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Old 24.08.2020, 23:13
Urs Max Urs Max is offline
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Re: Basic insurance" Proposed restrictions on free choice of specialists

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The Bundesrat has proposed new restrictions on free choice of specialists under the basic insurance.
This will never fly, it was dead in the water even before its invention.

What should be done, and would have a chance to pass IMO, is give the mandatory insurances the option to refuse to pay the bills from a few docs who they suspect of overtreating. Would need to be checked with BAG beforehand of course, and only a relatively few. As things stand there's basically no risk for the docs.
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It seems that the intent is a further push on GP. Increase the quality of diagnosis and the subsequent referrals.

Just pick a kickass GP and have no problems following his plan of treatment, whether it involves specialists or not.

Seems also the insurers have accumulated expensive claims due to messed up diagnosis, not only that people flood specialists' offices maybe due to not bothering with GP's view. Clients have grown assertive, normal when there is a choice between good and bad GPs.
The Swiss medical system needs to introduce measures that work as incentives to improve quality and effectiveness. There's no such thing today, errors are almost impossible to prove for the patient, thus nothing improves.

The debacle around Covid data is one such consequence. Data transfer still happens manually with all the usual consequences (slow, high error rate, and expensive). But nobody has to bear the consequences thus everybody involved keeps fighting everybody else.
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