rehab is a booming industry, so too is the race for the patient between the rehabilitation company, but also among the cantons, is booming.

Four large players have established themselves in this growing market in Switzerland: the rehabilitation Clinic, based in Zurzach AG, the clinics Valens, the Zurich rehab centers and the Austrian Vamed clinics.
“There is a healthy competition,” says Till Hornung (48), CEO of the clinics Valens. “Particularly with regard to the quality and the concepts. But the competition for patients will increase, if demand continues to grow.”

rehab providers do not follow cantonal logic, you think in terms of so-called supply regions. Both the aargauische rehab Clinic, as well as the St. Galler clinics Valens have stretched out their feelers in the Canton of Zurich.

“We want to continue

to expand” “we follow the demand for hospital and residential-based Rehabilitation,” says Serge Altmann (52), CEO of the rehab Clinic. “We go to the malls, to the people.” In this area of the market is not consolidated yet. “We want to continue to expand.”

Also on the political level, the rehab Boom has to follow. “There is a competition of the cantons,” says health economist, Willy Oggier (54), President of the Association of Swiss rehab.

The crucial question is: Are all the beds in the right place? The Canton of Zurich covers only 30 percent of the rehabilitation needs of its population. However, Zollikerberg, Kilchberg, Lengg, and the Limmat valley have sprung up there in recent years, the same four rehabilitation clinics:. Two more will soon go into operation: one at Triemli, at the hospital of Uster.

Not good news for Aargau and Thurgau

“For the Directorate of Health, the question arises, which supply structures in the Rehabilitation are necessary in the future, an adequate supply of the population”, says SVP-councillor Natalie Rickli (42). “We are working to resolve this strategic issue. It will result in the extent of the need for intra-cantonal hospital care.”

This is not good news for Aargau and Thurgau. Both cantons have significantly more beds than their population requires. Several rehab clinics have invested massively in recent years, in order to increase the number of beds.

For the first Time, the competitors in the summer of clashed. The Canton of Thurgau complained before the Federal administrative court against a recording of the rehab clinic, Limmattal to Zurich hospital list.

“Then the cost of all the”

Nathanael Huwiler, Secretary General in the Department of Finance and social Affairs of the Canton of Thurgau rise: “The Federal government is obliged the cantons to coordinate.” Therefore, the Thurgau have intervened. Huwiler but it also says: “If an increase of the rehab offer in the Canton of Zurich, leads to an excess supply, it is problematic. Then the cost and the premiums for all the increase.”

you screwed in the Thurgau and Aargau, the number of beds in the height to such arguments lead? The aargauische FDP-member of the cantonal government Stephan Attiger (52), interim head of the Department of health and social Affairs, denied: “The cantons shall have the responsibility, with the hospital planning the security of supply for its inhabitants to ensure.” The performance of contracts would be granted according to the legally defined objective criteria. “In this sense, the cantons, but the hospitals in competition with each other, which corresponds to the objective of the health insurance act are not.”

if you Listen to the cantons, seems to be a different competition Central: Who can ride verbose best, that there is a race to the rehab patients?

“rehab saves costs”

The St. Gallen health Director Heidi Hanselmann (58) allows for cost reasons, several hospitals close – and defended the cost of the rehab boom.

Heidi Hanselmann: The DNA of Switzerland, federalism is. He shows himself in the health policy as well as in the tax policy. For others, I can’t talk about it, but as a passionate mountaineer, I know that fear is not a good companion, and therefore not in my backpack belongs.

In the provision of Rehabilitation, the competition will take place today as well as in the inpatient area. The responsibility to provide good and appropriate health care, however, is solely with the cantons. To find the balancing act between competition and the supply of justice, is a challenging task for the federally-organised Switzerland.

By the increase in the rehabilitation stays rehabilitation, while not a cost, but this leads necessarily to an increase in the costs to the economy. Because rehab stays have the effect that working people back to work, older people to return home, and admissions to care institutions delayed or avoided can be. And this saves costs.