In her note given to Edouard Philippe, the Minister of Health unveils the measures and the timetable that she intends to implement over the next 5 years.
Optics, mutual funds, excess fees… The Minister of Solidarity and Health will have her work cut out for the next 5 years, according to her roadmap submitted this week to the Prime Minister.
Consulted by Argus of insurance and The echoes, this note of ten pages describes an ambitious project which respects the promises made by the President of the Republic, Emmanuel Macron, during the campaign.
For example, it resumes its flagship measure: the remainder at zero charge by 2022 for optics as well as for dental and hearing prostheses. An objective which “supposes to gain in efficiency throughout the value chain, to define a basket of essential care, at opposable prices, by setting price ceilings, and a sharing of the coverage between compulsory health insurance and complementary “. Consultation with all the players should start in September.
Reform complementary health insurance
The Minister of Health also intends to make the third-party payment “generalizable” and not “generalized” as provided for in the presidential project. The reform therefore remains on the agenda but will be the subject of an evaluation, as Prime Minister Edouard Philippe indicated on June 7.
Agnès Buzyn also wishes to continue to encourage health professionals to moderate their excess fees, “through the combined means of responsible contracts and conventional negotiations”. An evolution which will require “a constant and constructive dialogue with all the actors of the health system, with the social partners, associations and local communities”, explains the Minister.
Mutuals and complementary health insurance will also be invited around the negotiating table to discuss the overhaul of complementary health insurance contracts. The Minister wants to make the offers “more readable” to “allow policyholders to compare them more easily”.
The end of RSI and student mutuals
In the document, she also says that she wants to entrust the student health insurance plan “to the general plan or to the plan to which the affiliate came before becoming a student”. A simplification measure which should “generate savings”.
The social security scheme for the self-employed (RSI) would also be linked to the general scheme “from 1er January 2018 ”. However, this regime would continue to “be subject to special management to take into account the specificities of this population”.
Another major project: the creation of a universal pension plan. Negotiations are expected to start in spring 2018 and be led by a dedicated team. The objective would be implementation starting in the next legislature.
The Minister hopes to be able to put all these measures in place while achieving savings of 15 billion over 5 years.
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