Dispute over patient transport: Are there looming gaps in care provision?

Taxi companies in Mecklenburg-Vorpommern are sounding the alarm. After talks with the Minister-President, the question remains as to how dumping contracts can be prevented.

Minister-President Manuela Schwesig with Guido Sembach, the state association's board, at Schwerin Palace. | Photo: BVTM
Minister-President Manuela Schwesig with Guido Sembach, the state association's board, at Schwerin Palace. | Photo: BVTM

The economic situation of many taxi companies in the field of patient transport in Mecklenburg-Vorpommern has reached the state government. As the Federal Association of Taxi and Rental Cars reports, Prime Minister Manuela Schwesig and Guido Sembach, a board member of the state association within the federation, in Schwerin exchanged views on the current framework conditions. According to the association, the existing reimbursement regulations of the health insurance funds increasingly jeopardize the economic basis of the businesses.

The discussion thus took place on the sidelines of consultations on the economic consequences of the Iran War in Schwerin Castle. In addition to other economic representatives, Sembach was also invited.

Economic pressure on businesses

According to the Federal Association, the reimbursements offered by the health insurance funds no longer cover the real costs of the companies in many places. Against the backdrop of rising expenditures for energy, personnel and additional operational requirements, numerous businesses came under considerable economic pressure.

Should the current conditions remain, more companies could withdraw from the provision of care. This would, according to the association's assessment, have direct consequences for patients, especially in a geographically large state like Mecklenburg-Vorpommern, where patient transport is regarded as part of public services.

State signals support

The association, according to its own statements, regards the state's signal of support as positive. At the same time, it notes that concrete and viable solutions with the health insurance funds are now needed.

Also at the federal level, the development is being watched with concern. The managing director of the Federal Association, Michael Oppermann, sees in the situation fundamental questions regarding the relationship between health insurers, supervisory authorities, and the industry. It is about fair framework conditions and ensuring a functioning provision of care.

Demand for cost-covering contracts

The association explicitly opposes so-called dumping contracts. Remunerations would have to be cost-covering and reflect the real economic conditions of the companies. Otherwise, there would be a risk of thinning out the supply structures.

According to the association, fair and adequate remuneration structures, reliable and long-term financially sustainable contracts, as well as a constructive dialogue between health insurers, policy makers and the trade are required. Only in this way can the performance of the taxi industry be preserved and the mobility of patients secured in the long term. (Source: Federal Association of Taxi and Rental Cars)

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