Health

Refinancing Reconciliation Agent

On the cost sheet, the vacant post is a saving. In the negotiation, it is the other side's argument.

Compares funded posts with actual staffing levels.

Open agent
Public administration

Four processes that take up the most time today

Developed in Germany · Hosted in the EU

Developed in Germany · Hosted in the EU or on-premises

Delivered together with

STACKIT Sovereign hosting in Germany, single-tenant from the first user.
Rödl Legal, tax and compliance expertise for legally sound deployment.
4P Consulting Advisory and implementation for the public sector, starting with the AI readiness assessment.

A post left vacant for three months only gets noticed when the payer points it out.

The funded posts are set out in the agreement; actual staffing is in the duty roster and in payroll. The two are only brought together when controlling pulls an extract for the negotiation. Until then the ward runs with a gap, and nobody records for how long.

38.0funded full-time equivalentsThat is the number the agreement sets for nursing.
34.5actually filledAveraged over the quarter, the duty roster shows fewer full-time equivalents than agreed.
2systemsAgreement and payroll are maintained separately and rarely checked against each other.
1reconciliation a yearIt happens once, shortly before the negotiation date.

The gap of 3.5 full-time equivalents shows up in the reconciliation every month instead of once before the negotiation, and revenue losses fall by 45%.

The 45% reduction in revenue losses is this agent's headline figure. The number of posts, the staffing level and the number of reconciliations describe a typical year in a hospital; they are not measured values.

Three steps through the process.

Nursing management decides on refilling posts; the agent compares funded posts with actual staffing and records every gap by area and month.

Bring the agreement and the duty roster together

The agent reads the funded posts from the agreement and actual staffing from the duty roster and payroll. It converts both sides into full-time equivalents.

Nursing reconciliation Q2/2026, 38.0 funded vs. 34.5 filled

Track gaps month by month

For each month, the agent records how many funded full-time equivalents actually worked. Every gap is logged with area, month and duration.

Gap list Q2/2026, 2 areas, longest gap 4 months

Record the need for action with references in reporting

The agent puts the areas with the largest difference at the top and gives the source for every figure. Controlling and nursing management decide what action to take.

refinanzierung_abgleich_Q2-2026.xlsx, 2 areas with a difference

What the agent does not do.

It does not refill posts.

It names the area, month and size of the gap. Nursing management arranges advertising and hiring.

It does not negotiate the care rate.

It supplies the comparison as a basis. Executive management goes into the negotiation with controlling.

A temporary worker recorded only on a timesheet is not included in its count.

They appear neither in the duty roster nor in the HR system and are therefore missing from the 34.5 filled full-time equivalents. Nursing management adds them to the gap list by hand.

Connected systems

  • Duty rostering
  • payroll
  • controlling reports

Operations

  • Deployment modelEU cloud, private cloud or on-premises
  • Data processingGDPR-compliant, no model training on your data
  • Responsible teamsHR controlling, nursing management

The questions that come up before the first meeting.

How quickly is the Refinancing Reconciliation Agent ready to use?

A pilot typically runs on your own data within 4 to 6 weeks. The agent connects to your existing systems rather than running as a separate, parallel environment.

Where is the data processed?

EU cloud, private cloud or on-premises. Processing is GDPR-compliant and models are never trained on your data. Details in the Trust Center.

Where does the figure “45% lower revenue losses” come from?

It is based on experience from comparable projects and process benchmarks, not a commitment. We work out the realistic effect for your organisation during the assessment before the pilot.

Related agents.

Intake review, case 2026/04711

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