Einkaufsgemeinschaft HSK

Name

Einkaufsgemeinschaft HSK

Legal name

Einkaufsgemeinschaft HSK AG

Website

https://ecc-hsk.info

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Short description

Einkaufsgemeinschaft HSK AG is a Swiss joint purchasing cooperative that negotiates mandatory health insurance tariffs on behalf of its three owner-insurers (Helsana, Sanitas, KPT), representing roughly 2 million insured persons and managing approximately CHF 10.5 billion in contracted volume across Swiss hospitals and physicians.

Ownership category

akta.pro rank

Product category

Healthcare Tariff Negotiation Services

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Contract Administration Support (PO/Contract Compliance) (BPAAAJAE)

akta.pro secondary industry

Public Health Contracts, Procurement & Vendor Management (HLAJALAE)

Keywords

• Healthcare tariff negotiation
• Health insurance procurement
• Medical contract management
• Tariff benchmarking services
• Healthcare pricing analytics

Headquarters

HQ city

Dubendorf

HQ country

Switzerland

HQ region

Europe

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Tariff Negotiation Services: HSK charges fees for negotiating tariff contracts on behalf of health insurers. Revenue is derived from service contracts with its shareholders (Helsana, Sanitas, KPT) for managing OKP tariff negotiations, contract administration, and related services.

Go-to-market motion2 records

Distribution channels2 records

Marketing channels6 records

Core offering

Einkaufsgemeinschaft HSK AG is an independent joint purchasing organization that negotiates legally binding tariff contracts on behalf of three Swiss health insurers (Helsana, Sanitas, KPT) for the mandatory health insurance (OKP) system. Its services span data-driven price determination and benchmarking, contract negotiation with hospitals, physicians, and therapists, contract management, and representation in regulatory approval, determination, and appeal procedures. The company manages over CHF 10.5 billion in contract volume across approximately 1,500 tariffs and 800 contracts.

Product overview

Einkaufsgemeinschaft HSK is a tariff negotiation and purchasing services company for Swiss mandatory health insurance (OKP). The company offers a unified platform of services centered on data-driven tariff negotiation and contract management. Core offerings include SwissDRG (acute somatic), TARPSY (psychiatric), ST Reha (rehabilitation), and outpatient medical tariff management across Switzerland. The company manages approximately 10.5 billion CHF in contract volume with over 1,500 tariffs and 800 contracts. Key products include benchmarking services for price determination, standardized contract management, administrative and voluntary contracts, and the HSK Dialog customer portal. HSK represents Helsana, Sanitas, and KPT insurance companies representing approximately 2 million insured persons and 28% market share.

Differentiator

Problem solved

Functional benefit

Products and services

• Tariff Negotiation Services Negotiation of tariff contracts for mandatory health insurance (OKP) with healthcare providers including hospitals, physicians, and therapists across Switzerland. Service is delivered to shareholder insurers Helsana, Sanitas, and KPT.
• SwissDRG (Acute Somatic) Tariff Management Management of acute somatic hospital tariffs using the SwissDRG diagnosis-related groups system for price benchmarking and negotiation with acute care hospitals.
• TARPSY (Psychiatric) Tariff Management Management of psychiatric hospital tariffs using the TARPSY tariff structure for price benchmarking and negotiation with psychiatric hospitals.
• ST Reha (Rehabilitation) Tariff Management Management of rehabilitation facility tariffs using the ST Reha tariff structure for price benchmarking and negotiation with rehabilitation clinics.
• Outpatient Medical Tariff Services Negotiation and management of outpatient physician tariffs, including TARDOC and outpatient flat rates for the new medical tariff system, for the Swiss healthcare system.
• Care Tariff Services Management of inpatient and outpatient long-term care tariffs for the Swiss healthcare system.
• Benchmarking Services Data-driven benchmarking analyses to determine appropriate prices based on cost data from healthcare providers. Includes SwissDRG, TARPSY, and ST Reha benchmarks.
• Contract Management Management of standardized template contracts, annual revision processes, and contract databases. Includes the coordination organ for insurer-provider collaboration.
• Administrative Contracts Negotiated contracts that simplify administrative processes between insurers and healthcare providers in tariff areas where financial contributions are legally fixed.
• Voluntary Contracts Innovative contractual solutions for new medical treatments, pilot projects, CAR-T therapies, or discount transfer arrangements negotiated on voluntary basis.
• Data Availability and Transparency Services Services focused on improving data availability, transparency, and quality in the Swiss healthcare system to support evidence-based tariff negotiations.

Quantifiable outcome

• 28% market share in Swiss basic health insurance tariff negotiations
• +2 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

AI capability3 records

Feature3 records

Partnerships

Eight partnerships are on record, tiered core, major and minor.

• prio.swisscoreStrategic or Co-development Partner · 1 January 2025prio.swiss is the new common industry association of Swiss health insurers created in 2025, representing 100% of insured persons in Switzerland. While prio.swiss is responsible for tariff structure negotiations, HSK handles the actual tariff price negotiations and contract management for its affiliated insurers.
• EOC and Canton TicinomajorStrategic or Co-development Partner · 1 January 2025Partnership for efficient, future-oriented outpatient healthcare provision. HSK, EOC (Ente Ospedaliero Cantonale), and Canton Ticino are collaborating to promote outpatient care.
• Centre Hospitalier Bienne (CHB)majorStrategic or Co-development Partner · 1 January 2025Pilot project partnership with CHB and Canton of Bern to promote outpatient care (Ambulantisierung). This pilot project is now feeding into tariff negotiations across Switzerland.
• HelsanacoreStrategic or Co-development Partner · 1 January 2011Helsana is one of the three founding shareholders and primary mandants of HSK. HSK negotiates tariffs on behalf of Helsana Assurances SA. Helsana is the largest health and accident insurer in Switzerland with premium revenues over CHF 6 billion and 3,300+ employees.
• SanitascoreStrategic or Co-development Partner · 1 January 2011Sanitas is one of the three founding shareholders and primary mandants of HSK. HSK negotiates tariffs on behalf of Sanitas Assurances de base SA. Sanitas serves approximately 835,000 customers in basic and supplementary health insurance.
• KPTcoreStrategic or Co-development Partner · 1 January 2011KPT is one of the three founding shareholders and primary mandants of HSK. HSK negotiates tariffs on behalf of KPT Caisse-maladie SA. KPT serves approximately 430,000 insured persons with innovative online insurance solutions.
• Forum Datenaustausch (FoDa)minorStrategic or Co-development PartnerHSK expert serves on the advisory board of this association, which advocates for secure, uniform digital data exchange between providers and insurers in Swiss healthcare.
• H+ Die Spitäler der SchweizmajorStrategic or Co-development PartnerCollaboration on national project for tariff determination principles (modification of OAMal). HSK and H+ are working together on an empirical model that corrects normative case costs for justified differences, creating an objective comparison basis between hospitals.

Scale indicators5 records

Recent moves2 records

Expansion highlights6 records

Direct peers

• Groupe Mutuel: Major Swiss health insurer that performs its own tariff negotiations with hospitals and providers. Comparable as a competing buyer-side counterparty in the same Swiss OKP market where HSK operates.
• Swica: Swiss health insurer with its own provider contracting and tariff negotiation function. Comparable as an alternative to HSK's model where the insurer negotiates directly with hospitals and physicians.
• Visana: Swiss health insurer with in-house tariff negotiation capability. Comparable as a competing buyer-side counterparty negotiating OKP tariffs with the same provider universe.
• CSS Versicherung: One of Switzerland's largest health insurers, conducting tariff negotiations internally rather than via HSK. Directly comparable because it negotiates with the same Swiss hospitals and physician societies for OKP tariffs under the same regulatory framework.
• Concordia: Swiss health insurer with internal tariff negotiation capability. Comparable as another buyer-side party negotiating SwissDRG, TARPSY and ST Reha tariffs directly with Swiss healthcare providers.
• ÖKK Kranken- und Unfallversicherungen: Smaller Swiss health insurer with internal tariff negotiation capability. Comparable as another buyer-side participant negotiating with Swiss providers under the same OKP framework.

Broad incumbents

• OptumRx (UnitedHealth Group): Large US pharmacy benefit manager and third-party administrator of insurance benefits. Comparable at the business-model level as a third-party administrator that manages pricing/contracting on behalf of insurers, though in a different regulatory and product context.

Emerging players

• prio.swiss: New (2025) Swiss health insurer industry association representing 100% of insured persons on tariff structure negotiations. Complementary rather than competing — HSK handles price/contract execution while prio.swiss sets structure — but absorbs part of the negotiation remit.

Others

• SASIS AG: Swiss healthcare data services provider and HSK's data partner. Comparable as an enabling infrastructure provider whose statistics feed HSK's tariff benchmarking methodology.
• H+ Die Spitäler der Schweiz: Swiss hospital association representing provider interests in tariff negotiations. Comparable as the principal provider-side counterparty to HSK in the tariff negotiation framework, including the joint OAMal empirical model work.

Market position

Strengths1 record

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/hsk_schweiz
• LinkedInlinkedin.com/company/einkaufsgemeinschaft-hsk

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 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 Einkaufsgemeinschaft HSK