Health insurance announced that 500 doctors who systematically oppose the substitution of originator drugs by generics risked financial penalties. Information revealed by the APM.
Doctors opposed to generic drugs are under surveillance! “We have targeted 500 professionals for whom the mention” Non-Substitutable “is used in a way that is out of step with what the rest of the profession does, for molecules for which there is no need to do so”, effect declared Thursday to the Medical Press Agency a spokesperson for the National Health Insurance Fund for Salaried Workers (Cnamts). Thus, these doctors accused of abusing the words “NS” in their prescriptions could potentially be the subject of a financial sanction from the health insurance, added the latter to the APM. The scale of the phenomenon is becoming clearer since the Director General of the CNAM, Frédéric Van Roekeghem, recently told the Parisian that “these abuses would be confined to a few hundred prescribers. With a heavy addition, however: 110 M € per year.
Financial penalties by the end of the year
At present, the medical insurance advisers will “initiate checks on the activity of the 500 professionals targeted through statistical queries in our databases, ” the spokesperson also explained to the MPA. The first sanctions, which will take the form of financial penalties, will be imposed by the end of the year, she continued.
As a reminder, generics are one of the levers retained by the government to save 10 billion euros on health insurance spending by 2017, of which 3.5 million must come from the drug. They enabled health insurance to save 1.6 billion euros in 2013, against 1.4 billion a year earlier.
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