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Since the end of February, there is a reporting office for victims of arbitrariness by the authorities for the IV reports of Inclusion Handicap, the coordinating organization of organizations of people with disabilities. After seven months, you get a terrifying interim result: arbitrary IV reports are common practice. In many cases, the clarifications are not fair. Defective reviewers must be recalled and all reviews must be awarded at random.
By the end of September, a total of around 300 complaints had been received from policyholders, legal representatives and doctors with complaints. The presentations paint a grim picture of the experts’ work, and “they are not isolated cases.” Some appraisers would systematically rate the ability to work too high and repeatedly reward IV offices with lucrative orders. 53 reports were received, according to which the experts assessed that the insured was 100 percent fit to work; the treated physicians, however, would have witnessed 0 percent in each of these cases.
Decision after 15 minutes of conversation
“These cases show the clear trend of hard focus in reporting,” writes Inclusion Handicap. Sometimes a 15 or 20 minute discussion is enough for the experts to decide on the right to an IV pension, regardless of the doctor’s conclusions. Doctors reported 20 times that the reports did not meet the medical standard. Furthermore, the vast majority of policyholders report that diagnoses do not match or only partially match. More than half of the presentations are about the unfavorable climate in which the expert interviews were conducted. There were also reports of simulation.
The registry office was founded after, among other things, SonntagsBlick published cases in which experts and doctors obtained a golden nose for doing business with IV. According to Inclusion Handicap, the suspicion has now been confirmed that “some experts are rewarded with lucrative assignments if they assess inability to work in depth.”
Analysis is late
These revelations even surprised Federal Councilor Alain Berset (48). Last winter, the SP Minister of Health ordered an external investigation to examine the disability insurance expert system. The analysis also covers the oversight activities of the Federal Social Security Office (FSIO). The results should have been available this summer. But the report is delayed: Publication is not expected until this fall, probably October, according to the interior department when asked.
Inclusion Handicap looks forward to the report. And it also expects improvements from the IV review, which should take effect from 2022. This specifically stipulates that expert interviews must be recorded in the future.
The coordinating organization also requires that all reviews be done randomly and that fallible reviewers be removed from circulation. Also, a third party should always be present for an interview with an expert. And cases where policyholders did not receive benefits or benefits that were too low due to demonstrably poor reporting would have to be reopened, according to the Inclusion Handicap. (gbl)
