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Update coverage of psychotherapeutic care
On 26 June 2019, the Federal Council instructed the Federal Department of Home Affairs (FDHA) to conduct a consultation procedure on the adjustment of the Ordinance on Health Insurance and the Ordinance on Nursing Benefits on the revision of psychological psychotherapy as part of obligatory health insurance (OHI). The consultation draft contains a new regulation on psychological psychotherapy within the framework of the OHI. Psychological psychotherapists who are licensed to perform psychotherapy should be able to provide all psychotherapeutic services independently and on their own account on the basis of a medical prescription. So far, the basic insurance only covers these costs if the service is performed under the supervision of a doctor (BAG, 2019).
Psychotherapists welcome the Federal Council's proposal to restructure psychological psychotherapy. The amendment helps to eliminate the existing supply problems in rural areas and among children and young people. However, psychotherapists, professional associations and students have concerns about the current proposal. Until October 17th, 2019 (end of the consultation period), comments could be sent electronically to sub-offices of the Federal Office of Public Health (FOPH) electronically (BAG, 2019). An aspect which is disturbing about the current proposal, for the professional associations FSP and SBAP for example, is that the regulation has issued an order for only fifteen meetings. Hence, a doctor's appointment would have to be arranged again after only fifteen sessions in order to be prescribed another fifteen sessions. This would be cost-increasing, without creating additional benefit, as well as disadvantaging psychological psychotherapists compared to medical service providers (FSP, 2019). There is also resistance among experts concerning the regulation that a report should now be sent to the doctor of the health insurance company after 30 sessions so that the therapy can be continued. Here the professional associations demand that the previous arrangement of 40 meetings should be maintained, as this has proven to be successful in practice and the limitation of 30 meetings could cause additional work and costs (FSP, 2019).
- Bundesamt für Gesundheit (BAG) (2019). Änderung KVV und KLV betreffend Neuregelung der psychologischen Psychotherapie und der Zulassungsvoraussetzungen nicht-ärztlicher Leistungserbringer. Retrieved on 27 October 2019. https://www.bag.admin.ch/bag/de/home/versicherungen/krankenversicherung/krankenversicherung-revisionsprojekte/aenderungen-psychotherapie-nichtaerztlicheleistungserbringer.html
- Föderation der Schweizer Psychologinnen und Psychologen (FSP) (2019). Position der FSP zum Verordnungsentwurf zur neuen Psychotherapieregelung. Retrieved on 27 October 2019. https://www.psychologie.ch/position-der-fsp-zum-verordnungsentwurf-zur-neuen-psychotherapieregelung
Author: Alexander Ariu
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