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Jacobs, Klaus
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[Journal:] Wirtschaftsdienst [ISSN:] 1613-978X [Publisher:] Springer [Place:] Heidelberg [Volume:] 93 [Year:] 2013 [Issue:] 1 [Pages:] 24-27
Die gesetzliche Krankenversicherung schwimmt zurzeit im Geld: Ende des 3. Quartals 2012 verfügten Gesundheitsfonds und Krankenkassen zusammen über Finanzreserven von rund 23,5 Mrd. Euro. Das schafft Begehrlichkeiten - nicht nur bei Ärzten, Apotheken und Krankenhäusern, sondern auch beim Bundesfinanzminister. Eine klare Regelbindung bei der Beitragsgestaltung hätte diese ungeplante Entwicklung verhindert. Sie wäre vor allem aber auch dann hilfreich, wenn die aktuelle 'Schönwetterphase' hoher Überschüsse vorüber ist.
Abstract (Translated): 
An unexpected surplus in the German statutory health insurance central fund has led to unwise discretionary decisions which should be avoided in the future. First, the setting of the contribution rate, which is currently politically determined, should be replaced by a rule-based procedure to adjust contribution revenues to expected expenditures. Furthermore, in view of the European Fiscal Compact's debt criteria becoming effective in 2014, health care financing's dependence on the state budget should be reduced. However, reorganising health care financing is only one area of reform. It should be accompanied by implementing workable solutions for increased competition among health insurers as well as providers.
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