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TARPSY: A New System of Remuneration for Psychiatric Hospitalization in Switzerland
Andres R Schneeberger1, Eva Spring1, Bruce J Schwartz1
1Dr. Schneeberger and Mr. Felber are with Psychiatric Services Grisons, Chur, Switzerland. Dr. Schneeberger is also with the Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, New York, where Dr. Schwartz is affiliated. Dr. Schwartz is also with the Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center, New York. Dr. Spring and Dr. Hölzer are with SwissDRG, Inc., Berne, Switzerland. Mr. Peter is with eonum, Inc., Berne. Dr. Seifritz is with the Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich. Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.
Abstract:
As financing mental health care is becoming more challenging, governments are progressively introducing new remuneration systems. At the beginning of 2018, Switzerland introduced TARPSY, a new tariff system based on diagnosis-related psychiatric cost groups that takes into consideration ratings of severity and complexity. TARPSY is expected to provide incentives for medically and economically meaningful treatment, increase transparency, and improve the quality of the provided services by triggering competition between hospitals. Yet some fear that TARPSY will lead to an economization of mental health, encouraging a reduction in length of stay and medically indicated treatment.
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