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
- Aligning incentives between insurers and service providers
- Reducing disincentives that reward quantity over quality
- Trialling new models such as capitation - fixed payments per patient
- Measuring quality indicators to increase accountability
- 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.»

