„TARMED“ – our medical tariff
– a tariff to be ashamed of

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… developed by a closed network of vested interests. Medical invoices created under TARMED cannot be properly reviewed by health insurers as required by law (Health Insurance Act, Art. 56). What is missing – in my view not by coincidence – are the exact date and the actual duration of treatment: the evidence speaks for itself:

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Instead of indicating a precise time from … to …, the system contains around 4,700 tariff positions that can be combined with each other. This makes it possible to invoice substantially more time than was actually spent. Hardly anyone truly understands this tariff structure. 1059x

If a health insurer – in this case „Assura“ – knows that an invoice is excessive, it must reclaim the difference:

In my view, the purpose of this tariff system is to burden premium payers with questionable tariff items, for example (red arrows):

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Triemli Hospital charged CHF 532 for a treatment lasting just under 25 minutes – equivalent to CHF 1,305 per hour. I successfully demanded a reduction to CHF 81.45. I was unable to sign certain documents because a contractual penalty of CHF 100,000 would have applied in case of breach of confidentiality.

I brought this case before the insurance court and lost the lawsuit.

TARDOC, the upcoming tariff

… about which we still know very little. When asked about it, Federal Councillor Baume-Schneider stated: “It (TARDOC) will not cost less, but it is intended to curb rising costs.”
A statement that leaves room for reflection.

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