{"id":9994,"date":"2019-04-18T09:51:40","date_gmt":"2019-04-18T07:51:40","guid":{"rendered":"https:\/\/www.vardforetagarna.se\/?p=9994"},"modified":"2019-05-03T15:55:56","modified_gmt":"2019-05-03T13:55:56","slug":"vardmomsen-slar-olika","status":"publish","type":"post","link":"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/","title":{"rendered":"V\u00e5rdmomsen sl\u00e5r olika"},"content":{"rendered":"Fr\u00e5n halv\u00e5rsskiftet ska v\u00e5ra medlemsf\u00f6retag betala moms n\u00e4r de anlitar, inte bara bemanningsf\u00f6retag, utan ocks\u00e5 konsultl\u00e4kare och annan legitimerad sjukv\u00e5rdspersonal som verkar via eget bolag. M\u00e5nga v\u00e5rdl\u00f6sningar med underleverant\u00f6rer drabbas ocks\u00e5 av momsplikt. Eftersom v\u00e5rd- och omsorgsf\u00f6retag inte f\u00e5r dra av momsen inneb\u00e4r detta stora f\u00f6rdyringar, som f\u00e5r direkt p\u00e5verkan i verksamheten.<\/p>\n<p>M\u00e5nga av v\u00e5ra medlemsf\u00f6retag befinner sig nu mitt i processen med att omf\u00f6rhandla och avsluta avtal med l\u00e4karkonsulter och andra inf\u00f6r halv\u00e5rsskiftet n\u00e4r den nya momstolkningen sl\u00e5r till. Ett av dem \u00e4r Helsa, som Dagens Industri ber\u00e4ttade om ig\u00e5r (17\/4). Andelen konsultl\u00e4kare i Helsas verksamheter varierar, men s\u00e4rskilt i regioner med stor brist p\u00e5 allm\u00e4nl\u00e4kare \u00e4r andelen konsulter stor. P\u00e5 flera mottagningar tvingas Helsa nu, enligt Dagens Industri, s\u00e4ga upp sina avtal med konsultl\u00e4karna, d\u00e4rf\u00f6r att de inte har r\u00e5d att ha dem kvar.<\/p>\n<p>\u201d<em>Vi kommer att tvingas dra ned p\u00e5 personal, redan idag saknas marginalerna. Vi klarar definitivt inte en kostnads\u00f6kning p\u00e5 25 procent \u2013 i v\u00e4rsta fall kan vi beh\u00f6va st\u00e4nga enheter. Jag hoppas verkligen att vi inte hamnar d\u00e4r<\/em>\u201d, s\u00e4ger Conny Mathiesen, VD hos Helsa, till Dagens Industri.<\/p>\n<p>V\u00e5rdf\u00f6retagarna har tidigare varnat f\u00f6r att den nya v\u00e5rdmomsen inte \u00e4r konkurrensneutral, utan snedvrider villkoren till nackdel f\u00f6r verksamhet i privat regi. Nu b\u00f6rjar dessa effekter bli synliga. Conny Mathiesen ser, enligt Dagens Industri, hur de konsultl\u00e4kare som l\u00e4mnar Helsa ist\u00e4llet v\u00e4lkomnas av regiondrivna verksamheter, som inte tycks lika momsk\u00e4nsliga. Sannolikt h\u00e4nger det ihop med att den regiondrivna verksamheten f\u00e5r ers\u00e4ttning f\u00f6r sina momskostnader fr\u00e5n staten. Det kan inte vara rimligt att en momstolkning ska till\u00e5tas sl\u00e5 s\u00e5 olika mot verksamhet i privat, respektive offentlig regi. Detta \u00e4r allt annat \u00e4n likv\u00e4rdiga villkor f\u00f6r privat och offentlig verksamhet.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-9996\" src=\"https:\/\/www.almega.se\/app\/uploads\/sites\/3\/2019\/04\/di_conny-1-580x610.png\" alt=\"\" width=\"580\" height=\"610\" srcset=\"https:\/\/www.vardforetagarna.se\/app\/uploads\/sites\/3\/2019\/04\/di_conny-1-580x610.png 580w, https:\/\/www.vardforetagarna.se\/app\/uploads\/sites\/3\/2019\/04\/di_conny-1-380x400.png 380w, https:\/\/www.vardforetagarna.se\/app\/uploads\/sites\/3\/2019\/04\/di_conny-1-768x808.png 768w, https:\/\/www.vardforetagarna.se\/app\/uploads\/sites\/3\/2019\/04\/di_conny-1-760x800.png 760w, https:\/\/www.vardforetagarna.se\/app\/uploads\/sites\/3\/2019\/04\/di_conny-1.png 866w\" sizes=\"auto, (max-width: 580px) 100vw, 580px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Har landets regionpolitiker och regionledningar f\u00f6rst\u00e5tt vilka stora konsekvenser som den nya v\u00e5rdmomsen f\u00e5r f\u00f6r kompetensf\u00f6rs\u00f6rjningen hos de privata v\u00e5rdgivare som verkar p\u00e5 deras uppdrag i sjukv\u00e5rden? I Dagens Industri ber\u00e4ttar Conny Mathiesen hos Helsa om hur han, liksom m\u00e5nga andra av v\u00e5ra medlemsf\u00f6retag, m\u00f6ts av en ljummen respons fr\u00e5n politiker och best\u00e4llare i regionerna. Om v\u00e5rdverksamheter blir tvungna att dra ner p\u00e5 sin verksamhet, eller till och med st\u00e4nga, blir alla f\u00f6rlorare. I slut\u00e4nden riskerar det att vara patienterna som drabbas. D\u00e4rf\u00f6r beh\u00f6vs, som Conny Mathiesen s\u00e4ger i Dagens Industri, gemensamma l\u00f6sningar. <a href=\"https:\/\/www.di.se\/nyheter\/momssmockan-foretag-larmar-om-lakarflykt-ett-svarte-petter-spel\/\">L\u00e4s intervjun med Conny Mathiesen i Dagens Industri. <\/a><\/p>\n<p>Effekterna av v\u00e5rdmomsen ber\u00f6r sjukv\u00e5rds, tandv\u00e5rds- och omsorgssektorerna \u00f6ver hela Sverige, stad som landsbygd, samt patienter och brukare i alla \u00e5ldrar och behovskategorier, fr\u00e5n f\u00f6rlossningsv\u00e5rden till geriatriska kliniker; fr\u00e5n tandv\u00e5rd till hj\u00e4rtoperationer, fr\u00e5n HVB-hem f\u00f6r ungdomar till s\u00e4rskilda boenden f\u00f6r \u00e4ldre.<\/p>\n<p>Ansvariga politiker i regering och riksdag beh\u00f6ver ocks\u00e5 agera snabbt. Vi ser behov av \u00e5tg\u00e4rder p\u00e5 b\u00e5de kort och l\u00e4ngre sikt. Det \u00e4r l\u00e5ngtifr\u00e5n s\u00e4kert att Skatteverket har hamnat r\u00e4tt i sin vida tolkning av HFD:s dom. I det korta, akuta perspektivet b\u00f6r Skatteverket d\u00e4rf\u00f6r skjuta p\u00e5 till\u00e4mpning av den nya v\u00e5rdmomsen tills det finns r\u00e4ttspraxis. I det l\u00e4ngre perspektivet beh\u00f6vs lag\u00e4ndringar f\u00f6r att s\u00e4kra likv\u00e4rdiga villkor f\u00f6r verksamheter oavsett regi, ocks\u00e5 i momsh\u00e4nseende. <a href=\"https:\/\/www.vardforetagarna.se\/2019\/03\/nu-behovs-politiska-atgarder-att-losa-momsproblemen\/\">L\u00e4s mer om det h\u00e4r. <\/a>\n","protected":false},"excerpt":{"rendered":"<p>Fr\u00e5n halv\u00e5rsskiftet ska v\u00e5ra medlemsf\u00f6retag betala moms n\u00e4r de anlitar, inte bara bemanningsf\u00f6retag, utan ocks\u00e5 konsultl\u00e4kare och annan legitimerad sjukv\u00e5rdspersonal som verkar via eget bolag. M\u00e5nga v\u00e5rdl\u00f6sningar med underleverant\u00f6rer drabbas ocks\u00e5 av momsplikt. Eftersom v\u00e5rd- &hellip;<\/p>\n","protected":false},"author":21,"featured_media":9634,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[15],"tags":[],"article_type":[26],"agreement":[],"for-members":[],"class_list":["post-9994","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sjukvard","type-branschnyheter"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>V\u00e5rdmomsen sl\u00e5r olika - V\u00e5rdf\u00f6retagarna<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"V\u00e5rdmomsen sl\u00e5r olika - V\u00e5rdf\u00f6retagarna\" \/>\n<meta property=\"og:description\" content=\"Fr\u00e5n halv\u00e5rsskiftet ska v\u00e5ra medlemsf\u00f6retag betala moms n\u00e4r de anlitar, inte bara bemanningsf\u00f6retag, utan ocks\u00e5 konsultl\u00e4kare och annan legitimerad sjukv\u00e5rdspersonal som verkar via eget bolag. M\u00e5nga v\u00e5rdl\u00f6sningar med underleverant\u00f6rer drabbas ocks\u00e5 av momsplikt. Eftersom v\u00e5rd- &hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/\" \/>\n<meta property=\"og:site_name\" content=\"V\u00e5rdf\u00f6retagarna\" \/>\n<meta property=\"article:published_time\" content=\"2019-04-18T07:51:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-05-03T13:55:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.vardforetagarna.se\/app\/uploads\/sites\/3\/2019\/01\/ccf61a86-9c94-4d23-ab3c-54bc5be0d5cc.png\" \/>\n\t<meta property=\"og:image:width\" content=\"621\" \/>\n\t<meta property=\"og:image:height\" content=\"414\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Karin Liljeblad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Skriven av\" \/>\n\t<meta name=\"twitter:data1\" content=\"Karin Liljeblad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Ber\u00e4knad l\u00e4stid\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minuter\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"V\u00e5rdmomsen sl\u00e5r olika - V\u00e5rdf\u00f6retagarna","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/","og_locale":"sv_SE","og_type":"article","og_title":"V\u00e5rdmomsen sl\u00e5r olika - V\u00e5rdf\u00f6retagarna","og_description":"Fr\u00e5n halv\u00e5rsskiftet ska v\u00e5ra medlemsf\u00f6retag betala moms n\u00e4r de anlitar, inte bara bemanningsf\u00f6retag, utan ocks\u00e5 konsultl\u00e4kare och annan legitimerad sjukv\u00e5rdspersonal som verkar via eget bolag. M\u00e5nga v\u00e5rdl\u00f6sningar med underleverant\u00f6rer drabbas ocks\u00e5 av momsplikt. Eftersom v\u00e5rd- &hellip;","og_url":"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/","og_site_name":"V\u00e5rdf\u00f6retagarna","article_published_time":"2019-04-18T07:51:40+00:00","article_modified_time":"2019-05-03T13:55:56+00:00","og_image":[{"width":621,"height":414,"url":"https:\/\/www.vardforetagarna.se\/app\/uploads\/sites\/3\/2019\/01\/ccf61a86-9c94-4d23-ab3c-54bc5be0d5cc.png","type":"image\/png"}],"author":"Karin Liljeblad","twitter_card":"summary_large_image","twitter_misc":{"Skriven av":"Karin Liljeblad","Ber\u00e4knad l\u00e4stid":"3 minuter"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/#article","isPartOf":{"@id":"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/"},"author":{"name":"Karin Liljeblad","@id":"https:\/\/www.vardforetagarna.se\/#\/schema\/person\/988532a923e436368e616bcf96386ae9"},"headline":"V\u00e5rdmomsen sl\u00e5r olika","datePublished":"2019-04-18T07:51:40+00:00","dateModified":"2019-05-03T13:55:56+00:00","mainEntityOfPage":{"@id":"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/"},"wordCount":635,"publisher":{"@id":"https:\/\/www.vardforetagarna.se\/#organization"},"image":{"@id":"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/#primaryimage"},"thumbnailUrl":"https:\/\/www.vardforetagarna.se\/app\/uploads\/sites\/3\/2019\/01\/ccf61a86-9c94-4d23-ab3c-54bc5be0d5cc.png","articleSection":["Sjukv\u00e5rd"],"inLanguage":"sv-SE"},{"@type":"WebPage","@id":"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/","url":"https:\/\/www.vardforetagarna.se\/2019\/04\/vardmomsen-slar-olika\/","name":"V\u00e5rdmomsen sl\u00e5r olika - 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