Cross-sector healthcare facilities offer the opportunity to reshape regional healthcare provision and reposition a hospital location in the market based on demand. These facilities combine acute inpatient hospital care close to home with outpatient and nursing services. They are designed for patients with internal medicine or geriatric care needs of low to moderate complexity.
The süV service catalog defines both minimum inpatient services and additional inpatient services. Minimum inpatient services in the fields of internal medicine and geriatrics must be provided by a süV. Additional inpatient services in these specialties may also be provided, provided that no applicable exclusion criteria are met. The exclusion criteria are defined only in qualitative terms.
“aktiva” has developed a methodology that allows for the systematic and quantitative assessment of both internal potential (at the individual case level, based on data pursuant to Section 21 of the KHEntgG) and regional market potential (based on the quality reports of surrounding hospitals). To this end, the qualitative criteria from the süV service catalog are converted into measurable and reliable key performance indicators. In the next step, the determined total potential can be subjected to a feasibility analysis.
According to the recently published reimbursement agreement for cross-sector healthcare facilities, the total annual reimbursement for inpatient services is composed as follows:
- A flat-rate fee for material costs of 95 euros per day of treatment
- An annual flat-rate structural fee of 182,734 euros per bed
The minimum number of 30 treatment cases per bed per year must be taken into account. If this number is not met, the structural flat rate will be reduced in stages.
The transition to a cross-sector care facility can open up new opportunities for your hospital location. The reimbursement agreement for cross-sector care facilities will take effect on January 1, 2027. We would be happy to assist you in conducting an early and thorough assessment of your individual situation.
- Identification of potential in-house and market/competitive cases
- Calculation of potential occupancy and capacity
- Quantification of revenue potential for inpatient care in accordance with the reimbursement agreement
- Preparation of a financial viability assessment, including a staffing plan