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KBV Chief Proposes ‘Practice Fee 2.0’ and Targeted Health Taxes to Bolster Germany’s Statutory Care

The plan faces immediate pushback from health insurers as the discussion shifts to whether new revenue or structural reforms should take priority.

Overview

  • KBV head Andreas Gassen proposes a €10-per-quarter practice fee collected by insurers rather than in doctors’ offices to avoid administrative burden.
  • He also calls for a sugar tax and higher levies on tobacco and alcohol earmarked for health, estimating an extra €2 per cigarette pack could raise about €7 billion annually.
  • Gassen urges removing homoeopathy from reimbursed benefits, citing roughly €50 million in yearly costs, and ending payments for digital health apps that cost about €234 million from 2020 to 2024.
  • The GKV umbrella group rejects the proposals, arguing that simply adding money would entrench outdated structures and that the system’s problem lies in spending, not revenue.
  • No measures have been adopted, though Greens back delisting homoeopathy and Health Minister Nina Warken has recently spoken about reintroducing a visit fee, keeping the issue in active debate.