For the current year, the health insurance funds can show an annual surplus of 1.86 billion euros. With a total of 21 billion euros, the reserves amount to four times the legally prescribed minimum reserve. At the moment there is a heated debate on how to deal with the surplus.
Federal Health Minister Jens Spahn (CDU) demands that contributors participate in the surplus. Doris Pfeiffer, chairman of the board of the GKV Spitzenverband, expresses itself that for 2019 increased expenditures are expected and the average additional contribution was lowered to 0,9 contribution points. At the same time Spahn's statements are criticized also by Green Party and leftists. Maria Klein-Schmeink, health-political spokeswoman of the Green Party, is of the opinion that the high reserves were obtained by the good economic situation and these will be used up again in the future by new laws. Achim Kessler of the left sees the surplus in the improvement of the supply. Georg Baum, Managing Director of the German Hospital Society (DKG), demands that the money should be used to pay the unpaid or uncharged case accounts. Currently, the number of unpaid bills amounts to 20 percent.
In comparison, according to BMG, revenues of 180.6 billion euros were generated in 2017. Expenditure amounted to 178.7 billion euros. The general local health insurance funds (AOK) have a remarkably high surplus of 920 million euros. On the other hand, the surplus of the substitute funds (534 million) and the company funds (190 million) seems rather low.