The deadline was expected by private doctors, but it passed without clarifying a crucial point: the still unknown level of the increase in consultations. On Thursday, December 21st, a “plenary meeting” was organized at the health insurance headquarters in Paris. The second came in mid-November, when conventional negotiations with the six unions representing the city’s medical community officially resumed.
This should be an opportunity to do that “get involved in the hard part”, we expected in the ranks of the unions. Nothing has been decided at this point: we will have to wait until the end of January 2024 to find out whether health insurance will provide subsidies up to the 30 euros – or more – that are required for the so-called “basic” advice and have been set at 25 euros since 2017, and increased to 26.50 euros on the 1stum November as part of an “arbitration agreement” that was decided in the spring after the failure of an initial conventional negotiation. “We still don’t know what resources are coming to the table, is worried about Jérôme Marty from the UFML-S. The time saved by procrastination is time that passes without increasing.”
“We want to make significant improvements”, wanted to reassure the general director of health insurance, Thomas Fatôme, by defending “stones” that should be laid gradually. The somewhat technical statement he revealed on Thursday concerns the package that will be paid to the Liberals if they declare themselves the treating doctor of a patient: to encourage them to follow more, according to three scenarios they would be paid a total of around 2,000 euros per year, still in the study to be decided. For a total volume of 100 million euros. While treating doctors receive an average of 16,000 euros per year as part of this package (i.e. around 10% of their turnover), according to the health insurance company, an additional 1,000 euros were added as a result of the arbitration decision.
“Paid too much per act”
These discussions, which are intended to result in a contract – the “medical contract” – which sets out the conditions of practice and remuneration for the entire profession for five years, take place in a special context: The Minister of Health Aurélien Rousseau, signatory, does not agree with the content of the “Immigration Law”. on October 17 on the framework letter that served as the guiding thread in these negotiations, resigned from his position on Wednesday. According to the health insurance company, the four priorities that he had formalized in writing remain current: increasing the attractiveness of private medicine, working on the relevance and quality of care, improving the status of the treating doctors, working on the development of various remuneration methods (files, packages, etc.) .
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