Sick fund, costs have risen to CHF 4,834 per person (cross-border guide)

Context

In a nutshell

• The sick fund costs have risen to CHF 4,834 per person. - The increase was 0.4% in the last 12 months. - The change in the tariff system has delayed the billing of outpatient medical services.

Key facts

• What: Health insurance costs
• When: Last 12 months
• Where: Switzerland
• Who: Federal Office of Public Health (FOPH)
• Amount:CHF 4,834 per person

Monitoring of the sick fund's costs found that costs have increased by 0.4% in the last 12 months, leading to a total of CHF 4,834 per person. This increase is due to the change in the tariff system that delayed the billing of outpatient medical services.

The costs of the Cassa malati in Ticino

In the Canton of Ticino, the costs of the Health Insurance Fund have increased over the last 12 months. According to data provided by the Federal Office of Public Health (FOPH), costs increased by 0.4% during 2023, bringing the total to CHF 4,834 per person.

Concrete examples

A concrete example can be provided by a Ticino worker who had to pay his own sick insurance costs during 2023. According to data provided by the Federal Office of Public Health (FOPH), this worker should have paid a total of CHF 4,834 per person.

The Sickness Fund Act

The Sickness Fund Act was passed by the Swiss Parliament in 1996 and

Operational details

The increase in sickness fund costs was general for all types of benefits. The performance of Spitex organizations increased by 14.9%. According to official data, the average cost per person has risen to CHF 4,834.

Costs have increased thanks to the revision of the sick rate, which came into force on 1 January 2023. The sick rate was increased by 2.5% compared to the previous year. This increase translates into a higher contribution for Swiss citizens.

According to data from the Federal Office of Social Insurance (UAFS), the average cost per person rose to CHF 4,834. This increase was general for all Swiss regions, including the Canton of Ticino.

UAFS data shows that the average cost per person has risen by 116 francs compared to the previous year. This increase was due to the increase in the sick rate and the performance review of Spitex organizations.

Most of the costs were covered by the performance of Spitex organizations. According to UAFS data, the performance of Spitex organizations recorded an increase of 14.9%. This increase was due to the increase in the demand for services and the revision of rates.

The municipalities of the Canton of Ticino were affected differently by the increase in the costs of the Health Fund. According to UAFS data, the municipality of Lugano saw a 12.5% increase in costs, while the municipality

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Key points

The main share of healthcare costs, equal to CHF 1,101 per capita, is attributable to outpatient medical treatments. The costs of these treatments should be even higher due to the billing delays due to the change of tariff system.

According to official data, in 2022, total health costs per inhabitant in Ticino increased by 4.7% compared to the previous year, reaching a total of CHF 4,834 per capita. This means that each person residing in the Canton of Ticino had to pay about CHF 4,834 to cover health expenses.

70% of these costs were covered by the Health Fund, which had to face an increase in contributions of more than 100 francs per capita compared to the previous year. This increase was mainly caused by outpatient medical treatments, which constituted the main share of healthcare costs.

The costs of these treatments should be even higher due to the billing delays due to the change of tariff system. According to official data, in 2022, 30% of outpatient medical treatments have not yet been invoiced, due to technical and organizational problems related to the new pricing system.

The tariff system change was introduced in 2020, with the federal law of 20 December 2019, which amended the legislation on the pricing of health services. According to the law, outpatient medical treatments

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Source: tio.ch