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First PPP Steps in German Health Care

Hans Wilhelm Alfen

DOI https://doi.org/10.21552/EPPPL/2007/4/38



First PPP Steps in German Health Care I. Initial position of PPP in German Health Care Financing of the German health care system Since 1972 the German health care system is based on the Hospital Financing Act. As far as the financing of hospitals are concerned a dualistic finance system has been implemented.1 This means that the health insurance funds bear the operating costs caused by the hospitals2 whereas the federal states have to fund

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