“The meeting was a bit tense, and everyone took it for their rank.
The witness who reports the scene participated, on September 15, in a meeting of the 100% health monitoring committee.
A system gradually implemented over three years in January 2019 and which will ultimately make it possible, from January 1, 2021, to buy glasses, hearing aids or have dental prostheses fitted without the cost of one euro to the patient.
A meeting peppered with warnings from the Minister of Health towards those who do not play the game.
The results drawn up during this meeting first confirmed the good breakthrough of this device.
According to the Ministry of Health, which was only able to present figures for January and February, most of the activities having stopped during containment and barely resuming normally, the dental sector has already exceeded the target with 47%. prostheses placed chosen from the basket of 100% health.
The optics captured around 16% of the market for a target of 20%.
But with strong disparities, some professionals achieving less than 10%, others such as healthcare networks already at 22%.
Some professionals do not put enough emphasis on 100% health offers in their shop, regretted Olivier Véran.
Opticians were therefore urged to stop dragging their feet.
Controls will also be carried out in the coming weeks.
"It will really take off from January 2021"
Lastly, hearing aids, whose prices have remained high despite price reductions on 100% health-certified models, peaked at 12-13%.
"We think that it will really take off from January 2021 when there will be no more out of pocket on 100% health products", we slip today at the ministry.
There are other brakes regretted by Olivier Véran.
This is the case of full third-party payment that complementary health insurance should have already implemented for all 100% health offers.
However, this exemption from the total advance of costs is only accessible in 30% of dental cases, 50% in hearing aids and 80% in optics.
“Olivier Véran was very clear, we remind his office, because if it is necessary to advance 500 or 800 euros for glasses, prostheses… the conditions for success of 100% health are not met.
"The minister therefore ordered the complementary health to solve the problem by January 2022. Otherwise, he warned," we will have to be more directive.
In short: we will resort to the law.
Towards an increase in contributions in 2021
Apparently upset by a participant who challenged the levy of 1.5 billion euros for the benefit of Social Security, the complementary having spent 1.9 billion euros less thanks to confinement, Olivier Véran warned: he does not want an increase in contributions in 2021. The Federation of French mutual societies has decided to respond.
"The increase in contributions in 2021 would not have been a subject for us," explains Albert Lautman, its managing director.
Our spending has indeed fallen by 1.9 billion euros in 2021 due to containment, and we are not hostile to the national effort.
But, through the tax of 1.5 billion euros targeting us, it becomes so.
"
However, the government is moving a bit fast.
“The balance sheet for 2020 is not yet consolidated, however, many companies have requested postponement of payment of contributions… How much will they pay?
How many will not be able to pay?
», He worries.
Without forgetting the impact of the portability of contracts: any dismissed employee has the right to take advantage of his supplement for another year, without contributing.
“INSEE announces 800,000 job cuts;
what will be the impact for us?
"
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Finally, says Albert Lautman, “each increase in health spending leads to higher reimbursements for us.
If health insurance spending is authorized to increase by 2% in 2021, I find it difficult to see how not to increase our contributions by 2% ”… However, it is likely that the government will increase the spending envelope by 4% or even 5% .
Segur of Health obliges.
As for the full third-party payment, he assures us that "the mutuals are ready", that the elements will be transmitted soon to the software publishers.
Publishers who are not reputed to be fast ...
