Dynergia

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For Daily-Allowance Insurers

Psychiatric sick leave in Switzerland lasts 218 days on average (SWICA/Workmed, 2022). Between medical certificates, case management lacks what would be taken for granted in any other expensive process chain: a continuous measure.

The starting point

Psychiatric illness is now the most common reason for a new Swiss disability pension: its share rose from 35.6 % in 2000 to 49.4 % in 2025 — roughly every second new pension (BSV, IV-Statistik 2025). Long daily-sickness-benefit cases are the road that leads there.

Between consultations, no information about the functional course exists today — precisely during the period that decides whether a case stays short or becomes chronic. How closely a case is accompanied also depends heavily on the insurer and the case manager; some people wait months for any support at all.

The problem in one sentence

Conversations, round tables, medical reports — but no continuous functional data. Which case is stabilising, which is quietly deteriorating: today, that question is answered with experience and intuition.

How the data move

Four steps. Two things pass between them: a code and a release. Nothing else.

  1. 1
    Care management

    Access code

    Care management hands over a code — nothing more. Participation is voluntary; declining has no consequences for the claim.

    Sees no measurement thereafter.

  2. 2
    Insured person

    Measurement

    Attention test, day structure & recovery, two brief daily questions. Comparison is only ever with the person’s own baseline.

    Raw data never leave the platform.

  3. 3
    The insured person decides

    Report & release

    They see their report first and choose who else receives it: the treating physician, care management, both, or no one.

    Revocable at any time, without justification.

  4. 4
    Insurer

    The view nobody has today

    Your own portfolio, with trajectory data for the first time: where cases turn, where support is applied, when reintegration holds — aggregated across all cases, with suppression thresholds.

    No individual data. No raw data. Nothing to the employer.

No real-time evaluation

No real-time evaluation. The insured person receives their report weekly; up to eight days pass between a measurement point and its review. Care management receives the trajectory in condensed form, not weekly — deliberately. Dynergia is not an emergency or crisis system.

Three boundaries

  • Raw data stay on the platform.
  • Disclosure only by the choice of the insured person.
  • No use for benefit decisions: entitlement assessment, underwriting and disclosure to employers are contractually excluded.

The role of care management

Care management sees the trajectory in condensed form, not week by week. It does not receive the report automatically: the insured person decides whether a copy goes to care management, and can revoke that release individually at any time.

Condensed cadenceThe trajectory reaches care management on a fixed, condensed cadence — monthly or event-driven. No individual week ever becomes a disclosure decision.
Notices, not alarmsA notice says that a dossier has produced no data for a full week — not how the person is doing. It never refers to a value, a trajectory or a change in the report.
No access to raw dataCare management sees the report the insured person has released. Raw data do not leave the platform.
No consent dataWhether and what an insured person has released or revoked is not visible to any benefit-deciding role.

For care management itself: what the trajectory changes in daily work, and what care management never receives — For Care Management

Implementation

Implementation includes structured onboarding for care management: how to read a trajectory, where its limits lie, and where the physician's approval sits. The instrument's limits are taught alongside its use.

What insurers do not receive

  • No individual raw data. The insurer receives only the weekly report the insured person has released.
  • The insured person decides who receives their report — and can revoke each release individually at any time. Without their consent, the insurer receives nothing.
  • Care management receives the trajectory on a condensed cadence, not weekly — no individual week ever becomes a disclosure decision.
  • Nothing to the employer.
  • Purpose limitation, contractually anchored: case data serves care coordination only. Use for benefit decisions, premiums or contractual matters is excluded.

These boundaries are not a concession but a design principle: insured persons' willingness to participate — and with it the value for care management — depends on precisely this architecture of trust.

The Dynergia Method is care-management decision support anchored in the treating physician's authority. It informs reintegration decisions with objective longitudinal functional data; it does not adjudicate work capacity and does not prescribe treatment.

Where we stand

Dynergia is in its feasibility phase. We build first what works, then demonstrate what it delivers — in that order.

Questions: info@dynergia.ch