tariff and to meet with individual physician groups and special performance fee arrangements - like the rules at the box office doctors. Such clauses in private insurance are accepted by doctors and dentists strongly. According to surveys of private health insurance is the resistance in the medical profession itself was only modest. Doctors and private health insurance have submitted their opposing views and arguments in the past week, publicly and in mass mailings to politicians.


The position is for the Federal Health Ministry, which issued the regulations must not become easier, that other government departments and the countries have a say. It is precisely the interior ministries as carriers of the aid for private health insurance of officers such as private health insurance are interested in possible cost savings. The negotiations at government level in Berlin are still in progress, countries must also agree.

The government, it seems obvious politically attractive, to avoid a major conflict with the doctors on one side and the private insurance on the other side of the road by drops the "big" reform of the medical fees until further notice, regardless of the down in the coalition agreement: "The rate of doctors is the current state of scientific knowledge adapted. It will cost trends are taken into account. "facilitates argumentative action by the forthcoming election in June, the Bureau of the Federal Medical Council, which conducts the negotiations.

contrast to the negotiations on the fee structure of dentists (GOZ) will be completed soon. The dispute about this clause is a compromise in the call after the private insurance could negotiate fees for laboratory services separately. For dentists this fall at the fee volume is not significant. (FAZ)


18:02:11 / 01 March 2009 Government: No Reform of the dentist's fees


threatened by the ongoing dispute over the doctors' fees is now also a dispute over the fees of dentists. On the new pricing plan that would have the dentists ten percent higher fees introduced, will give the government. The reform is of concern to all patients. is

By Andreas Mihm, Berlin


Going to the dentist and financially painful: Patients must be part of the services themselves often pay


01 March 2009

The federal government will waive the fee proposed reform of dentists and the prepared regulation to the Federal Council not expected to present for decision. That said, the Parliamentary State Secretary, Federal Ministry of Health, Marion Caspers-Merk (SPD) of the FAZ

After her reading the some 55,000 practicing dentists escapes to a fee increase for non-paid for by health insurance benefits of 10 percent. The dentists, who does not fit the direction of reform deny this bill. The fee structure of the dentists (GOZ) was last reformed in 1988, against the wishes of doctors.


The reform is of concern to all patients. For in contrast to general medical need for dental treatment even insured patients often pay a portion of the services themselves. Hogue after the tariff.

"50 percent more, which is completely utopian"

Caspers-Merk said her house was ready, submit the draft to the Cabinet. "However, this depends on whether the actors do anything, just that it seems to me, but currently not the case at all." The dentists do not accept the reform, "because they have sufficient 10 percent no more, the private health insurance and the interior ministers are against because it gives them too much money. "The Home Secretary must apply for aid for the privately insured officers and therefore have to power expansion as little interest as the private health insurance.


"The dentists do 50 percent more, this is totally unrealistic, especially in an economy like ours," said Caspers-Merk. Because dentists deny that the reform at the end would have actually provided an increase of 10 percent, would be guaranteed the volume. "But that was the dentists not enough, have never contributed constructively to a regulation."

negotiations not to procrastinate

The SPD Health politician, the officials warned of the misconception that they could under a different government constellation cut after the election the better. The next parliament will not have more money than the present. "I do not believe you about new negotiations over the fees the dentists so an offer can be maintained, we live in the worst possible time for fees in the double-digit percentage range."

The President of the Federal Chamber of Dentists, Peter Engel, reaffirmed its basic criticism of the reform proposal. The Ministry called the output volume increase by 10 percent follow only the addition of new services in the fee structure. This had already been provided but similar to other positions and the scale been settled. Also, the fees are positions incomplete and "not in conformity with the principles of modern scientific dentistry. Do not agree with the dentists are particularly trying, the level of private medical fees adapt to the health insurance. (FAZ)