Bis 2019 mussten die Krankenhäuser die Gehälter der Pflegekräfte über die diagnosebezogenen Fallpauschalen (DRG) erwirtschaften, die sie für jede Krankenhausbehandlung erhalten. Da dies dazu führte, dass viele Kliniken Pflegepersonal abbauten, um Erlöse zu steigern, gilt für die Pflege am Krankenhausbett seit 2020 das Kostendeckungsprinzip. Die Kassen müssen die Pflegebudgets der Kliniken eins zu eins finanzieren. Im Gegenzug sollten die Pflegekostenanteile aus den Fallpauschalen herausgerechnet werden.
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