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  • From Sick Care to Health Care: Building trust through integrated solutions
23.10.2025
Swiss Medical Network

From Sick Care to Health Care: Building trust through integrated solutions

At the 5th Building Trust in Healthcare event, Raymond Loretan, President of the Swiss Medical Network, delivered a powerful message:

«Our healthcare system is like an orchestra - but without a conductor.»

Despite high-quality services and stable income, today's system often lacks coordination and harmony. Individual players often pursue their own interests, which leads to silos and makes integrated care more difficult.


Volume-based incentives - where more consultations mean more income - exacerbate this inefficiency and drive up costs even further.

Raymond Loretan called for a transformation: away from fragmented structures and towards integrated, patient-centred care. The key elements of this transformation are

  1. Aligning incentives between insurers and service providers
  2. Reducing disincentives that reward quantity over quality
  3. Trialling new models such as capitation - fixed payments per patient
  4. Measuring quality indicators to increase accountability
  5. Coordinating care pathways to promote patient wellbeing

Within this vision, VIVA - our integrated care system with full capitation and a focus on prevention -, chronic disease management, hospital-at-home and preventive screenings play a central role. These initiatives reflect Swiss Medical Network's sustainability strategy: they help people to stay healthy for longer and at the same time ensure that the healthcare system remains efficient and fair.

Raymond Loretan concluded by saying:

«We need to transform a system that benefits a few to one that benefits all patients - keeping them healthy and coordinating care.»

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  • From Sick Care to Health Care: Building trust through integrated solutions