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La réforme de l'assurance maladie

Author

Listed:
  • Gerard Cornilleau

    () (OFCE - OFCE - Sciences Po)

  • Bruno Ventelou

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

Abstract

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 (...).

Suggested Citation

  • Gerard Cornilleau & Bruno Ventelou, 2004. "La réforme de l'assurance maladie," Post-Print hal-01020127, HAL.
  • Handle: RePEc:hal:journl:hal-01020127 Note: View the original document on HAL open archive server: https://hal-sciencespo.archives-ouvertes.fr/hal-01020127
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    References listed on IDEAS

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    1. Blanchard, Olivier & Wolfers, Justin, 2000. "The Role of Shocks and Institutions in the Rise of European Unemployment: The Aggregate Evidence," Economic Journal, Royal Economic Society, vol. 110(462), pages 1-33, March.
    2. S. Rao Aiyagari, 1994. "Uninsured Idiosyncratic Risk and Aggregate Saving," The Quarterly Journal of Economics, Oxford University Press, vol. 109(3), pages 659-684.
    3. Wang, Cheng & Williamson, Stephen D., 2002. "Moral hazard, optimal unemployment insurance, and experience rating," Journal of Monetary Economics, Elsevier, vol. 49(7), pages 1337-1371, October.
    4. Storesletten, Kjetil & Telmer, Chris I. & Yaron, Amir, 2001. "The welfare cost of business cycles revisited: Finite lives and cyclical variation in idiosyncratic risk," European Economic Review, Elsevier, vol. 45(7), pages 1311-1339.
    5. Per Krusell & Anthony A. Smith & Jr., 1998. "Income and Wealth Heterogeneity in the Macroeconomy," Journal of Political Economy, University of Chicago Press, vol. 106(5), pages 867-896, October.
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