Already, several Ministers of health were non-medical psychotherapists in prospect that you can charge their services directly via the basic insurance. For almost 40 years, this is only indirectly possible: if the psychologist from a psychiatrist be delegated. In the delegation model, psychologists are in a kind of employment relationship with a medical psychotherapists and work under its supervision. After decades of waiting, the Federal Council met this summer is now the desire of the psychologists finally: in the Future, those with psycho-therapeutic specialist should be able to settle training independently with the basic insurance, if the treatment is on the order of a physician.

But the proposal entering the consultation process to strong criticism, so that the health Minister Alain Berset once again about the books. Although the Federal Council can introduce the Change without the Parliament on the Decree, it will provide a high CVP, FDP and SVP but three of the civil parties against the proposal. The CVP doubts in its Letter to the Federal Council that there is in the area of outpatient psychotherapeutic care supply, the improved access to psychological make psychologists justify. Rather, a “low-threshold offer, is created” to perform more treatments and additional costs for the basic insurance. This is in view of the steadily rising premiums “not acceptable”.

SVP: psychotherapy as a required performance

delete The FDP is also no shortage of psychotherapists, warns of an “uncontrollable” increase in costs, and calls for fundamental adjustments to the template, such as higher requirements on the training of non-medical therapists. The health insurance companies should be able to choose which psychologist you take under the contract. In the case of Doctors and other health care providers such as physiotherapists, the funds are obligated today to take care of all of the sub-contract (Contractual obligation). The SVP calls, finally, by the Federal Council, a “cruise stop”. A change to the arrangement of the model can only increase with targeted measures against a cost-justifiable. Actually, not even that of the psychiatrist should be, in the opinion of the SVP, psycho-therapies are not generally of the basic insurance paid for.

Against the configuration model, the physicians connection, FMH provides. And the associations of medical psychotherapists warn of massive additional costs for the basic insurance of half a billion Swiss francs per year instead of the Federal Council’s stated 100 million. The arrangement must remain the psychiatrists to change. A mediation proposal from the Association of psychiatric clinics and services (SMHC) power. Family doctors should be able to arrange for light of life crises, psycho-therapies, however only 10 instead of 15 sessions, as the Federal Council is proposing. Also, the health insurance companies accept the Arrangement only if the arrangement remains in a first-line psychiatrists reserved.

psychologists have relied on the Federal Council and the cantons

The Federation of Swiss psychologists (FSP) holds the objection to be unfounded. The FSP refers to the fact that, in addition to the SP and to GLP, the cantons and the Association of family and children’s doctors support the arrangement model of the Federal Council. The cantons and the family physicians are important stakeholders in the health sector. The FSP hopes, therefore, that the Federal Council is sticking to its plans. Studies by the Federal office for health have shown that in the field of psychotherapy, a supply gap, says FSP spokesman Philipp Thüler. Who the view point that the supply by a psychotherapist working part-time as psychologists today would be sufficient, ignorieredie lack of reimbursement by the basic insurance. This is the most Vulnerable who could not afford supplemental insurance or the Assumption of the cost of treatment to meet especially.

The claim by some consultation participants that only a psychiatrist may order the therapy by psychologists, might have even a deterioration of today’s Situation, warns Thüler. Because the mere arrangement was for Doctors much less interesting than the Delegation. This could lead to the number of the arrangement candidate Doctors decreases compared to the number of delegating Doctors even.

The Federal Council evaluates the opinions currently, and will decide no later than until the mid-2020’s definitely about the change.

Created: 07.11.2019, 21:36 PM