Un d\u00e9cret applicable \u00e0 partir du 15 octobre 2026 r\u00e9duit de trois ans \u00e0 un an la dur\u00e9e maximale d\u00e9rogatoire de versement des indemnit\u00e9s journali\u00e8res par l\u2019Assurance maladie pour certains arr\u00eats de travail de longue dur\u00e9e. Sont concern\u00e9s les salari\u00e9s atteints d\u2019une affection de longue dur\u00e9e non prise en charge \u00e0 100 % (ALD non exon\u00e9rante), qui b\u00e9n\u00e9ficiaient jusqu\u2019ici d\u2019un r\u00e9gime plus favorable que le droit commun sans \u00eatre reconnus en ALD exon\u00e9rante.<\/p>\n
Le gouvernement, par l\u2019interm\u00e9diaire du minist\u00e8re charg\u00e9 de la Sant\u00e9 et de la Ministre Rist, aligne ainsi la dur\u00e9e maximale d\u2019indemnisation d\u00e9rogatoire sur un an, contre trois ans auparavant, alors que le droit commun pr\u00e9voit 360 jours d\u2019indemnit\u00e9s sur trois ans. Les pathologies principalement concern\u00e9es par ces arr\u00eats d\u00e9rogatoires longue dur\u00e9e sont la d\u00e9pression l\u00e9g\u00e8re et les troubles musculosquelettiques (TMS). En 2023, ces arr\u00eats repr\u00e9sentaient 3,2 Md\u20ac pour environ 400 000 arr\u00eats, soit une d\u00e9pense trois fois sup\u00e9rieure \u00e0 celle des arr\u00eats des personnes en ALD, avec une progression du nombre d\u2019arr\u00eats de plus de 6 % par an ces derni\u00e8res ann\u00e9es, contre 1 % pour les patients en ALD. Le texte souligne en outre l\u2019insuffisance du suivi m\u00e9dical associ\u00e9 \u00e0 ces arr\u00eats : pr\u00e8s de 30 % des personnes en arr\u00eat pour maladie du syst\u00e8me ost\u00e9o-articulaire, des muscles et du tissu conjonctif et b\u00e9n\u00e9ficiant d\u2019arr\u00eats d\u00e9rogatoires longue dur\u00e9e en 2022 n\u2019avaient pas consult\u00e9 de kin\u00e9sith\u00e9rapeute dans l\u2019ann\u00e9e.<\/p>\n
En coh\u00e9rence avec le d\u00e9cret du 16 septembre ayant act\u00e9 cette r\u00e9duction de dur\u00e9e, la ministre annonce le renforcement des parcours de sant\u00e9 pour les assur\u00e9s en arr\u00eat de travail de longue dur\u00e9e pour troubles psychiques ou TMS. L\u2019objectif est de r\u00e9duire les dur\u00e9es d\u2019arr\u00eat par une meilleure prise en charge, incluant soins, accompagnement et coordination, afin de pr\u00e9venir la d\u00e9sinsertion professionnelle et de favoriser le maintien ou le retour \u00e0 l\u2019emploi lorsque l\u2019\u00e9tat de sant\u00e9 le permet. Parall\u00e8lement, le gouvernement pr\u00e9voit la mise en place de sanctions \u00e0 l\u2019encontre des assur\u00e9s recourant de fa\u00e7on abusive aux prescriptions d\u2019arr\u00eat de travail par nomadisme m\u00e9dical. Ces mesures s\u2019inscrivent dans une logique de ma\u00eetrise des d\u00e9penses d\u2019indemnit\u00e9s journali\u00e8res, d\u2019am\u00e9lioration de la pertinence des arr\u00eats de travail et de renforcement de l\u2019accompagnement des assur\u00e9s concern\u00e9s.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Un d\u00e9cret applicable \u00e0 partir du 15 octobre 2026 r\u00e9duit de trois ans \u00e0 un an la dur\u00e9e maximale d\u00e9rogatoire de versement des indemnit\u00e9s journali\u00e8res par l\u2019Assurance maladie pour certains […]<\/p>\n","protected":false},"author":1,"featured_media":4388,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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