Public hospitals, hit by a historic deficit, called out on Friday 1um The executive power is to be increased in March “significant” their hospitalization rates, which have increased “outdated”particularly due to inflation, with a particular focus on full hospitalization and serious care.
Given tight finances, the authorities will soon have to make decisions, as they do every year, on the evolution of hospitalization rates covered by health insurance in 2024.
Current prices “no longer correspond to the reality of care costs” And “It is no longer possible to finance the actual activities of hospitals”deplores the French hospital association (FHF, public hospitals) in a press release. “Since 2020, due to the evolution of prices, it has not been possible to cover the increase in the real costs of the facilities, which can be explained by the evolution of the typology of patients treated (…) the dynamics of wage costs »she writes and assumes that prices have fallen “9 to 10% since 2020”.
“The Emergency”: Solving “Public Health Debt”
In addition to exceptional inflation “Sensible measures to increase salaries” (Measures from Ségur de la santé, upgrades in the public service, increase in night and weekend shifts) have only taken place partially compensatedargues the FHF. “Even companies with dynamic activity are experiencing a deterioration in their financial situation,” and the cumulative deficit of companies “doubled between 2019 and 2022” reach 1.6 billion euros in 2023.
The executive must “maintain” Specialists who deal with serious and complex cases “with overnight stays”argues the FHF: Medicine in full hospitals, major operations, intensive care and resuscitation. “The emergency” is also to be absorbed “Public Health Debt” : between the start of the health crisis in 2020 and the end of 2023, “3.5 million hospitalizations in medicine and surgery were not carried out”specifically for “People over 80 whose number of stays remains 8.9% lower than in 2019”remembers the association.
This 2024 prize campaign has all the makings of an impossible equation. The executive must divide the amount between the public and private sectors, each of which is demanding an increase of around 10%. However, according to the Association of Private Hospitals, the national annual target for health insurance spending (Ondam), which was approved with the social security budget in autumn, only gives hope for an increase of 3.2%. Since then, Bercy has revised its growth forecasts and announced new economic plans.
