Monday, March 17, 2025

Germany’s Ambulatory Operations Reimbursement Changes for 2024

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In a recent and noteworthy development with implications for healthcare in Germany in the year 2024, the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband) issued a significant announcement on December 20, 2023, heralding the commencement of a substantial expansion of the catalog for ambulatory operations in hospitals, often referred to as the AOP catalog, set to take place on January 1, 2024. This expansion will entail the inclusion of an impressive array of 171 interventional procedures, marking a pivotal moment in the country’s healthcare landscape.

Building upon the initial expansion of the AOP catalog that was enacted at the dawn of 2023, this latest development will open the doors to a remarkable total of 3,312 outpatient services. These services will be made available within hospital settings and through private practice physicians throughout 2024. This expansive approach is not just a statistical milestone; it plays a vital role in supporting an impending hospital reform initiative. By shifting a significant portion of medical procedures to an outpatient setting, the reform aims to alleviate the strain on hospital staff and bed capacities, thus enhancing the overall efficiency and accessibility of healthcare services.

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Ambulatory Operations

Catalysts for Change in Germany’s Ambulatory Operations Landscape

In addition to the expansion of the AOP catalog, there’s another noteworthy change on the horizon. An updated version of the AOP contract, governing the terms and conditions for the provision of ambulatory operations within hospital premises, is scheduled to come into effect on January 1, 2024. This revision introduces specific provisions related to urological material costs (as outlined in § 9, paragraph 5 of the AOP contract). Importantly, the existing regulations concerning the reimbursement of material costs will remain unchanged, ensuring a degree of stability in this critical aspect of healthcare provision.

These developments collectively signify a dynamic shift in the landscape of ambulatory operations in Germany for the year 2024. They hold the promise of enhanced access to healthcare services, improved resource allocation, and a more patient-centric approach, aligning with the evolving needs and expectations of the healthcare sector in the country.

 

Resource: Med Tech Reimbursement Consulting, January 03, 2023


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