The penalties for excess fees should be tightened

The government is preparing to take action against doctors displaying excess fees excessive. According to the Tribune, which learned of a draft decree, the Ministry of Health plans to strengthen sanctions. This decree law enforcement Hospital, patients, health plans and territories that doctors may repeat the overrun will lose their right to practice these overruns for a maximum of five years, by decision of the directors of health insurance . They will also no longer benefit from the participation of health insurance to finance their social security contributions.

The decree said that physicians in fee-free areas 2 (*) when developing their passing rates must respect the concept of "tact and moderation."This principle takes into account the patient's financial situation, the reputation of the specialist, the complexity and duration of medical procedure, the service rendered to the insured, and the average amount and the proportion of exceedances What colleagues introduced the physician in the same territory. Failure to respect this concept of "tact and moderation," the penalty will rise to between 100 doctors and 200% of excess charged.

The decree issued by the end of the year

If they are convinced of discrimination in access to care, the penalty is twice the maximum monthly Social Security or 5718 euros.For doctors who have not sent their patients written information prerequisite to the cost and terms of repayment of certain acts, it will cost a maximum of 100% of the excess charged for the act not informed.

A source at the Ministry of Health confirmed that a decree was being prepared. He could be released by the end of the year, but its content should still be subject to consultation. The framework for higher fees is the subject for several years of painstaking negotiations between health insurance, supplemental health and unions of physicians.

Unions and health insurance have scheduled a meeting Thursday to reach agreement before the deadline.MPs set them under the law Bachelot, adopted earlier this summer, a deadline of October 15, after which the government could decide only coaching overruns.

(*) The excess fees authorized for physicians called in "Area 2" means amounts above the rates for Social Security, which are based on reimbursements for patients.

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