Exceeded rates of physicians: the state pushed to act

Scalded by the tax on mutual complementary health withdrew from the negotiations on the management of excess fees for physicians. The ball is in the courtyard of the executive, who wanted to solve the problem before the presidential election.Written byA few months before the presidential election, the executive hopes to get credit for a breakthrough in the delicate question of the higher fees of private practitioners. This hope was away this week, refusing to negotiate on this health issue. The Unocam, representing the families of three complementary (mutual insurance companies, pension funds) officially ended talks today. One way to protest against increasing the tax burden on them, which has been approved by Parliament.

Health insurance, labor and doctors still agreed in 2009 on a new "optional AC" exercise professionals, halfway between the sector 1 (Social Security rate) and Area 2 (where the rates are free ). Professionals who join the optional AC commit itself to achieving at least 30% of its shares and the costs of return. For the remaining 70%, above would be limited to 50% above that price. In return, the additional reimbursement of these tables to excel. The memorandum of understanding was to take effect before September 30. At least, that the negotiators had decided in July. Tax on mutual ended this perspective."Contracts responsible"Opposed from the beginning to the optional power, the Bloc, which represents the surgeons, anesthetists and obstetricians, yesterday denounced the "blackmail" Unocam. "The government must find a solution at the end of the year," said its president, Philippe Cuq, which calls for an "action week" in late November. CSMF the first family doctors' union, called the executive "to meet its commitments to effective implementation of the optional CA September 30." "The government can act through contracts managers," said its president, Michel Chassang. Contracts for health officials, who meet a set of rules to limit inflation in health spending, a tax benefit of a little more advantageous. They represent approximately 90% of the additional contracts. AC specifications include the option (set by decree) would be a way to force others to pay the excess. In addition to the government, parliamentarians could impose a solution by examining the Social Security budget. "I will not stay without doing anything," said Xavier Bertrand yesterday, Health Minister, who promised "initiatives".The executive is forced to act to try to contain the excesses rates so well accepted by patients. Which have nearly tripled in twenty years, reaching 2.5 million euros, and are concentrated in certain specialists. Since 2000, rose over 6% per year for surgeons - 85% of them in practice, and almost 10% of anesthesiologists, shows a study published yesterday before the Committee on Health Accounts. "Only 40% of policyholders are paid in whole or in part, according to the study. In addition, the explosion of the amount charged the excess will be absorbed by an increase in premiums."