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

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

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

4. Physiotherapy in Switzerland 4

5. 5

6. 6

7. 7

8. Who pays for physiotherapy? 8

9. Subsequent remarks only valid for health insurances 9

10. Health care: Dominated by provinces 10

11. 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“481.11 CHF48 x 1.11 CHF Grisons„Standard“480.94 CHF48 x 0.94 CHF

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

13. 16 years without change of the tariff 13

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

15. 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

16. Contract with 2851 pages 16

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

18. Public campaign: 2014 18

19. Public campaign: 2014 19

20. Public campaign: 2014 20 The insurance initiated legal proceedings for unfair advertising … … but clearly lost the case. The public campaign was considered for being a political campaign.

21. 2015: New tariff structure is negoiated 21

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

23. Thank you for your attention!