Warken confident of agreement on health insurance savings package ahead of mediation

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.

Federal Health Minister Nina Warken (CDU) voiced confidence in an interview with the Rheinische Post about reaching agreement on her savings package for statutory health insurance funds, building on the coalition's recent overnight talks. "We are in good talks. I am confident that we will find a solution," she said. The Bundestag-Bundesrat mediation committee convenes December 17, ahead of the next Bundesrat session.

The law, aimed at implementation from early 2026, remains stalled mainly over clinic reimbursements, after states rejected it cross-party in the Bundesrat. This threatens supplementary contribution increases warned of by funds in November. The package caps clinic cost rises to match actual inflation, reducing contribution pressure. Warken noted additional federal structural reforms as planned.

Chancellor Friedrich Merz (CDU) echoes the optimism, expecting two billion euros in total relief measures. Meanwhile, Andreas Gassen, president of the German Federal Association of Statutory Health Insurance Physicians, urged funds to halt homeopathic treatment coverage, defund unproven DiGA apps like smoking cessation tools, and shutter more clinics.

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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 optimism ahead of the meeting, the Bundestag-Bundesrat conciliation committee has agreed on a compromise for Health Minister Nina Warken's savings law to stabilize health insurance contributions and avert hikes from 2026. States and federal government expect Bundesrat approval on Friday.

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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 CDU economic council has proposed tax cuts and reductions in social benefits in its "Agenda for Workers," including removing dental coverage from health insurance. The plans face sharp criticism from politicians and associations, who label them unsocial and harmful to creating a two-tier medical system. Even within the CDU, there is discontent.

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The black-red coalition plans a comprehensive modernization of the social system to reduce bureaucracy and digitize processes. A commission with representatives from the federal government, states, and municipalities has developed 26 recommendations, which Federal Social Minister Bärbel Bas will present on Tuesday. Planned are fewer authorities, merged benefits, and automatic child benefit, without cuts to social assistance.

Saxony-Anhalt's Minister President Sven Schulze has insisted on the states' right to have a say in planned social reforms. He called for close coordination and special consideration of East German concerns. He made these statements in an interview with Germany's Editorial Network (RND).

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The leaders of CDU, CSU, and SPD have declared 2026 the 'year of getting down to business' in their first coalition committee meeting this year and presented a masterplan for greater resilience. The focus is on protecting critical infrastructure following an attack on Berlin's power supply. Chancellor Friedrich Merz emphasized that security takes precedence over transparency.

 

 

 

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