Germany's hospital reform deal secures €29B for major overhaul
Federal and state leaders have finalised a revised hospital reform plan after weeks of intense talks. The agreement, confirmed by Health Minister Nina Warken (CDU), introduces key changes to improve medical care across Germany. Both coalition factions and state representatives have backed the compromise, allowing the reforms to move forward.
Negotiations between the federal government and the states stretched over several days before reaching a deal. All parties worked together to adjust the original proposal, ensuring it could be put into practice. The revised plan reduces the number of hospital performance groups from over 1,000 to just 61, aiming to boost specialisation and quality of care in general hospitals.
Financial adjustments were also made to ease the transition. The full economic impact of the reform will now take effect in 2030, one year later than initially planned. The federal government has committed €29 billion to a transformation fund, supporting general hospitals through the changes.
Another major change is the creation of integrated emergency centres (INZ). These units will centralise certain treatments and connect with regional control hubs, ensuring better coordination of resources. The reform also seeks to protect basic and emergency medical services in rural areas, preventing gaps in care outside major cities.
The compromise clears the way for the hospital reform to be rolled out nationwide. With fewer performance groups, delayed financial effects, and new emergency centres, the system is set for a structured overhaul. The €29 billion fund and cross-party support provide a stable foundation for the changes ahead.
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