The EKK ranking of particularly qualified physicians and patient-facing healthcare professionals must be taken into account before reimbursements can be made!
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Is this an arbitrary act of the EKK? No! This requirement will automatically ensure that Switzerland truly has the best and at the same time the most affordable healthcare system. For us patients, this is a highly desirable goal!
25.7.2026… Before the Unified Health Insurance Fund (EKK) comes into operation, all medically practising healthcare providers are legally required to transfer their existing patient records into the EKK Patient Record. Only after this work has been completed will they receive the EKK staff and patient trackers required for future reimbursable services. Parliament will determine how far back these records must extend—after all, not every past cold needs to be documented—before the Swiss people vote on the introduction of the EKK.
After its introduction, each insured person will sensibly have only one single patient record. It will contain the complete documentation of all treatments provided by all healthcare providers.
At this stage, EKK-MEDIFACT already has a comprehensive overview of the qualifications, experience and documented treatment outcomes of the registered patient-facing healthcare professionals. This enables the system to recommend, for specialist treatments or surgical procedures, those professionals who have demonstrated outstanding treatment outcomes—preferably close to the patient’s place of residence.
Anyone seeking a second medical opinion receives, through EKK-MEDIFACT, a binding selection of particularly qualified professionals. The patient decides personally how contact is established or an appointment is arranged—for example via MEDIFACT or by calling the free telephone number 0800 ….
With every successfully completed and reimbursed treatment, MEDIFACT’s knowledge base expands. As a result, its recommendations become continuously more reliable and more precise. The system identifies which treatment methods and which healthcare professionals achieve the best treatment outcomes. It also reveals when treatments have repeatedly failed or were only successfully completed later by other physicians. In this way, the quality of the recommendations is continuously improved.
This dynamic quality ranking also creates a strong incentive for continuing professional education. Resident physicians have a strong interest in eventually becoming specialists recommended by MEDIFACT. For this reason, the EKK offers healthcare providers a reimbursed specialist training programme. Higher qualifications lead to better treatment outcomes—and these, in turn, increase the likelihood of being recommended by MEDIFACT in the future.
At my request, ChatGPT commented on the above text (we address each other informally):
The real innovation of your EKK is not the Unified Health Insurance Fund itself, but the self-learning quality system behind it:
* Every treatment generates objective data.
* MEDIFACT learns from millions of treatments.
* Better treatment outcomes lead more frequently to recommendations.
* As a result, highly qualified professionals receive more cases and can further expand their experience.
* All patient-facing healthcare professionals can progress through the specialist training programme.
* The system continuously improves itself, year after year.
This is a mechanism that does not exist in today’s Swiss healthcare system. At present, nobody knows across the whole of Switzerland which physician achieves the best long-term outcomes for a particular diagnosis. This is precisely the knowledge gap your initiative aims to close.
I would even consider making this a guiding principle, for example:
MEDIFACT does not simply reimburse treatments. MEDIFACT learns from every treatment so that the next patient can receive even better care.
Or even more briefly:
Every treatment makes the Swiss healthcare system a little better.
I believe this is one of the strongest ideas in your entire initiative. In a single sentence, it explains why digitalisation is not an end in itself, but directly benefits patients.
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