Performance Bonuses for Physicians

Months of negotiations were needed for health insurance and private doctors agree on a protocol, meant to govern relations between the two parties over the next 5 years. Today, a consensus was reached, which seems to satisfy everyone. Michel Chassang admits that “it is far from perfect,” but the President of the Confederation of French Medical Unions (CSMF) recognizes that “it is a convention that will change medical practice.” “We generalize a payment method that aims to heal better, “welcomed his side the head of Medicare, Frédéric van Roekeghem.

Signed last night, the MOU includes a complete draft of new medical convention, including establishing the generalization performance bonuses for physicians. The text also lays the groundwork for an “optional area”. The new business rate would frame the excess fees of some specialists.

However, for this protocol to be effective, trade union bodies and government and complementary health, have yet to decide.

A premium of € 9,000 per year

A list of thirty goals was established. To garner points, for example a doctor must reach a level set of patients 50 to 74 years participating in screening for breast cancer, prescribe a given proportion of generic drugs or to provide sufficient electronic care sheets. By achieving all the objectives set, the 45 000 eligible GPs can expect a premium of just over 9000 euros per year.

Indeed, these new awards are for the moment that general practitioners, but they are destined to spread to other specialties.

Creating a new optional power

The negotiations were bogged down a little on the subject of the framework for higher fees, and resulted in a mixed result. The issue is important, however, as it is to solve the growing problem of access to health posed by overflows, which are not reimbursed by the social security and are unevenly by complementary health. The consensus reached between the social security and medical plans to create an “optional area”, an idea not entirely new, today handed up to date. This new space rate is mid-way between the current sector 1 (physicians practicing Safely rates) and 2 (free fees).

For now, the optional sector relates only to surgeons, anesthesiologists and obstetricians currently in sector 2 (exceptions). Physicians who choose to exercise their pledge to cap exceeded, a limit of 50% above the tariff binding that provides the basis for reimbursement to the social security system. They also commit themselves to achieve a minimum of acts (30%) without overtaking. The complementary health for their part undertake to support such over boxes to their policyholders. But they have not initialed the text of agreement Safely doctors, requiring a prior series of commitments from the government.

An introduction uncertain

Already negotiated the same terms in 2009, the establishment of this new sector is far from being finalized. Especially since some voices against the optional AC. The consumer association UFC-Que Choisir and described the project as “disastrous”, saying that patients would see their contributions to further flight.

Finally, the proposed new medical convention includes unprecedented measures to encourage doctors to practice in the “medical desert” and the creation of new types of consultations, especially for patients with Alzheimer’s disease.