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Delegation

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Cooperations

Specialisation in medicine is continually advancing. That is why a modern health care sector such as that in the Federal Republic of Germany, is reliant on efficient cooperation structures. That has already been recognised and implemented by manifold doctors and psychotherapists: in 2016, 43.2% of them worked in professional associations or in ambulatory healthcare centres (health data from the National Association of Statutory Health Insurance Physicians (KBV 2016)).

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Chief physician contract

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Settlement check

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Receivables management

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Compensation agreements

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Supply contracts

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Budget negotiation

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Hospital financing

In spite of the basic structure that has existed since 1972 and namely the division into equipment financing (health insurance funds) and investment financing (federal states), hospital financing has been characterised by a differentiated but not always consistent system of legal regulations since the introduction of the DRGs at the very latest. Legal requirements for hospitals are displaced by regulations of the Federal Joint Committee (GBA) and agreements of the self-governing partners at both state and federal levels.

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Hospital planning

The authorities responsible for hospital planning at federal state level regularly check which operator may offer hospital services to persons with statutory health insurance at which location. Given that hospital planning is demand-oriented, in most cases it not only concerns the spectrum of authorised services, that is the structure of the specialist department, but also the number of beds in the hospital and its units.

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