Outpatient tariffs
The outdated TARMED tariff, which has been in use since 2004, is the principal tariff arrangement for outpatient treatment, with CHF 13 billion in services invoiced under it each year. Work on a new outpatient tariff dragged on for many years, accompanied by intense political debate on the subject. As part of the first package of cost containment measures, it was decided to introduce nationwide flat rates and to set up a national tariff organisation by law.
At the end of 2023, the tariff partners curafutura, SWICA and FMH submitted the TARDOC fee-for-service tariff to the Federal Council for approval, while santésuisse and H+ put forward a flat-rate outpatient tariff structure for consideration. The aim was to replace the outdated TARMED tariff with a new outpatient medical tariff. The Federal Council decided on 19 June 2024 to partly approve both tariff structures. At the same time, it announced that the new outpatient tariff should be ready to replace TARMED from 1 January 2026. The Federal Council therefore asked the tariff partners to revise their proposals by 1 November 2024, so that the two separate tariffs could be coordinated. OAAT AG oversaw the work required and the coordination of the various actors. The tariff partners presented an implementation agreement for harmonising the structures at the end of October 2024.
For CSS, the real issue at stake is creating tariffs that are fit for purpose and which will guarantee efficient, quality-driven medical care. In addition, it must be ensured that any new tariffs introduced satisfy the cost neutrality criteria required by law.
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