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La réforme de l'assurance maladie

Listed author(s):
  • Gerard Cornilleau

    ()

    (OFCE - OFCE - Sciences Po)

  • Bruno Ventelou

    (GREQAM - Groupement de Recherche en Économie Quantitative d'Aix-Marseille - Université de la Méditerranée - Aix-Marseille 2 - Université Paul Cézanne - Aix-Marseille 3 - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - Ecole Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique)

La réforme de l'assurance maladie comporte trois volets. Le premier prévoit la création d'une Haute autorité de santé, (responsable de l'évaluation médicale, de la définition des " bonnes pratiques " médicales et des actes ayant vocation à être pris en charge par la Sécurité sociale) et une Union nationale des caisses d'assurance maladie (UNCAM) regroupant les caisses de salariés et de non salariés. L'État reste le décideur principal. Toutefois, la réforme confère plus de responsabilité à l'UNCAM qui pourra définir plus librement le champ des dépenses remboursables et les taux de remboursement, l'État ne pouvant intervenir dans ces domaines qu'au seul motif de la santé publique. Les assureurs complémentaires (mutuelles, institutions de prévoyance et assureurs privés) restent cantonnés dans leur rôle de payeurs subordonnés aux décisions de l'État et des caisses, même s'ils sont maintenant associés aux débats (...).

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File URL: https://hal-sciencespo.archives-ouvertes.fr/hal-01020127/document
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Paper provided by HAL in its series Post-Print with number hal-01020127.

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Date of creation: Jul 2004
Publication status: Published in Lettre de l'OFCE, Paris : Presses de la Fondation nationale des sciences politiques devenu Presses de Sciences-Po, 2004, pp.1-4
Handle: RePEc:hal:journl:hal-01020127
Note: View the original document on HAL open archive server: https://hal-sciencespo.archives-ouvertes.fr/hal-01020127
Contact details of provider: Web page: https://hal.archives-ouvertes.fr/

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