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Andreas Gassen: Due to the GKV savings law, medical practices will lose around three billion euros in fees in 2027
Andreas Gassen, Kassenärztliche Bundesvereinigung· claimed on Nov 14, 2026 · original source
The chairman of the Kassenärztliche Bundesvereinigung (KBV, National Association of Statutory Health Insurance Physicians), Andreas Gassen, spoke in an interview published on 14 November 2026 with the Redaktionsnetzwerk Deutschland (dpa report) of "fee cuts amounting to three billion euros", which would mainly affect ENT, orthopaedics, cardiology, radiology and rheumatology; individual specialty groups would in some cases lose 25 percent of their revenue. He used this to justify his expectation that statutorily insured patients will more often pay for faster specialist appointments themselves. The GKV-Spitzenverband (umbrella association of statutory health insurers) disagrees, arguing that outpatient fees will rise in 2027. What is decisive is what the calculation is measured against: the 2026 fees or the development without the savings law, and whether the elimination of the TSVG surcharges counts as a cut.
KBV calculation: around three billion euros less in 2027 than without savings measures
The KBV PraxisInfo from August 2026 puts the decline in physician fee revenue for 2027 at around three billion euros, measured against the development without the savings law, and at about 7 to 13 percent depending on the specialty. The KBV itself describes the figures as preliminary. Gassen's figure of up to 25 percent revenue loss for individual specialty groups goes beyond this range.
KV Baden-Württemberg expects around 200 million euros in losses for its state alone
Ärzte Zeitung reports on its own calculation by the KV Baden-Württemberg: it expects fee losses of around 200 million euros in the state in 2027 and accuses the Federal Court of Audit (Bundesrechnungshof) of having used incorrect figures in its assessment of the TSVG.
AerzteZeitung.deWie das Sparpaket wirkt: KV Baden-Württemberg kalkuliert das Honorar-MinusGeschieht kein Wunder, stimmt der Bundestag am Freitag über das GKV-Sparpaket ab: Die Honorar-Einbußen belaufen sich allein 2027 in Baden-Württemberg für Vertragsärzte auf rund 200 Millionen Euro, rechnet die zweitgrößte KV vor.
Federal Court of Audit: TSVG surcharges cost 2.9 billion euros up to mid-2024, waiting times grew longer
According to the KBV, the largest single item in its calculation is the elimination of the TSVG remuneration. The Federal Court of Audit (Bundesrechnungshof) wrote on 5 February 2026 that the additional expenditure of the health insurers due to the TSVG had totalled 2.9 billion euros up to mid-2024, while waiting times had become longer between 2019 and 2024; the surcharges were not matched by "any additional service". It recommended that they be "scrapped without replacement" ("ersatzlos zu streichen"). Whether their elimination is a fee cut therefore depends on whether they are regarded as remuneration for additional work.
