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When Medicare gets caught reimbursing “fake meds”

2024-02-15T17:10:57.268Z

Highlights: The CPAM of Seine-et-Marne has announced that it will cover care considered unconventional. Unconventional medicines, which have never provided scientific proof of their benefit. In a very tense budgetary context, with a Health Insurance deficit expected to widen to 17 billion euros in 2027, the subject is all the more irritating. The post was deleted on Wednesday and the general director of Health Insurance reiterated the instructions: only conventional care, that is to say based on treatments, should be reimbursed.


The CPAM of Seine-et-Marne has announced that it will cover care considered unconventional. In a very tense budgetary context, the subject irritates.


This is a controversy that Health Insurance would have done well without!

Physiotherapists and doctors saw red when they discovered a LinkedIn post from the Primary Health Insurance Fund (CPAM) of Seine-et-Marne (77) boasting of covering chiropractic, osteopathy, occupational therapy, hypnotherapy, acupuncture sessions. , sophrology or etiopathy, within the limit of four sessions per year and 50 euros each, revealed

Le Parisien

.

Unconventional medicines, which have never provided scientific proof of their benefit.

In a very tense budgetary context, with a Health Insurance deficit expected to widen to 17 billion euros in 2027, the subject is all the more irritating.

Read alsoConsultation with the doctor: the boss of Health Insurance “ready to increase the price to 30 euros… but not without compensation”

Faced with this legitimate annoyance, Health Insurance explains that this is an isolated action.

Each of the hundred CPAMs has a social action budget, managed by social partners, to improve access to care for those on the lowest incomes.

“In 95% of cases, this finances dental prostheses, optics, wheelchairs, excess fees, etc.,”

says Health Insurance.

And of the 100 million euros of social action available to CPAM 77, “

zero euros were allocated to etiopathy and 200 euros to chiropractic.

It’s “epsilonneesque”,

trying to demine the Social Security.

Faced with the outcry, the post was deleted on Wednesday and the general director of Health Insurance, Thomas Fatôme, reiterated the instructions: only conventional care, that is to say based on treatments, should be reimbursed. which have obtained scientific validation, whose effectiveness is proven.

A salutary call to order!

Source: lefigaro

All news articles on 2024-02-15

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