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Tarmed, the tariff system for out-patient medical services: achievement of goals and federal government’s role

Key facts

After more than 15 years of complex technical and organizational work by the tariff partners, Tarmed (tarif médical) has been used since 1.1.2004 for the invoicing of all out-patient medical services, both in doctors’ practices and in hospitals throughout Switzerland. Thanks to Tarmed, the 26 obsolete cantonal tariff systems became dispensable. Roughly CHF 6 billion are invoiced via Tarmed annually in compulsory health insurance and approximately CHF 1 billion annually in the other three social insurances (2007). Tarmed consists of approximately 4,300 individual services (tariff items) and represents the most extensive fee-for-service catalogue in the world.