Introduced in 2011, remuneration based on public health objectives (ROSP) allows self-employed doctors, paid on a fee-for-service basis, to receive additional lump-sum remuneration if they change their practices according to medical as well as economic criteria.
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The average amount of the ROSP, for the year 2021, amounts to 4891 euros per practitioner for general practitioners and doctors with particular practice (sports doctors, allergists, gerontologists, homeopaths, etc.), indicated Tuesday the 'Health Insurance.
It is slightly down (- 0.4%) compared to 2020, the year of Covid where it stood at 4909 euros, but it is a catch-up compared to the pre-crisis (4820 euros in 2019) .
Overall, 64,801 doctors will receive this bonus for a total amount of 263.9 million euros.
Eligible liberal cardiologists will receive an average premium of 2,016 euros, gastroenterologists, 1,391 euros, endocrinologists, 1,438 euros and pediatricians, 1,020 euros, specifies Medicare
To receive this bonus, doctors must meet 29 indicators that allow their practices to be assessed both in terms of monitoring chronic pathologies and prevention or even the efficiency of prescriptions.
"The screening indicator for chronic kidney disease in hypertensive patients is improving (+ 0.8 points): 36% of doctors exceed the target objective"
, welcomes the Medicare.
Similarly, the prevention of colorectal cancer is very well oriented, "
up 3.8 points, representing 453,000 patients better treated"
.
Several other specialties also benefit from the ROSP.
Thus, eligible liberal cardiologists will receive an average premium of 2016 euros, gastroenterologists, 1,391 euros, endocrinologists, 1,438 euros and pediatricians, 1,020 euros, specifies Medicare.
While the public authorities want to extend the fixed remuneration, the ROSP remains a subject of discussion between medical unions and health insurance.
