IPPTA 11 th General Meeting Singapore 3rd May 2015 Marc Chevalier Member Board of Directors physioswiss Switzerland

Agenda 2 (1)Physiotherapy in Switzerland (2)New tariffs for physiotherapy (3)What happened since the last meeting?

Agenda 3 (1)Physiotherapy in Switzerland (2)New tariffs for physiotherapy (3)What happened since the last meeting?

Physiotherapy in Switzerland 4

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Who pays for physiotherapy? 8

Subsequent remarks only valid for health insurances 9

Health care: Dominated by provinces 10

Tariffs in Switzerland 11 Compensation is based on a tariff structure (what is paid with how many points) and a tariff agreement (how much is paid per point) The tariff structure is the same all over Switzerland. Tariff agreements are determined for each province separately. Example: Structure Agreement ProvinceTreatmentTaxpointsValueCompensation Zurich„Standard“ CHF48 x 1.11 CHF Grisons„Standard“ CHF48 x 0.94 CHF

Agenda 12 (1)Physiotherapy in Switzerland (2)New tariffs for physiotherapy (3)What happened since the last meeting? (4)WCPT Congress 2019

16 years without change of the tariff 13

How tariffs are established 1) Primacy of negotiation 2) Imposition of tariffs by the 26 provinces 3)Decisions by Federal Administrative Court 14

Partial solution 15 For 60% of the insurers:  Negotiations were partly successful  Tariff agreement was made  Insurers compensate about 50% of the inflation For 40% of the insurers:  Negotiations were not successful  Insurers propose to compensate about 25% of the inflation that is not acceptable Imposition of tariffs by the 26 provinces

Contract with 2851 pages 16

Agenda 17 (1)Physiotherapy in Switzerland (2)New tariffs for physiotherapy (3)What happened since the last meeting?

Public campaign:

Public campaign:

Public campaign: The insurance initiated legal proceedings for unfair advertising … … but clearly lost the case. The public campaign was considered for being a political campaign.

2015: New tariff structure is negoiated 21

Agenda 22 (1)Physiotherapy in Switzerland (2)New tariffs for physiotherapy (3)What happened since the last meeting?

Thank you for your attention!