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Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract


H. Hildebrandt ,

About H.
Head of OptiMedis AG, Hamburg, Germany, and CEO of Gesundes Kinzigtal GmbH, Hauptstr. 7, 77716, Haslach, Germany
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C. Hermann,

About C.

Deputy Head of statutory health insurer AOK Baden-Württemberg, Heilbronner Str. 184, 70191 Stuttgart, Germany

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R. Knittel,

About R.

Knittel R., Head of Statutory Health Insurer LKK Baden-Württemberg, Vogelrainstrasse 25, 70199 Stuttgart, Germany

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M. Richter-Reichhelm,

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A. Siegel,

About A.
Dr., Research scientist at the University of Freiburg, Dept. of Medical Sociology, Hebelstr. 29. D-79104 Freiburg, Germany
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W. Witzenrath

About W.
Dr., Physician and former head of the physician advisory committee of Gesundes Kinzigtal, appointed by the physicians’ network MQNK (Medizinisches Qualitätsnetz – Ärzteinitiative Kinzigtal e.V.), Am Krähenäckerle 1, 77723 Gengenbach, Germany
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Introduction: Integrated care solutions need supportive financial incentives. In this paper we describe the financial architecture and operative details of the integrated pilot Gesundes Kinzigtal.

Description of integrated care case: Located in Southwest Germany, Gesundes Kinzigtal is one of the few population-based integrated care approaches in Germany, organising care across all health service sectors and indications. The system serving around half of the population of the region is run by a regional health management company (Gesundes Kinzigtal GmbH) in coope­ration with the physicians' network in the region (MQNK), a German health care management company with a background in medical sociology and health economics (OptiMedis AG) and with two statutory health insurers (among them is the biggest health insurer in Southwest Germany: AOK Baden-Württemberg).

Discussion and (preliminary) conclusion: The shared savings contract between Gesundes Kinzigtal GmbH and the two health insurers, providing financial incentives for managers and health care providers to realize a sub­stantial efficiency gain, could be an appropriate contractual base of Gesundes Kinzigtal's population health gain approach. This approach is based on the assumption that a more effective trans-sector organisation of Germany's health care system and increased investments in well-designed preventive programmes will lead to a reduction in  morbidity, and in particular to a reduced incidence and prevalence of chronic diseases. This, in turn, is to lead to a comparative reduction in health care cost. Although the comparative cost in the Kinzigtal region has been reduced from the onset of Gesundes Kinzigtal Integrated Care, only future research will have to demonstrate whether - and to what extent - cost reduction may be attributed to a real population health gain.

How to Cite: Hildebrandt H, Hermann C, Knittel R, Richter-Reichhelm M, Siegel A, Witzenrath W. Gesundes Kinzigtal Integrated Care: improving population health by a shared health gain approach and a shared savings contract. International Journal of Integrated Care. 2010;10(2):None. DOI:
Published on 23 Jun 2010.
Peer Reviewed


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