Rising health insurance costs: Is a return to increasing payments imminent? - a matter of concern for many.
In the first half of 2025, health insurance expenditures in Germany have seen a significant increase, according to new figures from the GKV association. The performance expenditures of around 90 health insurance companies increased by 7.95 percent to 166.1 billion euros. This upward trend is causing concern among experts and politicians, who are urging action to address the issue.
Oliver Blatt, chairman of the GKV association, has raised an alarm about the financial situation of health insurance companies. He stated that no health system in the world can hold up indefinitely, and the expenditure dynamic in the first half is unbroken. Blatt also expressed concern about the government's alleged failure to fulfill payment obligations, which he believes is further exacerbating the problem.
The surplus of the health insurance companies increased to 2.8 billion euros in the first half, after a surplus of 1.8 billion euros was achieved by the end of March. However, Blatt mentioned that there had been a reduction in reserves in recent years, and it is still open whether the surplus will succeed, especially with a view to the dynamic expenditure development.
Health Minister Warken has stated that these loans will cushion necessary contribution rate increases but will not prevent them. The federal government plans to stabilize the cash flow of health insurance companies beyond the regular annual subsidy with loans in 2025 and 2026. The coalition aims to keep health insurance contributions as stable as possible after significant increases in the coming year, while reaffirming the goal that contributors should not be burdened further and the economic recovery should not be endangered by contribution increases.
Jens Baas, CEO of Techniker Krankenkasse, stated that the health insurance system in the country is working poorly. To address this, future plans include establishing reform commissions specifically for proposing structural reforms in health insurance and long-term care insurance. These commissions are expected to present their proposals in the near future.
Jens Spahn, CDU/CSU parliamentary group leader, has announced that the coalition wants to ensure that higher costs do not affect insured persons. He stated that the government will work to prevent any further burden on contributors and maintain the stability of the health insurance system.
The Federal Court of Auditors has criticized the government for inaction regarding the annual billion-dollar deficit in health insurance. With political promises of contribution increases being inevitable and the financial situation of health insurance companies under increasing pressure, it is clear that action is needed to address this pressing issue.
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