Percivil M. Carrera | IHCM | EHMA 2008

Strategic Communication in the Strategic Communication in the German Social HealthGerman Social Health Insurance Insurance SystemSystem

Percivil M. Carrera, LLM, PhDPercivil M. Carrera, LLM, PhD

mentoring the

motivated.

Percivil M. Carrera | IHCM | EHMA 2008

Source: Busse and Riesberg 2006

Percivil M. Carrera | IHCM | EHMA 2008

The Federal Joint Committee

• The Federal Joint Committee (Gemainsamer Bundesauschuss, G-Ba) serves as a platform for discussion and decision-making in the German Social Health Insurance (SHI) system.

• It brings together the national associations of doctors and dentists, the hospital federation and federal association of sickness funds.

• Patient groups essentially play a consultancy role whereas they are allowed the right to file applications and participate in the consultations of the G-Ba but do not have voting rights.

Percivil M. Carrera | IHCM | EHMA 2008

The Federal Joint Committee

• The G-Ba incorporated and standardized the former separately working committees for ambulatory, dental and hospital care.

• Although under the legal review of the German Federal Ministry of Health, it is not a subordinate authority.

• It is composed of 21 members involving one (1) impartial chair, two (2) impartial members and nine (9) members each for the national association of sickness funds and providers.

Percivil M. Carrera | IHCM | EHMA 2008

Tasks of the G-Ba

• Assessment of new methods of medical diagnosis and treatment.

• Regulation of remuneration exclusions and restrictions in the provision of drugs.

• Safeguard of medical service provision.

• Recommendations with respect to quality assurance in the SHI system

Percivil M. Carrera | IHCM | EHMA 2008

How the G-Ba Works

Source: G-Ba