 The HIC implementation in Berlin has had positive effects on the local health system. It has reduced administrative burden, increased financial transparency, and mitigated ethical tensions. Additionally, it has led to lower costs for outpatient health services. However, there has been an increase in inpatient care utilization and costs, which requires further investigation. This article was authored by Nora Gottlieb, Vanessa Ohm, and Miriam Nornschild.