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Morbidity-based risk adjustment in Germany: Long in coming, but worth the wait?

Gaskins M, Busse R
Eurohealth 15(3): 29-31





Risk adjustment is nothing new to the German system of social health insurance (SHI). The key change introduced in January 2009 was the shift from a retrospective system based on sociodemographic criteria to a prospective regression scheme that employs direct measures of morbidity. This article summarises the history of risk adjustment in the German SHI system, explains the basic workings of the new scheme and touches upon some of the concerns voiced about its implementation.

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