Financing health promotion, prevention and innovation despite the rising healthcare costs: How can the new German government square the circle?

Tugce Schmitt*, Alexander Haarmann

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The German health system is under pressure due to increasing costs of healthcare provision and rising demand for health services. With the new coalition government, Germany has increased efforts to build a modern, innovative infrastructure for prevention and high-quality health services. The coalition agreement has a strong climate, innovation, and sustainability focus, reflecting at the same time the ambition of the new government to implement a preventive, inter-connected, and modern healthcare system in Germany. However, the agreement lacks detailed information on the achievement of the plans, especially concerning the question of how those measures should be funded in light of increasing expenditures for healthcare. Thus, the objectives of this study are to interpret the new government's plans and answer the question of how Germany in the new legislative period can ensure and fund population-based prevention programmes, health-promoting measures and innovative solutions despite the rising healthcare costs. By analysing the relevant content of the coalition agreement and drawing on an expert workshop, this paper suggests the establishment of a prevention fund and flexible remuneration model for digitalised and innovative forms of care in the new legislative period. Our findings may help identify feasible approaches to sustainable financing of health promotion, prevention and innovation in the German healthcare system.
Original languageEnglish
Pages (from-to)95-103
Number of pages9
JournalZeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen
Volume177
Issue number1
DOIs
Publication statusPublished - 1 Apr 2023

Keywords

  • Germany
  • Health systems
  • Health politics
  • Coalition agreement
  • Resilience
  • Prevention
  • Health promotion
  • Innovation
  • Digitalisation

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