Further regulation of health centers is the goal of a bill passed in committee last week that will be debated in the Assembly in the coming days. Dental and eye centers have been particularly targeted following scandals at the Dentexia and Proxidentaire centers, where some patients were treated poorly and even had amputations. The goal is also to fight against abusive invoices. In a report, the National Health Insurance Foundation (Cnam) estimated that Medicare fraud would reach at least €22 million in 2020. Ophthalmic centers in particular are questioned, in particular, for abusive payments. “This proposal aims to provide a framework for these health centers as there are serious abuses in some of them.“Proposed by Fadila Khattab (Renaissance) MP who presented the proposal.
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A file representing their “healthcare project”.
Specifically, if the bill passes, the centers would then have to get approval from their regional health agency (ARS). To get it, they have to make a file presenting their “ healthcare project “, As well as “ the declarations about the connections and conflicts of interest of all members of the governing body ” or “ contracts that bind the governing body to third-party companies “. Practitioners’ diplomas and employment contracts should also be sent to the ARS and the relevant health professions order.
But this approval is granted on a provisional basis and becomes final one year after the opening of the center and is subject to the results of a compliance visit organized by the ARS. Existing health centers must also apply for approval. They are no longer eligible for dental or eye care if they do not receive it within two years of the law coming into effect.
This approval requirement existed in the past but was removed in 2009 to facilitate and expand the provision of care. “ The repeal was laudable especially in places that allowed health centers to be set up. But it was not like that, because the centers developed mainly in the big cities, where the need did not scream. Today, the goal is not to slow down development, but to place new centers where there is a need. “, MP Fadila Khatabi insists. Therefore, the Regional Health Agency must judge the adequacy of the health plan.
In addition, the bill also contains measures to facilitate the monitoring of their activities, such as the annual transfer of the manager’s accounts to the ARS, but also an increase in the level of fines applied in case of violation, with a ceiling higher than 150,000. up to 300,000 euros.
From October 2021, Health Insurance has implemented “task forcewhich currently controls several chains of dental centers; in total, 45 dental centers are concerned with this operation. As for ophthalmology, a national surveillance program was launched in early 2021, covering 8 health centers with two channels of surveillance.
Source: Le Figaro
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