Overview

• The German Federal Medical Association has endorsed a mandatory primary care system requiring general practitioner referrals for specialist access.
• The reforms, backed by the Union and SPD coalition, are projected to save two billion euros annually by 2028.
• Exceptions to the referral system will apply for ophthalmology, gynecology, and chronic illness patients, ensuring tailored access to care.
• Patients bypassing the system may face additional costs, though doctors oppose collecting penalty fees on behalf of insurers.
• The initiative seeks to address inefficiencies, reduce wait times, and improve equitable access for public insurance patients.