Clinics warn: Billion dollar deficit due to suspension of the clause!
Regensburg, November 8, 2025: Clinics warn of a 400 million euro deficit due to political suspension of the most-favored-nation clause.

Clinics warn: Billion dollar deficit due to suspension of the clause!
The current debate about the financing of local hospitals in Lower Bavaria and Upper Palatinate is causing a stir. An open letter from several clinics to politicians makes it clear: the planned suspension of the “most favored nation clause” next year could have serious consequences. This clause ensures that hospitals receive remuneration from the health insurance companies, which is based on the development of contributions. This is particularly important in times of rising basic wage rates. But the federal government is planning adjustments to reduce costs, which could further exacerbate the feared financial misery.
As the clinics themselves report, there could be a deficit of around 400 million euros per year in Bavaria if financing is based solely on actual cost increases. This situation is forcing hospitals to take action and present their concerns in an open letter to the responsible politicians. Peter Aumer, a CSU member of the Bundestag, is already planning an exchange with the representatives of the Regensburg hospitals. A corresponding conversation is scheduled for the week after next.
Tense situation in the clinics
Given the worrying financial situation, the clinics are up to their necks in water. They appeal to politicians to take the possible effects of suspending the most-favored-nation clause seriously. The increase in the basic wage rate has driven up costs for hospitals enormously in recent years. It remains to be seen whether the federal government's intended adjustments will actually bring about the desired cost reduction or whether they will further aggravate the already tense conditions.
The situation reflects that the healthcare sector is often affected by financial turmoil. The number of patients and the level of reimbursement are closely related, and uncertainty about future financial conditions could have long-term negative effects on the quality of healthcare.
An important dialogue
The planned exchange between Peter Aumer and the representatives of the Regensburg clinics is a first step in the right direction. Politicians must urgently address the needs of hospitals here. The open letter is not only a cry for help, but also a sign of the clinics' determination to tackle the challenges together.
At a time when every voice counts, collaboration between politicians and healthcare institutions will be crucial. The coming discussions must now serve to set the right course so that the hospitals in Bavaria can continue to play their important role in healthcare. The clock is ticking and the future of healthcare is at stake.