Moti­on SPK‑N (19.3960): Legal basis for the dis­clo­sure of data to pri­va­te health insu­rance institutions

Moti­on SPK‑N (19.3960): Legal basis for the dis­clo­sure of data to pri­va­te health insu­rance institutions

Sub­mit­ted text

The Fede­ral Coun­cil is ins­truc­ted to prepa­re a draft for the Amend­ment of Artic­le 84a(1) of the Fede­ral Act of 18 March 1994 on Health Insu­rance (KVG) to be sub­mit­ted to the bodies ent­ru­sted with the imple­men­ta­ti­on, con­trol or super­vi­si­on of the imple­men­ta­ti­on of this Act or of the Fede­ral Act of 26 Sep­tem­ber 2014 on the Super­vi­si­on of Social Health Insu­rance, be aut­ho­ri­zed, sub­ject to cer­tain con­di­ti­ons, to dis­c­lo­se to pri­va­te health insu­rance insti­tu­ti­ons such data, inclu­ding per­so­nal data, as they may requi­re for the coor­di­na­ti­on of their assess­ment and cal­cu­la­ti­on of claims for bene­fits. The data dis­c­lo­sed must con­cern the same case of ill­ness and must rela­te exclu­si­ve­ly to the asso­cia­ted cir­cum­stances and dia­gno­ses. The data con­cer­ned shall be spe­ci­fi­ed in the draft amend­ment, if necessary.

Justi­fi­ca­ti­on

The cata­log under Artic­le 84a (1) KVG must be expan­ded accor­din­gly to gua­ran­tee effi­ci­ent coope­ra­ti­on bet­ween the man­da­to­ry health care insu­r­ers and the pri­va­te sup­ple­men­ta­ry insurers.

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