After 44.4 billion euros in 2020, against 5.4 billion initially planned, the government recorded a new significant deficit, of 27.1 billion euros, therefore, in the bill to finance Social Security for 2021, a budget that includes a correction of the 2020 envelope, marked by the Covid-19 epidemic.
A PLFSS presented this Tuesday morning before the Secu Accounts Commission, then in the Council of Ministers on October 7 and which will be debated by the deputies from October 13.
A lasting debt
The draft budget for 2021 bears the lasting scars of the 2020 health crisis, but to a lesser extent than expected.
Before the summer, Bercy anticipated for 2020 a challenge of 52 billion euros for all four branches of the Social Security (illness, old age, family and work accident), including the Old Age Solidarity Fund (FSV), it should therefore be "only" 44.4, thanks to the rebound in the economy since the release of containment.
Impact of Covid-19.
Among the causes of this deficit, the bill mentions a net additional cost linked to the health crisis of 10 billion euros.
Figure which breaks down into 15 billion additional expenses related to Covid-19, facing 4 billion euros of under-consumption of care and 1 billion contribution (plus 0.5 in 2022) imposed on complementary health who have "saved ”For 1.9 billion euros in reimbursement this year.
Finally, expected revenues have fallen, again due to the health crisis, by 27 billion euros.
The return to balance remains in the sights of Bercy, but not in the short term.
The Social Security deficit which should still stagnate around 20 billion per year until 2024, according to Bercy.
In the meantime, 20 billion of the 136 billion in social debt will be transferred by the end of 2020 to Cades, the social debt amortization fund.
Expenditure on the rise in 2021
The draft budget still foresees a deficit for 2021: 27.1 billion euros.
This although in its projections, the Ministry of the Budget forecasts a strong dynamic of social revenue next year, driven by the recovery of the economy and the recovery plan of 100 billion euros.
The health crisis will have another impact on the accounts of the Social Security with a provision of 4.3 billion euros planned for the purchase of masks, protections, tests and vaccines ... We find in this PLFSS 2021 the measures decided during the Ségur de la santé, in particular the salary increases in hospitals and nursing homes, the creation of the fifth branch of Social Security, dedicated to autonomy, the extension of paternity leave to 28 days, and 6 billion for investment.
Ondam on the rise.
Ondam (national health insurance expenditure target), this rate which makes it possible each year to set the maximum increase in the development of health expenditure, rose to 7.6% in 2020, bringing final expenditure to 215.7 billion euros for health insurance.
In 2021, on a like-for-like basis, this Ondam is set at 6%, i.e. an expenditure authorization of 228.6 billion euros.
Newsletter "It pays me"
The newsletter that improves your purchasing power
Your email address is collected by Le Parisien to enable you to receive our news and commercial offers.
$ 4 billion in spending cuts
As every year, significant savings are expected: 4 billion in all: efficiency gain (800 million euros), lower prices for drugs (440) and medical devices (150), relevance and control of procedures, ( 975), work stoppages and medical transport (310), fraud (90) ...
Hotels and birth houses
Among the new and concrete measures, the government wants to promote on the one hand hospital hotels, which welcome patients or their relatives during short hospitalizations or if the person lives far away.
The room will only be charged for a maximum of 70 euros and will be refundable.
Another project is the development of “birth centers”, or mini-maternities.
France has too few of them today to meet demand: only 8.
The PLFSS plans to increase this figure to 12 by the end of 2021.