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

Audit number: 8381

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.