The deals of a family doctor – Controversial deals with pharmaceutical and laboratory companies – News
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Questionable deals with generics manufacturer “Sandoz”, two laboratory companies, and the leading drug dealer “Galexis”: SRF Investigativ have explosive documents on the business of doctor Thomas Haehner.
Author: Nadine Woodtli, Stefanie Hasler
A bank receipt shows in black and white: the generics manufacturer “Sandoz” transferred CHF 67,000 to the doctor chain operator Thomas Haehner three years ago. The parent company “Novartis” writes SRF Investigativ: “The payment is the consideration for the provision of advertising space for screens and patient materials in the waiting rooms of the doctor’s network. With such contractual agreements, which are customary in the Swiss industry, there is the possibility of generally drawing attention to generics.”
“Novartis” continues to write that such agreements meet the legal requirements. They would be negotiated annually.
“Compensation is not allowed”
“The pharmaceutical industry seems to have a different legal opinion of a fact that is clear in itself,” says “Helsana” expert Ivan Tomka. A doctor must always act independently of financial advantages and prefer a generic drug to the original drug.
SRF Investigativ uncovers doctor scandal
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Chaos in practices, lack of operating licenses, poor payment behavior towards employees and tax offices. SRF Investigativ uncovers a doctor scandal involving the German Thomas Haehner. The doctor and businessman runs 18 family practices in German-speaking Switzerland with tens of thousands of patients through his companies, including Medium Salutis GmbH. The health insurance company Concordia ordered a payment freeze for three practices in the canton of Lucerne. Helsana is investigating unusually high drug sales and laboratory costs in Haehner’s practices.
“This means that compensation for the advertising and sale of generics is not permitted,” says Tomka. And: It is not permitted to offer and accept inadmissible financial advantages. Thomas Haehner replies that these contracts have been legally checked. The Federal Office of Public Health writes on request that it will investigate this matter “in depth” and take the necessary measures.
Statement from «Novartis»
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«The payment you mentioned is the consideration for the provision of advertising space for screens and patient materials in the waiting rooms of the physician network Medium Salutis GmbH. This draws attention to the possibility of using generics in order to promote their acceptance. The use of generics can reduce health care costs. The amount of payment results from the eleven practices with over 20 doctors and the corresponding patient frequency. The conclusion of such agreements is offered to service providers by companies in the generics industry and corresponds to the legal provisions. Sandoz re-enters such agreements on an annual basis and reviews whether the services are being provided. The provision of the advertising space in the 11 practices clearly represents a service provided by Ärzteneztwerk Medium Salutis GmbH to Sandoz. Under the conditions of Article 55 Paragraph 2 lit. c HMG and Article 7 VITH, which are all met in the present case, Sandoz is allowed to reimburse Medium Salutis GmbH with its more than 20 doctors for this service. The remuneration therefore does not constitute an “undue advantage” and is also not subject to the obligation to pass it on to the insured pursuant to Art. 56 Para. 3 KVG. This legal opinion is also confirmed by third parties. For reasons of confidentiality, we will not comment further on the specific customer contract.»
«Grotesque attempt at concealment»
Thomas Haehner’s company also does business with laboratory companies: he sends the blood analyzes from his practices to the large laboratory “Labor Team W”. In autumn 2020, this paid the doctor’s joint-stock company CHF 58,000, as can be seen from documents available to SRF Investigativ. Namely for a 20-year-old X-ray system that is in his practice in Freidorf TG.
“What’s that supposed to mean?” asks social insurance expert Ueli Kieser. He suspects a “grotesque attempt to conceal” an improper financial advantage.
Statement «Laboratory Team W»
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“Labor Team W” writes that the contracts were concluded by a previous management and cannot be traced today: “Regardless of the legal admissibility, ‘Labor Team W AG’ under the new management generally no longer concludes such contracts.” The new management attaches great importance to adhering to all legal regulations and compliance.
Another questionable deal with lab
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SRF Investigative has a bill that Thomas Haehner presented to the “Synlab Suisse” laboratory. The doctor billed the laboratory for the acquisition costs for taking over the practice in Altenwil FR and Oberkirch LU, each at around CHF 27,000. “That’s not allowed, says Helsana expert Ivan Tomka. “Services that a doctor provides for himself must not be compensated.” The laboratory writes: “Synlab states that it cannot comment on specific customer relationships. ‘Synlab’ follows the applicable legal principles at all times and bases its actions on the FAMH Labor Code. ‘Synlab’ checked the incoming invoices and cash flows again in detail during the period in question. The invoices you mentioned were never accepted by the accounting department and were therefore never paid.”
Haehner owes a drug dealer more than six million francs
In a PR article, doctor Thomas Haehner enthuses about a “really great partner”. He means drug dealer “Galexis”. This supplies his practices with remedies. The business relationship must be close. Because evidence shows: Thomas Haehner has outstanding invoices of over 6 million francs at “Galexis”.
There are strikes that go back to 2020. Nevertheless, “Galexis” continued to supply him with medicines. The company writes that they are aware of the outstanding bills, but “Galexis” is an important link in medical care.
Opinion «Galexis»
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“It happens again and again that medical practices have liquidity bottlenecks. In the past few months, we have also noticed the Covid pandemic and the shortage of skilled workers as reasons for this. (…) The extent to which we grant a payment delay in such a situation depends on the collateral, the business model and the size of the customer. Mr. Haehner’s practice group is a large customer, which is reflected in the outstanding amounts. We are aware of the size of the outstanding claim and are closely following the case in order to protect our interests and minimize the potential risk of loss. When assessing such situations, we must always take into account that our deliveries are an important link in medical care. Accordingly, we always weigh the effects on patients before suspending deliveries. This requires special attention, especially in family doctor practices in areas with insufficient medical care.»
Hidden financial interests?
“I can’t understand why a company is still supplying the doctor despite such high outstanding payments,” says “Helsana” expert Ivan Tomka. “The question arises whether there are hidden interests at work in the background.” An evaluation by the cash register shows: Haehner’s practices sell a lot more medicines compared to economical general practitioners’ practices.
“It seems to me that something is hidden under every stone in this construct that is not permissible,” says “Helsana” expert Tomka. “We will look very closely here and, if necessary, take legal action.” Doctor Haehner rejects the allegations: The contracts are permissible and legally checked.
That’s what Thomas Haehner says about the deals
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«The following can be said about the contracts you have illegally stolen and passed on: The contracts are subject to confidentiality. Basically, however, it can be said that these contracts were drafted and legally checked by the legal departments of large Swiss companies. In addition, it can be said that the contracts have been concluded with hundreds of practices, as is customary in the industry and in a comparable form. (…) There is no pecuniary benefit.»