{"id":4718,"date":"2019-11-05T08:00:06","date_gmt":"2019-11-05T07:00:06","guid":{"rendered":"https:\/\/news.save.ch\/?p=4718"},"modified":"2023-03-14T09:03:55","modified_gmt":"2023-03-14T08:03:55","slug":"bag-nimmt-aufsichtsfunktion-nicht-wahr-erneut-zum-schaden-der-versicherten","status":null,"type":"post","link":"https:\/\/news.save.ch\/en\/bag-nimmt-aufsichtsfunktion-nicht-wahr-erneut-zum-schaden-der-versicherten\/","title":{"rendered":"Is the FOPH not fulfilling its supervisory role?"},"content":{"rendered":"<figure id=\"attachment_4719\" aria-describedby=\"caption-attachment-4719\" style=\"width: 680px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-4719\" src=\"http:\/\/develop.safety-plus.ch\/wp-content\/uploads\/2019\/10\/Depositphotos_AlexLipa.jpg\" alt=\"\" width=\"680\" height=\"454\" \/><figcaption id=\"caption-attachment-4719\" class=\"wp-caption-text\">Hospitals may not bill the day of discharge as a hospital day.<br \/>\u00a9 Depositphotos\/AlexLipa<\/figcaption><\/figure>\n<p>The rule of the hospital tariff is clear: the day of discharge after inpatient treatment may not be billed as a hospital day. Nevertheless, the <a href=\"https:\/\/news.save.ch\/en\/bag-neuer-leiter-des-bereichs-unfall-und-krankenversicherung\/\" target=\"_blank\" rel=\"noopener\">BAG<\/a> the health insurance companies to also cover the last day of a <a href=\"https:\/\/news.save.ch\/en\/sechs-prozent-erleiden-spital-infektion\/\" target=\"_blank\" rel=\"noopener\">Hospitalization<\/a> to charge, burdening patients with millions of dollars in additional annual costs. In a ruling on May 23, 2019, the Social Insurance Court of Zurich confirmed the obvious: This procedure is inadmissible.<\/p>\n<p>As justification for its recommendation, the <a href=\"https:\/\/www.bag.admin.ch\/bag\/de\/home.html\" target=\"_blank\" rel=\"noopener\">BAG<\/a> that there was no federal court ruling on this question. This reasoning is absurd, because the FOPH itself would have had the opportunity to appeal the currently valid ruling and thus bring about a federal court decision. Nevertheless, it refrained from doing so. Thus, the present ruling from Zurich is legally binding.<\/p>\n<p><strong>Hospital costs charged incorrectly for years<\/strong><\/p>\n<p>A few weeks ago, a similar case became public: All major <a href=\"https:\/\/news.save.ch\/en\/gesundheitskosten-senken-umsetzung-zaehlt\/\" target=\"_blank\" rel=\"noopener\">Health insurance companies<\/a> have been charging hospital costs incorrectly for years on the recommendation of the FOPH - also at the expense of patients. The Federal Court ruled that this was also inadmissible.<\/p>\n<p>For Consumer Protection, these two cases show that the FOPH is failing in its supervisory role. Sara Stalder, Executive Director of Consumer Protection, comments: \"Once again, it is evident that the FOPH has interpreted the legal basis in an inadmissible manner to the detriment of the insured. This raises the question of whether these two cases are just the tip of the iceberg. We therefore recommend that the Swiss Federal Audit Office review the FOPH's supervisory activities.\" In addition, the consumer protection demands that the wrongfully collected amounts be refunded. Dis would be easy to handle with a flat-rate contribution - so that no huge administrative process has to be created for this.  \"Based on the FOPH's directive, insured persons were charged unjustified amounts for years. These must be refunded.\"<\/p>\n<p><strong>More information<br \/>\n<\/strong><a href=\"https:\/\/www.konsumentenschutz.ch\/medien\/\" target=\"_blank\" rel=\"noopener\">www.konsumentenschutz.ch<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Die Regel des Spitaltarifs ist klar: der Austrittstag nach einer station\u00e4ren Behandlung darf nicht als Spitaltag abgerechnet werden. Trotzdem weist das BAG die Krankenkassen an, auch den letzten Tag eines Spitalaufenthalts in Rechnung zu stellen, wodurch Patienten mit j\u00e4hrlichen Mehrkosten in Millionenh\u00f6he belastet werden. In einem Urteil vom 23. Mai 2019 hat das Sozialversicherungsgericht Z\u00fcrich [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":16329,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pgc_sgb_lightbox_settings":"","footnotes":""},"categories":[1,3314],"tags":[700,1775,2165,149,2403,2967,181],"class_list":["post-4718","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-allgemein","category-health-safety","tag-bag","tag-betriebliches-gesundheitsmanagement","tag-gesundheitsfoerderung","tag-gesundheitsschutz","tag-krankenkasse","tag-spital","tag-versicherung"],"acf":[],"hkrextid":null,"publication":null,"issue":null,"workflow":null,"startPage":null,"spitzmarke":null,"_posts_by_tag_page_fields":{"widget_title":"","widget_tags":""},"_at_widget":"1","_yoast_wpseo_primary_category":"4","_yoast_wpseo_focuskw_text_input":"BAG","_yoast_wpseo_opengraph-image":null,"_yoast_wpseo_opengraph-description":null,"_yoast_wpseo_opengraph-title":null,"enclosure":null,"_yoast_wpseo_twitter-title":null,"_yoast_wpseo_twitter-description":null,"_yoast_wpseo_twitter-image":null,"_wp_old_slug":null,"_yoast_wpseo_title":null,"_yoast_wpseo_canonical":null,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nimmt das BAG seine Aufsichtsfunktion nicht wahr? 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