Where does the new tariff structure stand?
Physioswiss, H+ The Swiss Hospitals and prio.swiss have completed their negotiations and submitted the new structure to the Federal Council. The approval procedure is under way at the FOPH.
Introduction on 1 January 2027 still depends on approval by the Federal Council. Until it is confirmed, you bill exactly as you do today, and we follow the official timetable on your behalf.
What changes in practice in your billing.
The flat rate per session gives way to a fee-for-service tariff, calculated on the time actually spent with the patient.
From flat rate to service
The flat rate per session (positions 7301 and 7311) gives way to positions billed individually. The therapist, not the diagnosis, determines the method and the duration of the treatment.
5-minute units
Every service is billed in units of five minutes. Exactly the principle of the LAA/LAM/LAI structure that came into force on 1 July 2025, which you already know.
Services without the patient
Reports, interprofessional coordination and advisory interviews get their own positions instead of being absorbed by the flat rate.
Robotics and infrastructure
Robot-assisted treatments and services that require specialised infrastructure are recognised with dedicated positions.
Two therapists
Situations that require a second therapist get a position of their own instead of remaining at your expense.
Fall prevention
The fall prevention programme enters the LAMal catalogue: home assessment, individual treatment, advisory interview, report and coordination.
| Topic | Today | From entry into force |
|---|---|---|
| Billing principle | Flat rate per session, whatever the duration | Fee-for-service tariff, on the effective time |
| Tariff positions | 7301, 7311 and a few supplements | A detailed catalogue, one position per service |
| Treatment duration | Implicit in the flat rate | Billed in units of 5 minutes |
| Work without the patient present | Rarely billable | Dedicated positions: reports, coordination, advice |
| Fall prevention | Outside the LAMal catalogue | Recognised and billable programme |
| Transmission to insurers | Electronic invoice via MediData | Unchanged, electronic invoice via MediData |
The structure is cost-neutral: it is the point value, negotiated separately, that will determine your remuneration.
Why phyzio.ch is already ready.
This is not a promise for 2027: time-based billing has been running for our customers for more than a year.
We already bill in 5-minute units
Since 1 July 2025
The accident insurance tariff structure (LAA/LAM/LAI) introduced on 1 July 2025 has been integrated into phyzio.ch since it came into force. Our users therefore already bill on time, in units of five minutes. The LAMal structure 2027 takes over this model: for you it will be the same gesture, on another tariff.
Positions already integrated
25.110 to 25.820
Fall prevention is already billable
Since 1 July 2026
The fall prevention programme, one of the novelties of the 2027 structure, has been available in phyzio.ch since 1 July 2026: home assessment, individual treatment at the practice or at home, advisory interview, standardised report and interprofessional coordination, all in units of five minutes.
Positions already integrated
27.001 to 27.006
The new notions already exist in the file
Captured from the agenda, without double entry
The services that the new structure values are already boxes to tick in the treatment, not lines to type again:
Your electronic billing does not move
Invoices go to the insurers via MediData, just as they do today. The change of tariff affects neither your accesses, nor your ZSR number, nor the tracking of transmissions and payments.
The update is included
No paid module, no version to install, no data migration. As soon as the structure is approved, it will reach your phyzio.ch through an update included in your subscription, exactly as in 2025.
There is nothing for you to do right now.
Keep billing as you do today. We follow the approval procedure, we prepare the positions, and we warn you as soon as the switch-over date is fixed.
What you gain from it.
A time-based tariff requires knowing the time spent. In phyzio.ch, that time is already in the agenda.
No double entry
The duration of the appointment and the details of the treatment are already captured. The units of five minutes follow from them, you count nothing again.
Positions proposed automatically
phyzio.ch proposes the positions matching the treatment captured and the tariff applicable on the date of the session.
Control before sending
You review every invoice, position by position, before transmitting it to the insurer.
Statistics per position
You see what you actually bill, per position and per therapist, and you measure the effect of the new tariff on your practice.
Tariff updates maintained
New positions, point values, validity dates: we maintain the catalogue, you bill.
Unlimited human support
In French, German and Italian, by phone and e-mail, at no extra cost.
agenda.ch is organising information seminars
So that nobody discovers the new tariff on the day of their first invoice, agenda.ch is organising free information seminars on the 2027 tariff structure: what changes, how to bill in units of five minutes, and what it looks like in practice in phyzio.ch. Open to all physiotherapists, whether you are a customer or not.
Online
Short sessions by video conference, with your questions live.
On site
Small-group meetings, in French-speaking and German-speaking Switzerland.
On demand
The recording and the handout remain available if no date suits you.
The dates will be announced on this page and by e-mail as soon as the approval timetable is known.
The timetable of the new tariff.
- 2 April 2026 Physioswiss, H+ and prio.swiss submit the new tariff structure to the Federal Council.
- From April 2026 Review by the FOPH, six months at least.
- Autumn 2026 Courses and training of the profession on the new structure.
- Before entry into force Free information seminars from agenda.ch, online and on site.
- 1 January 2027 Planned entry into force, subject to federal approval. The phyzio.ch update is delivered for that date.
Approach 2027 with peace of mind.
Try phyzio.ch free for 30 days. Transfer of your data, configuration and training included.
phyzio.ch is the Swiss physiotherapy practice management software from agenda.ch: more than 900 physiotherapists in Switzerland have trusted it since 2012.
