Some Swiss clinics outsource analysis of medical images abroad, cutting costs in the process.
Keystone / Christian Beutler
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In Switzerland, medical services carried out abroad are billed at Swiss rates, despite costing less due to being outsourced, public broadcaster RTS reports.
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In principle, such services should not even be covered by the Swiss system of mandatory health insurance. But the law could be set to change, RTS writes.
Two cases of such outsourcing have been flagged by Swiss media in the space of a week. The first concerns the private Hirslanden group, which operates 17 hospitals across the country. Medical images done in the group’s clinics, such as MRIs, X-rays and other scans are sent abroad to be analysed – in France, Germany and Hungary – at a lower cost. However, they are billed at Swiss rates.
Meanwhile, Medgate, the main player in the Swiss telemedicine sector, was also singled out by newspapers in the CH-Media group: they reported that some of the group’s doctors are employed in Germany and Spain, and soon in France and Italy.
Contacted by RTS, the Federal Office of Public Health (FOPH) said that “in principle, services are only reimbursed if they are done in Switzerland and by a service provider authorised to practise in Switzerland”.
But this only applies in principle: telemedicine done abroad is not explicitly prohibited. Medgate, which has all the necessary authorisations, tells RTS that “[its] basic telemedicine services […] for patients in Switzerland are considered to be provided in Switzerland and are billed legally”.
However, the practices have raised concern in santésuisse, the umbrella organisation of Swiss health insurers. Verena Nold, its director, believes that such services done abroad should only be reimbursed in emergencies or exceptional situations. Moreover, she says, insurers are virtually powerless in this area. “Invoices only show the name of the hospital or doctor’s surgery, and you can’t see where the service was provided,” she says.
The revelations come as Swiss parliamentarians agreed in spring that medical services provided abroad should be reimbursed, a vote which has opened the door to future changes in the law.
In the meantime, however, legal uncertainties in the commercialised world of healthcare continue to create grey areas which each player tries to interpret to its own advantage.
Adapted from French by DeepL/dos
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