A dose of prevention and the classic crackdown on cheating or antibiotics: The health insurance Thursday introduced 30 measures to curb its spending to 1.2 billion euros next year.
The National Health Insurance Fund (Cnam) is still not out of Covid-19, and maintains a savings target of half the 2 billion target each year before the health crisis, out of a total of about 230 billion in spending.
good for prevention
A sign of the executive branch’s new priorities, its traditional “Expenditures and Products” report for 2023 gives prominence to prevention, which is now an appendix to the Ministry of Health. The Canadian Council Cnam has a particular focus on heart failure, with a public information campaign on “warning signs” from the end of September and a desire to generalize remote monitoring to 300,000 “severe” patients.
Other proposals echo Emmanuel Macron’s campaign promises, such as “systematic identification of visual and language disorders for all 3-year-olds”. The re-elected head of state mentioned “early detection of development gaps” without specifying his age. However, these new “pathology-based” or “population-based” approaches represent only a minority (€160 million) of the expected savings.
Tight series negotiations
The big piece targets regular drugs (fewer antibiotics, more biosimilars), medical devices (sleep apnea, bandages), work stoppages, medical transportation, and various frauds.
Health insurance is also setting some milestones ahead of an intense series of negotiations. The “high” margins for bioanalytical laboratories, boosted by the health crisis, were put forward to justify renegotiating prices at the start of the school year. Same schedule, same way for dentists: Wanting to extend “100% Health” to orthodontics, Cnam highlights the overruns in fees and incomes for the professionals involved.
The same for doctors, who will have to fix their agreement with Social Security: their income is analyzed, but above all the increased cost of their prescriptions in detail. But the fund is ready to give them time to pay more paramedics and solve the problem of the 6 million insured without a doctor.