An official report of the General Inspectorate of Social Affairs (IGAS) and the General Inspectorate of Finance ( IGF) offers potential savings to the tune of more than € 1.7 billion per year for health insurance. The report, released Friday by Les Echos evokes including the ability to significantly reduce the number of agencies managing different systems of health insurance.
On the same subject
authors of the report, dated September 2013, emphasize that the management of health insurance has cost 12.5 billion euros in 2011 to communities. In the current system, 86 operators manage 14 compulsory health insurance schemes. For add, “The industry breakdown” is “more important” with “several hundred organizations (note: 683 at end-2011)”
Regarding the compulsory health insurance. the report notes progress in terms of costs with the development of the Vitale card, but notes that the average cost per beneficiary management varies from 1 to 5 according to the agencies.
Special Diet integrated CNAM
The report therefore calls for further dematerialisation, citing gains by 2017 up to 542 million euros per year and believe that reducing performance differences between the regimes gains could be between 425 and 750 million. But it also suggests merging the agencies managing the different schemes: CNAM and MSA (MSA). The gain could be 440 million euros per year.
The report’s authors point out that “the structure of compulsory health insurance management operators is independent of the question of the sustainability of the various schemes.” They suggest, for example, in the medium term, special diets (RATP, SNCF, etc.) are integrated into the national Health Insurance Fund (CNAM) or the MSA. They also suggest a recovery management officials by primary health insurance funds.
Touraine ensure that no decision is in preparation
Asked by Les Echos on this idea of a transfer of the management of compulsory health insurance schemes to the CNAM, the entourage of the Minister of Social Affairs Marisol Touraine said there was no decision this direction in preparation. “Many mutual Public Service voluntarily established cooperation” with the CNAM “what goes in the direction of the report, but on a voluntary basis,” do we stressed the same source.
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