The liberal doctors have drawn up a common roadmap for conventional negotiation. Among the proposals, better value long consultations.
While the new conventional negotiation between the Health Insurance and the liberal doctors must begin on February 24, it is a common roadmap which has just been published. In this document of nearly 10 pages, the five unions of representative liberal doctors (CSMF, FMF, SML, MG France and LE BLOC) have come to an agreement on thorny subjects.
A copy to make Nicolas Revel, the director general of the National Health Insurance Fund (Cnam), turn pale with concern. Repeated to him for several months that theNational health insurance expenditure target (ONDAM) 2016 has been set at an all-time low of 1.75% for next year.
More equity between doctors
But practitioners plead for fair pricing between all doctors. Like their fellow specialists, general practitioners are therefore determined to be paid 25 euros at the end of a consultation, instead of 23 euros today.
Another point of convergence is the supplementary maternity benefit (ASM). While this maternity leave of a little over 3,000 euros per month (for 3 months) has just been granted by Marisol Touraine to doctors who do not exceed fees (sector 1), the trade unionists want its extension to all women “regardless of the sector of practice”.
End the single tariff
On the nomenclature of acts, all unions are in phase to better promote long consultations (opening a medical file, patients with multiple pathologies, home visits, etc.) Without however specifying a common price.
The last one to have made a proposal on this subject is the UNOF-CSMF which wants to set the bar at 50 euros, or double a classic consultation.
In addition, all organizations are now calling for the establishment of a classification of consultations “with identified characteristics”.
This is a proposal from the first liberal doctors’ union, the CSMF (1), which has long called for a reform of tariffs by setting up a classification of consultations, according to their complexity.
With this system, the consultation of an elderly patient with multiple pathologies should, for example, be better remunerated than that aimed at issuing a medical certificate, or renewing a prescription for drugs.
Pay for telephone advice
In addition, doctors want to add value to acts hitherto forgotten from their income. Among them, telephone advice as part of the care pathway, or even the promotion of telemedicine acts.
Finally, the Health Insurance will appreciate, but doctors want “more balanced” relations with the Primary Health Insurance Funds (CPAM). How? ‘Or’ What ? With the establishment of a fund-union good practice charter, and compliance with contradictory and information procedures during litigation.
What trade unionists have denounced in the past as “the harassment of the funds” (prescriptions, work stoppages, etc.) has visibly left traces …
(1) Confederation of French Medical Syndicates
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