Medizinischer Dienst Bayern

What Medizinischer Dienst Bayern does

Medizinischer Dienst Bayern (MD Bayern) is a public-law corporation (Körperschaft des öffentlichen Rechts) headquartered in Munich that serves as the independent statutory medical and care assessment body for the German state of Bavaria. It is commissioned by statutory health insurance (GKV) and statutory long-term care insurance (SPV) funds under Sozialgesetzbuch V and XI to conduct Pflegebegutachtung (long-term care assessments), Qualitätsprüfung (quality inspections of care facilities), Behandlungsfehler reviews, Hilfsmittelversorgung evaluations, and other medical expert opinions on behalf of insured members and payers. The organization operates through a network of 23-24 Beratungs- und Begutachtungszentren distributed across Bavaria and employs over 1,700 staff, predominantly physicians and nursing professionals, producing more than 1.4 million assessments annually.

The underlying operational platform is built around case-management workflows supported by electronic data-exchange systems including the MD-Portal and QPR-Portal, which digitize case submission, quality reporting, and communication with commissioning insurance funds. The organization also maintains a structured coding-recommendations database and runs continuing education (Fortbildung) programs for its assessors, while producing multilingual patient-education materials across eight languages and a public podcast ('Gesundheit im Check'). The parent supervisory body is Medizinischer Dienst Bund, which coordinates the federal network of MD organizations.

Revenue is generated through Umlagefinanzierung — a per-insured-member contribution set at 20.80 EUR in 2023, split 50/50 between GKV and SPV funds — supplemented by commissioned assessment work outside the core Umlage. There is no commercial sales motion, no individual consumer pricing, and no equity capital structure; the entity is a non-investable public-law institution whose funding mechanics are set administratively and whose customer base is structurally limited to the statutory insurance funds operating in Bavaria. Leadership is held by Prof. Dr. Claudia Wöhler (CEO) and Dr. Christine Adolph (Deputy CEO and Chief Physician).

Name

Medizinischer Dienst Bayern

Legal name

Medizinischer Dienst Bayern

Website

https://md-bayern.de

Company type

Private

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Medizinischer Dienst Bayern is a public-law corporation that conducts independent statutory medical and care assessments for Bavarian health and long-term care insurers under SGB V and XI, operating 23-24 assessment centers with 1,700+ staff and over 1.4 million assessments per year.

Ownership category

akta.pro rank

Headquarters

HQ city

Nuremberg

HQ country

Germany

HQ region

Europe

Offices23 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Statutory Umlage (Contribution-Based Funding): The MD Bayern is funded through a contribution-based system (Umlagefinanzierung). The per-member contribution is split 50/50 between health insurers and long-term care insurers. As of 2023, the contribution was 20.80 EUR per insured member.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Medizinischer Dienst Bayern is a statutory public-law corporation that conducts independent medical and nursing assessments on behalf of statutory health and long-term care insurers in Bavaria. Its core services include nursing care dependency assessments (Pflegebegutachtung), quality inspections of care facilities, work incapacity evaluations, medical device and pharmaceutical assessments, rehabilitation and prevention counseling, and treatment error opinions. All services are mandated under German Social Security Code (SGB V and SGB XI) and provided free of charge to insured individuals.

Product overview

Medizinischer Dienst Bayern is a German public corporation providing independent medical and nursing care assessments for statutory health and nursing insurance providers. The organization operates as a unified service platform offering expert assessments across multiple domains including care need assessments (Pflegebegutachtung), quality inspections of care facilities (Qualitätsprüfung), medical device evaluations (Hilfsmittelversorgung), work incapacity assessments (Arbeitsunfähigkeitsbegutachtung), rehabilitation counseling, treatment error evaluations (Behandlungsfehlerbegutachtung), outpatient intensive care assessments, drug and method evaluations, and prevention counseling services. Supporting services include electronic data exchange portals (MD-Portal, QPR-Portal, Mitteilungsmanagement), coding recommendations databases, order tracking systems, and continuing education programs. The organization also provides public health information through its podcast 'Gesundheit im Check' and operates 24 consultation and assessment centers across Bavaria.

Differentiator

Problem solved

Functional benefit

Products and services

• Pflegebegutachtung (Nursing Care Assessment)

Quantifiable outcome

• Over 1.4 million expert assessments conducted annually
• +1 more outcomes

Named customers1 record

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• Bündnis Hitzeschutz Bayern (Heat Protection Alliance Bavaria)minorStrategic or Co-development PartnerThe MD Bayern is part of the 'Bündnis Hitzeschutz Bayern' (Heat Protection Alliance Bavaria) organized by the Bayerische Landesärztekammer (Bavarian State Medical Association). Under the motto 'Deutschland hitzeresilient machen – wir übernehmen Verantwortung,' the alliance facilitates close exchange between science, politics, and practice for health protection against extreme heat.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Regional players

• MDK Westfalen-Lippe: Westphalia-Lippe regional MD performing the same statutory Pflegebegutachtung and quality inspection services. Structural twin to MD Bayern in scope, governance, and revenue model.
• Medizinischer Dienst Rheinland-Pfalz: Rhineland-Palatinate regional MD executing the same SGB-mandated assessments and quality oversight functions, with a comparable workforce of physicians and nursing professionals.
• Medizinischer Dienst Hessen: Hesse's regional MD entity performing equivalent Pflegebegutachtung, quality reviews, and Kodierempfehlungen under the same federal framework. Closely comparable in mandate and service mix.
• Medizinischer Dienst Berlin-Brandenburg: Regional MD covering Berlin and Brandenburg with the same statutory mandate for nursing assessments, quality inspections, and medical expert opinions. Direct functional peer with a different geographic footprint.
• Medizinischer Dienst Niedersachsen: Lower Saxony's regional MD entity with comparable scale and mandate to MD Bayern, delivering nursing care assessments, treatment error opinions, and quality reviews under identical federal statutes.
• Medizinischer Dienst Nordrhein: Regional Medizinischer Dienst serving North Rhine under the same SGB V and SGB XI mandate. Operates an identical assessment, quality review, and advisory service portfolio in a different German state, making it the closest structural analog to MD Bayern.
• Medizinischer Dienst Baden-Württemberg: Regional MD for Baden-Württemberg running the same statutory assessment portfolio including care dependency determinations, quality inspections, and medical device evaluations under SGB V/XI.

Others

• AOK Bayern: Largest statutory health insurer in Bavaria and one of MD Bayern's primary commissioning entities. Adjacent ecosystem participant that funds and consumes MD Bayern assessments but does not directly compete.
• Kassenärztliche Vereinigung Bayerns (KVB): Statutory association of office-based physicians in Bavaria, a related self-governing healthcare body. Shares regulatory and member-service themes but operates in physician licensing and ambulatory care rather than assessment services.

Broad incumbents

• Medizinischer Dienst Bund: Federal umbrella organization of all regional Medizinischer Dienste. Sets nationwide standards (Kodierempfehlungen, Begutachtungsanleitungen) and coordinates policy. Functions as the central governing body rather than a competitor.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/medizinischer-dienst-bayern
• Facebookfacebook.com/209685089041786

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Medizinischer Dienst Bayern