FROM TARMED TO TARDOC ( Tariff system for outpatient medical services )
TARDOC submitted to the Federal Council: after more than three and a half years of work, the new TARDOC tariff structure of the collective tariff organization ats-tms AG is ready. TARDOC replaces TARMED. The tariff partners FMH and curafutura submitted the TARDOC to the Federal Council for approval and entry into force on 1.1.2021.
The settlement of outpatient medical services has been carried out since 2004 with the so-called TARMED. In TARMED all outpatient medical services are shown. The TARMED is outdated and a revision was overdue.
What's new ?
Developing a new tariff structure which is acceptable to the collective health system partners and capable of consensus proved to be extremely demanding.
The cost models used are adapted to the current state of medicine, medical technology and today's personnel expenses. The treatment duration of the individual services has been updated. Thanks to medical and technical progress, many examinations today are less time-consuming and new services have been added. At the same time, the rapid professionalization of non-medical personnel in the last 20 years has led to new services not featured in today's TARMED. The tariff structure has been simplified. Thus, purely stationary services are eliminated and the Nomenclator from today’s 4600 positions reduced to around 2700 positions. The application and billing rules are redefined with the involvement of medical associations.
How does it continue?
FMH and curafutura have submitted the tariff structure TARDOC to the Federal Council. The MTK does not have to submit an application.
FMH and curafutura are committed to the principle of cost-neutrality according to Article 59c (1) (c) KVV. Service providers and insurers, however, have different views on how to handle the cost-neutral transfer from TARMED to TARDOC and therefore submit two variants of the tariff structure. The two versions differ only in the number of tax points.
The tariff structure TARDOC can be viewed at https://tardoc.ats-tms.ch.
About the ats-tms AG: In 2016, the ats-tms AG was founded with the aim of developing and continuously developing a revised tariff structure for outpatient medical services. The shareholders are the health insurance association curafutura, the medical association FMH and the medical tariff commission UVG (MTK)