Abstract: The introduction of the DRG system in 2003/04 can be considered the last real hospital reform. Although the latest reform was called Hospital Structure Act due to its insufficient structural components it is sometimes referred to as missed reform. Essential aspects of the institutional...

Germany's risk-adjustment scheme (RAS) includes the statutory health insurance (SHI), but not the full private health insurance (PHI). We analyzed that the expansion of the RAS to the PHI would cause a transfer of 9.9 billion Euros per year from the PHI to the SHI (thresholds of relevant income...