According to a report from the Social Security Funding Laws Assessment and Control Mission, the cost of transporting patients has almost doubled in ten years.
Medical transport is once again in the crosshairs. A report from the mission for the evaluation and control of social security financing laws (MECSS) denounces the sharp increase in the cost of medical transport: the latter rose from 2.3 billion euros in 2003 to 4 billion euros. euros in 2013. The cost has therefore almost doubled in ten years!
Ambulances and contracted taxis represented 5% of the national health insurance expenditure target (ONDAM), against 3.9% 10 years ago.
In question, according to the report, the prescribers but also the patients who resort too easily to the ambulance: “The prescription of transport, complementary to the course of care, is a pledge of equal access to quality care for all. insured. Nevertheless, the medical nature of this prescription has faded in favor of the claim by patients of a right to a transport voucher ”, highlighted The echoes, citing the report.
450 million euros in savings per year
The rapporteur of the mission, Pierre Morange UMP deputy for Yvelines, recommends actions that can save 450 million euros per year. This is exactly the amount that the Court of Auditors intended to save in September 2012, pointing out certain drifts in spending.
Individualization of prescriptions from hospital practitioners
In order to rationalize expenditure, the report recommends making mandatory the individualization of the prescriptions of hospital practitioners “in order to better understand the expenditure per prescriber”. He then recommends allocating hospital transport expenditure to the budget of the establishments and no longer to the envelope for city care.
Finally, the report targets the stagnation in the use of VSL (light medical vehicles) in favor of taxis approved by the Health Insurance. “In 2004, VSL expenses contributed 30% of total transport expenses and only represented 20% in 2012, while those of taxis, which represented 24% of total expenses in 2004, reached 37% of these expenses in 2012, ”according to the report. However, the taxi costs on average 48 euros to the health insurance when a VSL costs only 31 euros.
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