Kassenarztliche Vereinigung Hamburg

What Kassenarztliche Vereinigung Hamburg does

Kassenärztliche Vereinigung Hamburg (KVH Hamburg) is a statutory public-law corporation (Körperschaft des öffentlichen Rechts) established under §77 of the German Social Security Code (SGB V). It functions as the professional self-governing body for all ambulatory physicians and psychotherapists authorized to treat statutory health insurance (GKV) patients in the Free and Hanseatic City of Hamburg, serving approximately 1.8–1.9 million insured residents through a network of roughly 7,000 contracted providers.

Its core "products" are institutional services rather than commercial offerings: contracting and credentialing of physicians, processing of billing and reimbursement (Abrechnung & Honorar), issuance of statutory approvals (Genehmigung), and operation of the Telematikinfrastruktur (TI) connecting practices through components such as eGK, ePA (electronic patient file), TI-Gateway, SMC-B Karte, and Videosprechstunde. Member-facing tooling includes the Online-Portal (accessible via SNK and WebNet), the Terminservicestelle (appointment service hotline 116117 plus 116117-termine.de and 116117.app), the Arzt- und Psychotherapeutensuche physician finder, TSVG reporting tools, and a Schwarzes Brett classifieds board for locum and practice succession needs. KVH Hamburg also manages more than 100 active care contracts (Gesamtverträge) covering Disease Management Programmes, Hausarztzentrierte Versorgung, Hautkrebs-Screening, VorsorgePlus, vaccination agreements, and social-medical partnerships with the City of Hamburg.

The business model is regulatory rather than commercial. KVH Hamburg does not set prices; reimbursement to physicians is governed by the EBM fee schedule within Gesamtverträge negotiated with statutory health insurance funds (AOK Rheinland/Hamburg, TK, BARMER, DAK-Gesundheit, KKH, HEK, IKK classic, KNAPPSCHAFT, BKK-Landesverband NORDWEST, vdek, and others). Revenue flows from Krankenkassen contributions into KVH Hamburg, which redistributes funds to member practices and retains an administrative allocation. The organization serves three primary constituencies: GKV-insured patients (physician access, ePA, appointment booking), contracted physicians and psychotherapists (billing, credentialing, TI infrastructure, compliance), and statutory health insurance funds (Gesamtverträge, care coordination, DMP administration). Marketing is institutional (website, LinkedIn, YouTube, Instagram, press, professional events) rather than commercial.

Name

Kassenarztliche Vereinigung Hamburg

Legal name

Kassenärztliche Vereinigung Hamburg

Website

https://www.kvhh.net

Company type

Private

Founded year

1919

Operating status

Operating

Headcount range

1–10 employees

Short description

Kassenärztliche Vereinigung Hamburg (KVH Hamburg) is the statutory public-law corporation under §77 SGB V that organizes ambulatory care for roughly 1.8–1.9 million statutory insured residents in Hamburg by contracting ~7,000 physicians and psychotherapists, processing billing and reimbursement, and operating the regional Telematikinfrastruktur including ePA, 116117 appointment services, and physician finder.

Ownership category

akta.pro rank

Product category

Statutory Health Insurance Administration (Ambulatory Care)

NAICS

Offices of Other Health Practitioners (6213), Offices of All Other Miscellaneous Health Practitioners (621399)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Provider Credentialing, Licensing & Compliance Enablement (multi-state) (HLALAKAM)

Keywords

• Statutory health insurance physicians
• Ambulatory care administration
• Telematics infrastructure services
• Appointment service coordination
• Health insurance contracting

Headquarters

HQ city

Hamburg

HQ country

Germany

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure

Revenue model

1. Statutory Health Insurance Contributions: As a Kassenärztliche Vereinigung (Association of Statutory Health Insurance Physicians), KVH Hamburg receives contributions from all statutory health insurance funds (Krankenkassen) in Germany. These funds are pooled and redistributed to contracted physicians and psychotherapists based on care provided, as regulated by the Gesamtverträge (overall contracts) negotiated with health insurers.
2. Physician and Psychotherapist Membership Services: KVH Hamburg provides administrative, billing, and regulatory services to its member physicians and psychotherapists. It handles the processing of claims (Abrechnung & Honorar), issues approvals (Genehmigung), manages credentialing, and ensures compliance with statutory healthcare regulations. Revenue flows from the health insurance system to KVH, which redistributes to member practices.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels9 records

Core offering

KV Hamburg is the statutory professional self-governing body for ambulatory physicians and psychotherapists in Hamburg, contracted with all statutory health insurance funds to ensure ambulatory care for approximately 1.8–1.9 million GKV-insured residents. It provides member services (credentialing, billing and reimbursement, approvals, telematics infrastructure, TSVG compliance, practice support), operates the 116117 Terminservicestelle and physician finder, and administers numerous special care contracts (DMP, HzV, Hautkrebs-Screening, VorsorgePlus, Schutzimpfungen, MRGN screening, Kindeswohlgefährdung).

Product overview

Kassenarztliche Vereinigung Hamburg operates as a regulatory and service body for statutory health insurance physicians in Hamburg, providing a platform of interconnected healthcare services. The core infrastructure consists of the Telematikinfrastruktur (TI) - Germany's digital health telematics network - and the Online-Portal providing member access. Key member-facing products include the Terminservicestelle (TSS) for appointment scheduling via phone, web, and mobile app, the Arzt- und Psychotherapeutensuche physician search tool, and Videosprechstunde for video consultations. Supporting services include TSVG compliance management, Schwarzes Brett for practice staffing needs, and Schwarzes Brett for practice staffing needs. Special care programs encompass Disease Management Programmes, vaccination agreements, skin cancer screening, primary care-centered care, child welfare protection cooperation, and MRGN screening certification. The organization also manages extensive contracts and agreements with health insurance providers covering various healthcare services and treatments.

Differentiator

Problem solved

Functional benefit

Products and services

• Telematikinfrastruktur (TI) Digital health telematics infrastructure connecting healthcare providers in Germany for KV Hamburg member practices, including eGK (electronic health card), ePA (electronic patient record), electronic Heilberufsausweis, TI-Gateway, TI-Verzeichnisdienst, SMC-B Karte, and components supporting secure data exchange and online services.
• Terminservicestelle (TSS) / 116117 Appointment Service Appointment service center helping Hamburg patients schedule medical appointments with contracted physicians and psychotherapists, reachable by phone (116117), website (www.116117-termine.de), and mobile app (116117.app).
• Online-Portal der KV Hamburg Secure web portal for KV Hamburg member physicians and psychotherapists to access administrative services, billing, member services, and practice management functions, accessible via SNK or WebNet.
• Arzt- und Psychotherapeutensuche (Physician Finder) Search tool allowing Hamburg patients to find contracted physicians and psychotherapists by name, medical specialty (covering all registered specialties), and location (postal code, street, or city district).
• Videosprechstunde Video consultation service enabling remote physician-patient appointments over the telematics infrastructure, offered to KV Hamburg member practices and patients.
• Schwarzes Brett (Classifieds Board) Online classifieds board where Hamburg practices post and search locum tenens, staff recruitment, and practice succession opportunities; restricted to ambulatory postings within Hamburg.
• Spezielle Versorgungsformen und Verträge (Special Care Programs) Portfolio of special ambulatory care programs and contracts administered by KV Hamburg on behalf of contracted physicians and Krankenkassen, covering DMP (Diabetes, COPD, breast cancer, coronary heart disease, asthma, etc.), Hausarztzentrierte Versorgung, hypertension management, interdisciplinary early intervention, homeopathy, child health, and child welfare protection.
• Schutzimpfungs-Vereinbarungen (Vaccination Agreements) Contracted vaccination agreements covering routine immunizations, negotiated with AOK Rheinland/Hamburg, BKK-Landesverband NORDWEST, IKK classic, KNAPPSCHAFT, and vdek on behalf of Hamburg's contracted physicians.
• Hautkrebs-Screening (Skin Cancer Screening) Skin cancer screening program operated under contract with TK, BKK-Landesverband NORDWEST, BARMER, HEK, and BIG direkt gesund, with participation available to dermatologists and general practitioners.
• Disease Management Programme (DMP) Structured treatment programs for chronic conditions including diabetes mellitus, breast cancer, COPD, coronary heart disease, asthma, and other registered DMP indications, coordinated by KV Hamburg with participating physicians.
• Kindeswohlgefährdung Kooperationsvereinbarung (Child Welfare Cooperation Agreement) Cooperation agreement between KV Hamburg and Hamburg youth offices enabling physicians to report suspected child abuse and conduct case discussions with youth welfare services for child protection.
• MRGN-Online-Zertifizierung Online certification program for multi-resistant gram-negative bacteria (MRGN) screening, a model project enabling pre-admission identification of patients colonised with resistant bacteria to reduce transmission in hospital settings.
• Hausarztzentrierte Versorgung (HzV) Primary care-centered care program providing coordinated healthcare services through general practitioners, contracted with participating Krankenkassen such as BKK-Landesverband NORDWEST.
• VorsorgePlus Special prevention program contracted with KKH, HEK, TK, and AOK Rheinland/Hamburg providing enhanced preventive medical services for insured members.
• Arztruf Hamburg Patient-facing service for Hamburg residents to reach ambulatory medical care via the KV Hamburg patient navigation system, complementary to the 116117 appointment service and physician finder.
• Schwerpunktpraxen für Wohnungslose / WuK-PeB Specialised ambulatory practices for homeless people in Hamburg (Schwerpunktpraxen für Wohnungslose) and housing program for mentally ill homeless people (WuK-PeB), operated under cooperation with the Sozialbehörde Hamburg.

Quantifiable outcome

• The Terminservicestelle (TSS) ensures appointments with specialists within 4 weeks, as mandated by TSVG legislation.
• +2 more outcomes

Named customers11 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Partnerships

16 partnerships are on record, tiered core and notable.

• Freie und Hansestadt Hamburg (Sozialbehörde)coreStrategic or Co-development Partner · 1 July 2016City government of Hamburg (represented by the Behörde für Arbeit, Gesundheit, Soziales, Familie und Integration / Sozialbehörde). Multiple strategic partnerships: (1) Schwerpunktpraxen für Wohnungslose — specialized practices for homeless healthcare since July 2016; (2) WuK-PeB — housing for mentally ill homeless people since August 2025; (3) Kooperationsvereinbarung Kindeswohlgefährdung — child protection cooperation with youth offices since July 2025; (4) Resettlement — healthcare for resettled refugees under § 23 Abs. 2/4 AufenthG; (5) Sozialhilfeträgervertrag — social welfare carrier contract for healthcare coverage.
• AOK Rheinland/HamburgcoreChannel Partner/ Reseller/ DistributorPrimary contracting partner for numerous care programs including Schutzimpfungen (vaccination agreements under § 132e SGB V), VorsorgePlus, Diabetes mellitus, Rheuma, and others. AOK is one of the largest statutory health insurance funds in Hamburg, representing a significant portion of the insured population.
• Techniker Krankenkasse (TK)coreChannel Partner/ Reseller/ DistributorMajor statutory health insurance fund contracting with KVH Hamburg for Hautkrebs-Screening and VorsorgePlus special care programs. TK is one of Germany's largest health insurers.
• BARMER GEKcoreChannel Partner/ Reseller/ DistributorStatutory health insurance fund participating in Hautkrebs-Screening and other special care contracts with KVH Hamburg.
• BKK-Landesverband NORDWESTcoreChannel Partner/ Reseller/ DistributorRegional BKK association for NW Germany; contracting partner for multiple programs including Hautkrebs-Screening, Hausarztzentrierte Versorgung, Psychosomatik (under § 63 SGB V), Umweltmedizinische Behandlung, and others.
• vdek (Verband der Ersatzkassen)coreChannel Partner/ Reseller/ DistributorUmbrella organization for substitute health insurance funds (Ersatzkassen) including DAK-Gesundheit, KKH, HEK, and others; representing numerous insurers in collective negotiations and contracting with KVH Hamburg on behalf of its member funds.
• IKK classiccoreChannel Partner/ Reseller/ DistributorStatutory health insurance fund; contracting partner for Schutzimpfungen (vaccination agreements) and other care programs.
• KNAPPSCHAFTcoreChannel Partner/ Reseller/ DistributorStatutory health insurance fund; contracting partner for Schutzimpfungen, Rheuma treatment programs, and other special care agreements.
• BIG direkt gesundnotableChannel Partner/ Reseller/ DistributorDirect health insurance fund; contracting partner for Hautkrebs-Screening and K.I.S.S. (Konsequentes Infektionsscreening in der Schwangerschaft), serving insured members under special care contracts.
• KKH (Kaufmännische Krankenkasse)coreChannel Partner/ Reseller/ DistributorStatutory health insurance fund; contracting partner for VorsorgePlus special preventive care program, representing its insured members in Hamburg.
• HEK (Hanseatische Ersatzkasse)coreChannel Partner/ Reseller/ DistributorHanseatic substitute health insurance fund; contracting partner for VorsorgePlus and Hautkrebs-Screening programs.
• GWQ ServicePlus AGnotableChannel Partner/ Reseller/ DistributorHealthcare service company acting as a partner in the 'Gesund schwanger' (healthy pregnancy) program (§ 140a SGB V) for preventing premature births, facilitating laboratory and microbiology testing coordination.
• Berufsverband der Frauenärzte e.V. (BVF)notableStrategic or Co-development PartnerProfessional association of gynecologists; co-developer of the 'Gesund schwanger' and 'Hallo Baby' special care programs (§ 140a SGB V) for pregnancy care and premature birth prevention.
• Berufsverband Deutscher Laborärzte e.V. (BDL)notableStrategic or Co-development PartnerProfessional association of laboratory physicians; partner in 'Gesund schwanger', 'Hallo Baby', and related infection screening programs.
• Berufsverband der Ärzte für Mikrobiologie, Virologie und Infektionsepidemiologie e.V. (BÄMI)notableStrategic or Co-development PartnerProfessional association of microbiology and infectious disease physicians; partner in 'Gesund schwanger' and 'Hallo Baby' programs for infection screening during pregnancy.
• Kassenärztliche Bundesvereinigung (KBV) — AG VertragskoordinierungcoreStrategic or Co-development PartnerNational-level umbrella organization for all KVs in Germany; coordinates and develops national framework contracts (Rahmenverträge) such as 'Hallo Baby', 'Gesund schwanger', and others, in which KVH Hamburg participates.

Scale indicators4 records

Recent moves6 records

Expansion highlights5 records

Market position

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCx8gRqtJCViyHXoFbrKfwzw
• LinkedInde.linkedin.com/company/kassen%C3%A4rztliche-vereinigung-hamburg
• Instagraminstagram.com/kv_hamburg

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Kassenarztliche Vereinigung Hamburg