Higher compensation payments: Health insurance companies make members sicker

Higher compensation payments: Health insurance companies make members sicker


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Tuesday, the 20.09.16, written by Annabell Meyer

The sicker, the more rewarding: By means of a financial compensation, health insurance companies benefit from chronically ill insured persons. The system should actually provide for a fair cost compensation. But some funds let their members of doctors diagnose common diseases and thus get more money than they deserve.


Kranke Versicherte bringen Krankenkassen Vorteile beim Finanzausgleich

Health insurance companies pay doctors for the diagnosis of common diseases

If health insurances have a particularly high number of older and sicker members than other insurers with more young and healthy insured persons, they receive a financial compensation through the so-called morbidity-oriented risk structure compensation (Morbi-RSA). Thus, fair competition between the funds is still possible. Since its introduction, however, the compensation procedure has been criticized for favoring certain funds. A report of the world on Sunday is now pouring more oil into the fire. According to this , some funds make their insured sicker than they actually are .

1,000 euros per patient: Health insurance companies benefit from widespread diseases

As the World is currently unveiling on Sunday, several health insurances have been paying premiums of more than 840 million euros per year for doctors to diagnose a common disease in their patients. As a result, the health insurance companies want to get a higher share of the financial equalization. Because ” for each member with a compensatory relevant widespread disease, the insurances receive supplements, on average, well over 1,000 euros per diagnosis, ” the newspaper explains. Sometimes even external service providers are hired, which should make the insured to go to the doctor. This then diagnoses diseases such as diabetes or obesity, so that the cost compensation for health insurance increases.

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What is the system of compensation between health insurance funds based on?

Basically, the Morbi-RSA has the task to reduce risk differences. Thus, the health insurance companies, which have higher costs for their patients, receive a larger share of membership fees and government subsidies . The amount of the payment depends on the age and sex of the insured as well as on whether they receive a pension for reduced earning capacity. In addition, the need for care of the members has been included as an example for 80 diseases in the last seven years. For example, if an insured person has one of these conditions, he has to undergo expensive treatments. For this his health insurance is compensated by the Morbi-RSA .

Too General and Preventive: Assignment Principle in Criticism

While health insurance funds such as the general local health insurance funds (AOK) welcome the allocation system and profit from it, resistance, guarantor and replacement health insurance funds encounter resistance. Some of them have even joined forces to form an RSA alliance. This criticizes that some providers are favored by the compensation process. Therefore, it requires an adaptation of the system. For example, regional factors should be included more in the calculation. Because often the treatment costs vary depending on the location. In urban areas, these are higher, but lower in rural areas. The list of 80 diseases also needs to be broadened . Currently, strokes or certain cancers are considered, but not sufficiently covered.

In addition, the existing compensation principle ensures that prevention offers are no longer worthwhile. ” Funds are systematically financially punished if they invest in prevention, ” says Hans Peter Wollseifer of the umbrella association of guild insurances. The AOK-Bundesverband contradicts these allegations, however, and points out that the compensation system was “never fairer than today”. Even the Federal Ministry of Health and the Federal Insurance Office see no acute need for action.


Bremen – If you want to finance a property, you can currently enjoy low interest rates. But how long will that be? What homebuyers should consider when interest rates rise again and for whom such an investment makes sense.


Image: Couple in front of house Image: © PeopleImages / iStock.com / Text: dpa / tmn

Although the US Federal Reserve has just postponed the planned withdrawal of its zero interest rate policy because of the weakening economy. But at some point – as the financial experts agree – the interest rates are raised again step by step and thus also loans again more expensive. This begs some buyers to ask if they should invest quickly now. In fact, it may be worthwhile. But not for everyone.

Hartmut Schwarz from the consumer center Bremen does not expect any major changes for the near future. It will continue to be possible for enough consumers to buy real estate. Therefore, he advises against hasty decisions – only to benefit from the currently historically low interest rates. “The only danger we see is that people now borrow money that they can not afford,” he says.

The consumer advocate recommends that you carefully calculate the monthly rate of a loan and when it must be paid off. “For financing, you should plan a maximum of 30 percent of the available net income,” says Schwarz.

Annabel Oelmann of the consumer center North Rhine-Westphalia in Duesseldorf advises to bring along sufficient equity: 20 to 30 per cent of the total sum, thus of purchase price and additional costs, are a good condition for the borrowing. Those who calculate too tightly make life difficult, warns them. Finally, there are often costs that consumers have not planned before.

Financial adviser Max Herbst from Frankfurt am Main considers a loan already feasible if its own funds cover the additional costs. Usually it is 10 to 15 percent of the purchase price. It is rarely worthwhile to postpone the building project, says Herbst. For example, a family often does not have the opportunity to save enough to get the much-recommended own contribution of at least 20 percent of the total costs. Nevertheless, she often pays 800 to 1000 euros per month for a flat. That adds up to 12,000 euros a year. Money that may be better invested in your own property.

Fall calculates: For a home purchase loan of 200,000 euros is often recommended an equity stake of at least 40,000 euros. Who wants to save this sum in five years, must set aside 660 euros per month. Consumers who can afford to save such a sum could immediately invest it in the repayment of a loan. Important: At least two percent repayment buyers should be able to afford according to Schwarz. Those with little equity need to look for a long term, preferably 20 years.

Annabel Oelmann is more cautious. While it might make more sense to start financing immediately, she points out, “If someone can afford extra spending on a monthly basis at a high rate, but has not yet managed to save equity, what is he asking? has spent his money so far. ” Sometimes a potential buyer may theoretically have enough income to pay installments, but first he has to learn how to properly manage it. “Therefore, it may make sense to save another five years, to do a trial run, as it were, to see if I can really make the payment every month,” says Oelmann.

Rising interest rates do not necessarily lead to priceless loans, says Hartmut Schwarz. He calculates: Someone takes out an annuity loan of 200,000 euros with a term of 15 years – with a repayment of 2 percent and 2 percent interest. In the end he has a residual debt of almost 131,000 euros. In a follow-up financing with 6.5 percent interest, he has fully repaid his debts after 29 years and seven months. Who concludes a loan in the same amount, but with 4 percent debit interest, has after Schwarz ‘calculation after 15 years, a residual debt of almost 118,000 euros. With a follow-up financing with 6.5 percent interest, the consumer can repay his debts in a total of 26 years and two months – for a loan with special repayment even faster.

“With an annuity loan, switching interest rates to repayments at higher interest rates is faster,” explains Schwarz. As part of the residual debt is repaid at each installment, the interest component is reduced. Therefore, the repayment portion will be higher.

Rising interest rates do not necessarily make a home purchase so prohibitive. However, Max Herbst points out that houses and land may become more expensive in the years to come. Then consumers have to raise higher loans.


Why do financial markets distrust the rescue of Spanish banks?

Why do financial markets distrust the rescue of Spanish banks?

  • Important questions about how the loan will be made are still unknown, such as where the money will come from, what interest or the final amount.
  • Elections in Greece and uncertainty about their outcome have accelerated the schedule of negotiations.
  • Keys to the rescue to the bank | Chronology of the European crisis.
Bolsa de Madrid

Interior of the Madrid Stock Exchange. GTRES

It had been expected for weeks and it was hoped that it would calm the financial markets. However, the rescue of Spanish banks, announced last Saturday, has not appeased the anger of investors : on Monday they opened with optimism and then placed themselves in figures of danger, milestones that continue in the day of this Tuesday, when the risk country has reached over 530 basis points. The rescue has not brought peace to the markets.

Some voices have come out to criticize this rescue and the different versions of it (Spanish Government, EU, opposition, etc.) show that there is still a lot to work on so that this decision can bring the desired tranquility.

Those not so small “details”


The government sold the ransom (or the loan line, as they like) as great news. So good that, in an attempt to normalize, President Rajoy went to Poland to see the debut of the national football team in the European Championship. However, it seems that there are still many things to decide and things that are not precisely details.

“There are two doubts that make it impossible for investors to react positively,” explains Pompeu Fabra University economics professor José García Montalvo, ” the technical details and the final amount that will be provided .”

There are two details that concern investors: the technical details of the rescue and the amount that will be provided. These “details, which really are not,” technicians are of vital importance: the first thing is to know the interest that the loan will be made – there is talk of 3% or 4% – or where the funds will come from for that financing . These billions can come from two places: the European Stability Mechanism (Mede) or the European Financial Stability Fund (EFSF). If it comes out of the first (which has 240,000 million euros in fund), the EFSF would issue debt and then lend it to the State in question with a small charge. This debt has no collection priority over other investors.

On the other hand, if the loan comes out of the Mede, it would have collection priority over other debts. Something that would make the debtors of Spanish banks nervous. The Minister of Economy, Luis de Guindos, played down this issue and assured that the loans would come from one or the other.

In the British newspaper The Guardian , which does not rule out the need for an even greater bailout for our country, picks up the concern of holders of Spanish debt bonds in case you choose the Mede. In that case, their payments would be in second place after the rescue loan, which would have priority to be returned and that would pose more risk to them.

The doubts about the amount that will finally be requested is not minor, although it will be cleared, predictably, next day 21 when the external audits present their reports on the Spanish banking. In any case, “if you ask for a small amount (40,000 million), it serves to cover provisions of the past and in six months we would be the same”, explains Professor García Montalvo. “On the other hand, if you ask for a lot (100 billion or more), you could activate the credit, if there was a demand for credit, but there would be a very bad signal on the Spanish banking system and doubts could persist.”

The Nobel Prize for Economics Paul Krugman, in his column for The New York Times , wrote on Tuesday that ” there is nothing wrong with this latest rescue plan (although much will depend on the details that are still unknown).” However, Krugman charged against European political elites, “willing to defend the banks and failing people” and warned that “the absolute catastrophe may be around the corner.”

The decision of Greece

Greece, the first country rescued and the one that suffers the most dramatic situation, continues to worry the eurozone. The choice of last weekend to decide the Spanish rescue was not taken lightly: this Sunday the Greeks return to the polls and the result is an unknown .

Foreseeing that some party like the left coalition, SYRIZA, which could reject the conditions imposed by the EU on Athens and force its exit from the euro, the eurozone had to take the necessary measures to avoid that, if that assumption were given, it would not affect to the weak Spanish and Italian economies.

Stiglitz does not like it

The first Nobel Prize in Economics to criticize was Joseph Stiglitz , who assured that the rescue plan for the eurozone will not work. “The plan is: the Spanish government rescues the banks and the banks rescue the government, it’s the voodoo economy, it will not work, it’s not working.”

Professor García Montalvo believes that ” there are people who do not realize that doing nothing is no longer an option , Spanish financial reforms obliged banks to make provisions with 80,000 million that are not available. put the money, something that would further trigger the risk premium and definitively close the market to Spain, or the rescue “.

An aid that accentuates the public debt

Another issue is how this rescue affects the Spanish public debt. Fidelity’s global equity investment director, Dominic Rossi, explained that European aid of up to 100,000 million euros, instead of separating the problems of banking from sovereign problems, what this help does is to bring them together .

While equity markets rose in response to the announcement of the bailout, Rossi continues, the government bond market has quickly recognized that aid adds pressure to sovereign risk , which has been reflected in the rise in Spanish debt yields. to 10 years.

In addition, this injection of capital has to go through the Spanish national accounts, which actually means that the Government is “stuck”, as it adds 100,000 million euros, or whatever the final amount, to the current level of Spanish public debt.

Main – Cash is still very popular in Germany. Payment by card or smartphone app is rare in comparison. While Sweden and Denmark are radically digitizing their payments, people in Germany are still paying in cash: on three out of five occasions (79 percent of transactions), as the Bundesbank has calculated on the basis of 2014 data. Over half (53 percent) of retail sales are made in cash. Nevertheless, some economists would like to abolish the cash. What are the pros and cons?

Picture: Concession fee 

Per cash

Expenditure control: Cash payer feel they have a better grip on their expenses. If the 103 euros spent by the people according to the latest Federal Bank survey, on average, in the purse, the hurdle to further purchases is higher. One in five, who pay only in cash, stated in the Bundesbank survey that it was just nice to find bills in their hands.

Anonymity: If you pay with a bill and a coin, you will not leave any electronic traces at the till. Maybe the spouse should not be able to understand on the common account, what a gift has cost? And even some dark business should not come to light. Cash payments protect privacy, Bundesbank board member Carl-Ludwig Thiele argues: “The fact that even less righteous people benefit from this is no reason to make honest citizens more and more transparent.”

Data protection: The concern about the seizure of sensitive bank data in the use of plastic money is great – even if the latest figures on “skimming” should actually provide reassurance: The spying of card data and PIN (PIN) at ATMs in Germany has been declining for years. From January to the end of November 2015, criminals manipulated 111 vending machines nationwide – much less than in the previous year. Accordingly, criminals no longer bother with payment terminals in the shops.

Value preservation: Europe’s central banks have so far issued banknotes worth more than one trillion euros. But only 15 percent of them are used for transactions. The majority is hoarded – true to the motto: “Only cash is true”.

Donations: What would be the donation box on the shopping mile, the collection box in the church or the hat of the homeless person without pretense and coin? Even at street vendors and flea markets electronic means of payment – be it debit card, credit card or mobile by mobile phone – hardly conceivable. In some churches already the “electronic bell bag” can be filled: The money is transferred, the donor gets a certificate for the tax office.

World Savings Day: What will become of the World Savings Day, when there is no more cash? Since 1925, the day is supposed to encourage people to save each year on the last working day in October. Piggy banks would be redundant in a cashless society – and to make children fit for the abstract topic of finances would be much harder.

Contrary to cash

Logistics : Cash costs money. Notes must be printed, coins must be embossed. Value transporters bring the valuable cargo from A to B, thick-walled safes are to prevent thieves. However, even electronic payment methods are not free of charge and must be constantly further developed in terms of security.

Crime: Without cash, there would be less undeclared work, drug trafficking and money laundering would be contained – say the advocates of a cashless society. But who wants to do illegal business, could switch to other currencies. Even virtual currencies such as “bitcoins”, which are beyond the control of central banks, could be used.

Health: “Cash is a disgusting affair” – so drastically formulated by Mastercard. The credit card issuer is confirmed by studies and surveys: 26 000 potentially harmful bacteria cavorting accordingly on an average European banknote. And two-thirds of Europeans are convinced that dealing with coins or banknotes is unhygienic and leaves dirt on their fingers.

Monetary policy: Monetary policy functions essentially through “book money”, such as savings deposits and loans. A central bank can steer savings and lending interest to some extent by changing its policy rates. In the eurozone, interest rates are at record lows. For consumers and businesses, the incentive to stop lending money and to hoard it in coins and banknotes increases. However, this limits the ability of a central bank to push the economy through super-cheap money in times of crisis. Without cash, the power of monetary policy would be greater.

Exactly What Determines The Cost Of A Bail Bond?

Provides are a very easy and enjoyable way to invest your money. These are mostly of four varieties and can be purchased from the authorities, from corporations, state plus local governments or international governments.

Bond money is funds that have more of a risk compared to money market funds. They are usually used to produce income or help stabilize a profile. Bond funds come in 4 types. Financial guaranty insurance company municipal bond insurance Funds, Mortgage-Backed Securities Funds, Corporate Relationship Funds, and U. T. Government Bond Funds.

First, you can call your own financial guaranty insurance company new york. In fact, you may need to contact to see if you need a recommendation from your regular dentist just before can see a periodontist. You might want to see which offices have been in your network, which can provide you with an idea of how many choices you might have. Also, if your regular dental professional is sending you, she or he may also have a suggestion with regard to who they recommend.

When you buy a trip package, you do not have to trouble about making separate repayments for air tickets, lodge accommodation, etc. All this is definitely taken care of by the tour business. The only thing that you have to bother regarding is arranging funds for that holiday. If you do not have the income to buy a holiday package, you can create out a holiday loan. With all the rise in the world tourism, loan providers have realized the business prospect of offering holiday financial unsecured personal loans.

What about damages? The problems are once again the purview of the judge. Other than scams which the law is very crystal clear about, damages need to be specific and quantified before any kind of award can be made. The meaning of ‘damage’ being quite vague, it would require particular and clear proof of financial loss before the homeowner may think of winning such a situation.

In many criminal cases, the process could take months, meaning that the accused would have to remain in jail, if not for the bail system. That would make the individual unable to function normally plus earn a living. The bail program allows a person to live a comparatively healthy life while the demo goes on.

Money funds usually are entirely liquid which is a benefit. The money funds are as opposed to a CD, which will secure your money for at least three months or even more depending on whether you want a respectable yield. You can sell your current shares in your money finance at any time and they also offer a couple of perks such as the ability to create checks against the principal.

Starting a pawn shop is not really a simple task and you definitely won’t become productive fast. However, you can do quite well mainly when you realize that this business is really recession-proof.