TARDOC
TARMED has been the national uniform pricing structure for outpatient medical services provided by doctors or in hospitals since 2004. TARMED has not undergone any fundamental changes in the past 15 years. As a result, it no longer properly reflects the current state of technical and medical progress. Doctors and hospitals bill services worth CHF 12 billion through TARMED each year. The tariff partners curafutura, FMH and MTK felt that the situation regarding TARMED, whose structure was outdated and no longer fit for purpose, was no longer tenable and have therefore spent the last few years working intently on the new TARDOC fee-for-service structure.
In December 2023, the tariff partners submitted requests for approval of the TARDOC fee-for-service structure (FMH and curafutura) and for outpatient flat rates per case (H+ and santésuisse).
The Federal Council decided on 19 June 2024 to replace TARMED with the TARDOC fee-for-service structure and the first flat rates as of 1 January 2026. The Federal Council has partially approved both tariff structures and imposed requirements on their introduction. As the two systems were developed separately, the tariff partners have been asked to coordinate TARDOC and the flat rates, and to submit an implementation agreement to the Federal Council on 1 November 2024; the new Organisation für ambulante Arzttarife (OAAT AG, Organisation for Outpatient Medical Tariffs) will take the lead in drawing up this agreement.
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