German health insurance funds demand structural reforms

The Association of Non-Occupational Health Insurance Funds (IKK e. V.) is calling for comprehensive structural reforms to Germany’s statutory health insurance (GKV) system to address growing financial deficits.

IKK leadership noted that healthcare expenditures are rising faster than revenues. According to calculations from the Federal Ministry of Health, health and nursing care funds face a deficit of approximately 30 billion euros by 2027. To stabilize contribution rates, savings of 18.8 billion euros are required in the coming year. The association proposed three reform pillars: reliable financing of non-insurance benefits through tax funds, a broader financing base for the GKV, and strict expenditure control.

Concurrently, the GKV Contribution Rate Stabilization Act is expected to impact medical providers. General practitioners face potential fee reductions due to the removal or capping of various supplements, including hygiene allowances and specific service bonuses, starting in 2027. Experts advise practices to conduct thorough revenue and capacity audits to prepare for these changes.