# Hospital Future Act – Reduction in payment

- Link: https://goek.consulting/en/hospital-future-act-reduction-in-payment/
- Published: 2021-01-18T15:29:38+00:00
- Author: admin

**Date: January 18, 2021 – Topic**

Many of the discussions we have with our customers about the provisions of the Hospital
Futures Act (KHZG) are characterized by some uncertainty. This not only affects 
operators of hospitals and clinics, but also IT companies and public authorities.
A particularly sensitive topic is the discount regulation, which is often heard 
about and from various directions, but whose exact definition is found neither in
the KHZG nor in the guideline on the hospital future fund. Who would like to experience
here more exactly and not rely thereby on hearsay, goes into the § 5 exp. 3h of 
the KHEntgG and into §19 of the hospital structure fund regulation. Here you can
read:

The maximum amount of the deduction is 2% of the invoice amount for each full and
partial inpatient case. The discount regulation already applies as of 01.01.2025.

A deduction will only not apply if all of the five digital services listed below
are fully provided in the hospital:

– Patient portal (referral, discharge and during the time of stay)
– Electronic 
care and treatment documentation– Clinical decision systems (CSS)– Digital medication
management (DMM)– Digital service request (CPOE / OERR)

More detailed regulations on the discount procedure and the amount will be agreed
by the German National Association of Health Insurance Funds and the German Hospital
Federation.

**However, it is already clear today that the amount of the respective discount 
depends (weighted proportionally) on the number of services not provided (see above)
and also on whether and how much services provided are used in the hospital.**