[The new reimbursement for psychiatry and psychosomatics - challenges, opportunities and risks of the new financing system].
With the implementation of § 17 d KHG which provides for the introduction of a new, much more performance-based and transparent reimbursement system for psychiatric and psychosomatic hospitals, the Federal Ministry of Health sends the psychiatric and psychosomatic facilities in Germany into a previously unexplored area. Since 2013, there is the possibility of voluntary participation in the new system. Valid from 2015, every other institution will have to deal with the new challenges, opportunities and risks coming along with the structural changes, even though this fact will not have any impact on the individual hospital revenue budget until the end of 2016. There is still some time left to get used to the new system. This paper summarises the key data on the new reimbursement system and explains its content as well as how it works. In addition to that this paper goes into the classification system and clarifies what is essential for a solid preparation. Finally, it comments on the most common criticisms emerging since 2009. How the new system will develop remains to be seen. The fact that it will evolve seems to be certain in terms of a "learning system". It is up to all parties to promote the learning process so as to make effective use of existing potential and keep risks to a minimum.
Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover.
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Häring
Fakultät Gesundheitswesen, Ostfalia Hochschule für angewandte Wissenschaften, Wolfsburg.
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Kutschis
Klinik für Psychiatrie, Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover.
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Bleich
D004282:Documentation; D005858:Germany; D006801:Humans; D007883:Legislation, Medical / Q000639:trends*; D001523:Mental Disorders / Q000191:economics / Q000523:psychology / Q000628:therapy; D009313:National Health Programs / Q000191:economics; D011570:Psychiatry / Q000191:economics* / Q000331:legislation & jurisprudence* / Q000639:trends; D011611:Psychosomatic Medicine / Q000191:economics* / Q000639:trends*; D012051:Reimbursement Mechanisms / Q000191:economics* / Q000639:trends*