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Table 3 Regulations regarding special fees in Styria

From: Hospital physician payment mechanisms in Austria: do they provide gateways to institutional corruption?

Special fees (StKAG)

Public hospitals may run a special class in addition to the general class […] if the hospital provides a sufficient number of beds in the general class, particularly for those who cannot be denied hospital care. […] There shall not be any difference in medical care. The special class has to meet higher demands in terms of food and accommodation. (§66)

Special fees comprise the hospital fee, the physician fee and the midwife fee in the special class and the outpatient fee.a (§76)

Outpatient care and financing

Inpatient care and financing

Lump-sum compensation (socially insured)

Special fees (self-payers only)

DRG/case fees (general class; socially insured)

DRG/case fees and special fees (special class; supplementary-insured)

 

Special fees comprise [65]

 

Hospital fee

Physician fee

 

− compensation for extra costs (material, personnel) in the special class

− tariffication predominantly based on flat fees and fees as a percentage of the DRG fees

− compensation for medical care provided by the department head and affiliated physicians in the special class

− tariffication predominantly based on specific fees (for surgical interventions, diagnostic imaging, radiotherapy treatments), fee/day (conservative treatments), surcharges and flat fees (e.g. lab tests)

  

decomposes into [66]

 

Hospital share

100%

Hospital share

19%

Physician share

81%

  1. aMidwife and outpatient fees are no longer considered