The Jena University Hospital (UKJ) has presented an economic interim report on day-patient treatment according to § 115e SGB V. The model, which offers patients clinical-grade care without full inpatient admission, demonstrates significant cost-saving potential for the healthcare system.
- Topic: Day-patient treatment according to § 115e SGB V
- Location: Universitätsklinikum Jena, Lobeda site
- Result: 590 Euro savings per case for the statutory health insurance (GKV)
- Focus: Organ transplant evaluation and living liver donation
By shifting services to the day-patient sector, costs per stay were significantly reduced in 154 examined cases. A key success factor is the provision of free health apartments in the Smarten Quartier Jena-Lobeda.
Financial benefits for GKV and patients
The combination of outpatient procedures and the use of external apartments reduces expenditures for statutory health insurance (GKV) by an average of 590 Euro per case compared to full inpatient treatment. Patients also benefit directly: the accommodation in the apartments eliminates long journeys or private hotel costs, which significantly reduces the individual financial burden.
Challenges of the model
Despite the positive economic balance, the project faces two major hurdles that complicate widespread implementation:
- Funding gap: Since the health apartments have been financed by third-party funds so far, long-term cost coverage is at risk if these funds expire.
- Classification issues: The legal and administrative distinction between outpatient, partial inpatient, and day-patient services creates uncertainty in billing, which sometimes leads to non-recognition by health insurance companies.
Medical location Jena-Lobeda
The Lobeda site has developed into a highly specialized center due to the University Hospital. The integration of maximum medical care and local services in the Smarten Quartier underscores Jena’s role as a model city for modern healthcare infrastructure. These approaches are essential to efficiently meet demographic challenges and the increasing demand for specialized transplant medicine.
Source:
Tagesstationäre Behandlung nach § 115e: Jenaer Bilanz
Transparency note: This article was created automatically, editorially reviewed, and expanded with AI support.