Health commission presents 66 savings proposals for insurers

Following coalition negotiations and a December 2025 mediation effort on her stalled savings law, Federal Health Minister Nina Warken (CDU) received a major boost on Monday as a government-appointed commission of ten scientists presented a 480-page report with 66 reform measures for statutory health insurers in Berlin. The proposals aim to close a projected 15.3 billion euro deficit next year and generate over 40 billion euros in short- to medium-term savings, preventing contribution increases.

The finance commission, comprising experts in economics, medicine, and health research, worked without taboos. The Handelsblatt-obtained report builds on ongoing efforts to relieve statutory health insurers amid stalled reforms over issues like clinic reimbursements.

Warken must now select from the extensive catalog and secure coalition agreement to distribute the burden fairly. She has described the report as a 'toolbox' for her savings package, echoing her earlier optimism ahead of mediation.

Key measures include drug price regulations, new rules for doctors, benefit cuts, higher co-payments, reduced sick pay, a sugar tax, and elimination of homeopathic services. Some will impact patients noticeably.

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Press conference photo of health insurance chief Andreas Gassen calling for abolition of voluntary services to save 1 billion euros amid 12 billion euro gap.
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Health insurers' chief demands abolition of voluntary services

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Andreas Gassen, chairman of the Kassenärztliche Bundesvereinigung, calls for the complete elimination of voluntary additional services provided by statutory health insurance funds to achieve savings. He estimates the potential savings at nearly one billion euros per year. This comes amid a looming financing gap of twelve billion euros in the statutory health insurance system.

Following recent coalition consultations, Federal Health Minister Nina Warken expressed optimism about her savings package to ease pressure on health insurance funds. The mediation committee meets on December 17 to resolve the stalled law, averting potential contribution hikes for millions in 2026.

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In response to last week's Finance Commission on Health report, German Health Minister Nina Warken (CDU) plans to implement only select proposals. She rejects abolishing free co-insurance for childless spouses under six years old and advocates exemptions for caregiving relatives.

Vice-Chancellor Lars Klingbeil outlined a reform agenda for the coalition at the Bertelsmann Foundation. He demanded courage from his SPD, as 2026 would require boldness. This comes ahead of negotiations on a major package of measures.

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Colombia's Senate Seventh Commission archived the health reform bill with eight votes in favor and five against, on the last day of the ordinary legislative session. This marks the second sinking of the initiative pushed by President Gustavo Petro's government. Reactions highlight concerns over the system's financial sustainability.

The leaders of CDU/CSU and SPD held a three-and-a-half-hour coalition committee meeting on budget, climate protection, and other topics, without making concrete decisions. The session at the Chancellery took place confidentially, skipping the usual press conference. Progress was reported on the climate protection program, while issues like fuel prices had already been addressed by the cabinet.

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Deputies adopted an amendment on Friday making public the real prices of reimbursable drugs and discounts granted by pharmaceutical companies to the state. This measure, pushed by the ecologist group, aims to strengthen democratic oversight of social security spending. The government opposed it, fearing higher costs.

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