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Overpaying by 1000 francs annually is our norm.

Research conducted by the Federal Office of Public Health (FOPH) indicates: Potential savings of up to 19% in basic insurance costs can be achieved without compromising effectiveness.

Spending an excess of 1000 francs annually unnecessarily.
Spending an excess of 1000 francs annually unnecessarily.

Overpaying by 1000 francs annually is our norm.

In the heart of Europe, Switzerland's healthcare system, while renowned for its high quality, has been under scrutiny due to its expensive nature. A series of recent reports and studies have shed light on potential cost-saving measures that could benefit both patients and insurers.

One of the key issues highlighted is the opaque market for medical implants. Close relationships between implant providers and surgeons may not promote competition, leading to higher prices. This is particularly evident in the case of biosimilars and generics, which are around 30% and 45.3% more expensive in Switzerland compared to other countries.

The Federal Department of Economic Affairs, Education and Research's Price Watch report on orthopedic and cardiac implants revealed large price differences between Swiss hospitals. For instance, the price of a pacemaker can vary significantly, ranging from 1200 to 5400 francs, while the price of an artificial joint can range from less than 1000 francs to over 5700 francs.

The lack of transparency in hospital pricing has been identified as a significant hurdle. Hospitals often do not know how much another hospital pays for implants, preventing them from negotiating lower prices. This issue is further compounded by annual wage negotiations between doctors, hospitals, and health insurers, which often lead to problems due to a lack of incentive to handle premium money carefully.

However, there is a glimmer of hope. A feasibility study has been commissioned to test the effects of legal changes that would help save costs in the healthcare system. These changes could potentially lead to savings of up to 19% for each insured person, translating to a potential saving of approximately 8.4 billion francs annually.

Moreover, health insurers have a direct financial incentive to negotiate economically and appropriately priced rates, according to Prio Swiss. Monitoring more than 130 million invoices per year brings savings of 3.5 billion francs per year in basic insurance.

The Swiss Federal Office of Public Health (Bundesamt für Gesundheit, BAG) conducted a study in 2023 on efficiency potentials in the mandatory health insurances (Grundversicherung) in Switzerland. The study found that each insured person could pay up to 1000 francs less per year if the system were more efficient.

The premium ticker, a platform that monitors lobbyists and profiteers in the healthcare system, uncovers abuses, and collects patient experiences to avoid unnecessary expenses, is another initiative aimed at promoting transparency and competition in the healthcare sector.

In conclusion, while the Swiss healthcare system faces challenges due to a lack of effective control mechanisms and opaque markets, initiatives are underway to address these issues and bring down costs. Transparency, competition, and efficient negotiations are key to achieving these goals and ensuring a sustainable healthcare system for all.

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