Health Insurance: Lead

Health Insurance: Lead

Health insurance Thursday 7 July offered 30 measures to limit its spending to 1.2 billion euros next year, according to AFP. The National Health Insurance Fund (Cnam) is not yet out of the Covid-19 crisis, but it maintains a target of saving half of two billion people each year before the health crisis – out of a total of about 230 billion spending, according to AFP. A sign of the executive branch’s new priorities, the traditional “Expenditures and Products” report for 2023 gives prominence to prevention – now an appendix to the Ministry of Health. Cnam is particularly focused on heart failure, with an information campaign for the general public about “warning signs” from the end of September and a desire to generalize remote monitoring to 300,000 “severe” patients. Remote monitoring of diabetics is also promoted, in order to avoid complications related to the disease, via digital tools (applications, connected devices) or the Sophia phone support service. The health insurance also wants to make up for the backlog of the past two years in terms of cancer screening (colon, breast and uterine) and HPV vaccination for teens, even if it means passing the list to doctors. of their affected patients. This bet on prevention is supposed to have “long-term effects” (the gains from the 2017-2018 flu campaign are estimated at 50 million). The fact remains that these new “pathology-based” or “population-based” approaches represent only a minority (€160 million) of the projected savings for 2023. In fact, the large portion (750 million) is targeting drugs as usual (fewer antibiotics). , more biosimilars), medical devices (sleep apnea, bandages), discontinuation of work or medical transportation. In addition, increased efforts against fraud and abuse of caregivers (300 million) were also announced, with “better billing control” and “new measures against skewed dental centers”. The health insurance uses its annual report to set some milestones before a series of intense 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 orthodontics, same way for dentists: Wanting to extend “100% Health” to orthodontics, Cnam highlights the overruns in fees and income 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. After the bad records of 2020 (-30 billion deficit) and 2021 (-26 billion), losses are still supposed to reach 19 billion in 2022 and remain at more than 13 billion next year and the following years.

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