The Minister of Health has announced that she will ratify the arbitration rules on the new rates for dentists. Unacceptable, retorts the profession.
This is called banging your fist on the table. In a press release published this Thursday, Marisol Touraine, Minister of Health, announces approving theBertrand Fragonard arbitration. This implements the new tariffs and ceilings relating to dental care.
The philosophy of the text aims to develop prevention and reduce the burden on patients. To achieve this, the government will cap the price of prostheses and increase the reimbursement base for crowns, the most common prosthetic procedures (from 107.5 euros to 120 euros in 2019).
The tenant of avenue Duquesne by the following observation: “the current financing of dental surgery does not encourage the implementation of preventive acts and favors the practice of tariff overruns on dental prostheses”.
Against the renunciation of care
Supporting figures, she recalls the 25% of the cost of dental care which remains the responsibility of families and the rate of excess fees on dental prostheses which has increased by 66 points in 10 years, to reach nearly 300 % on average of the rate reimbursed. As a direct consequence, “one in five French people give up dental care for financial reasons,” says the ministry.
Dental care: concretely, what changes? Examples here?https://t.co/0nwWU67ZfB #prevention #supported #health
– MinSocialSanté (@MinSocialSante) March 10, 2017
But for dentists, these new prices are a “declaration of war”. These health professionals regret that the provisions contained in the arbitral rules are below the latest Health Insurance proposals that they had already rejected … More exactly, he believes that certain proposed tariff levels will be “economically untenable”.
The prosthesis war will take place
They cite in particular those concerning the beneficiaries of the CMU-C, extended to ACS, or 15% of the population. “By valuing new acts on the basis of reimbursements blocked for 29 years, the arbitrator and the minister will put in difficulty all the firms with a significant proportion of beneficiaries of the CMU-C and ACS”, judge Catherine Mojaïsky, president of the National Confederation of Dental Trade Unions (CNSD).
The arbitral rules will put those who care for the poor in difficulty and will not change access to care for other patients.
– Mojaïsky Catherine (@chmjsk) March 10, 2017
The leading union in the profession regrets, moreover, the departmental tariff differentiation on prosthesis ceilings: “the minister favors the Ile-de-France departments with high population density and thus calls into question the provisions aimed at encouraging installations in areas with demographic tension. “. Conclusion of the dentist from Melun (Seine-et-Marne): “Some procedures cannot be performed because they are much lower than the manufacturing cost”.
Legal action announced
The CNSD, however, will not give up the battle and indicates that it will fight this arbitral regulation in court as soon as it is promulgated. The Confederation is now calling on the candidates for the Presidency of the Republic, asking them to propose “a real oral-dental policy, respectful of the economic balance of dental practices and making it possible to guarantee the safety, quality and benefit of patients. innovative techniques, preserving the tooth ”. “It is the future of a profession, its sector and access to patient care that is at stake,” she concludes.
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