Une mission portant sur l\u2019articulation entre assurance maladie obligatoire (AMO) et assurance maladie compl\u00e9mentaire (AMC) a publi\u00e9 un rapport analysant le r\u00f4le respectif de ces deux composantes et formulant des propositions de r\u00e9forme. Le p\u00e9rim\u00e8tre concerne le syst\u00e8me de sant\u00e9 fran\u00e7ais et, en particulier, la place et les missions des organismes compl\u00e9mentaires (OC).<\/p>\n
Le rapport recommande de red\u00e9finir le statut des OC en les reconnaissant comme de v\u00e9ritables acteurs du syst\u00e8me de sant\u00e9, sous l\u2019appellation d\u2019\u00ab organismes d\u2019assurance sant\u00e9 \u00bb (ODAS). Ces ODAS exerceraient trois types de missions : le remboursement des soins de sant\u00e9, la pr\u00e9vention en sant\u00e9 et l\u2019accompagnement des personnes et de leurs parcours de soins.<\/p>\n
La mission propose d\u2019ajuster les paniers de soins en les limitant aux d\u00e9penses scientifiquement incontestables, sur la base d\u2019\u00e9tudes de la Haute Autorit\u00e9 de sant\u00e9 (HAS), et de cr\u00e9er un contrat \u00ab essentiel \u00bb recentr\u00e9 sur le financement des \u00ab soins pertinents \u00bb. Elle sugg\u00e8re de s\u2019appuyer sur les ODAS pour d\u00e9ployer les politiques de pr\u00e9vention et de gestion du risque, en renfor\u00e7ant leur contribution op\u00e9rationnelle \u00e0 ces politiques.<\/p>\n
Le rapport pr\u00e9conise \u00e9galement de redonner des marges de man\u0153uvre aux ODAS tout en renfor\u00e7ant la protection de certaines situations particuli\u00e8res, ainsi que d\u2019am\u00e9liorer la transparence, la lisibilit\u00e9 et la simplification des dispositifs pour les assur\u00e9s. Dans le prolongement de ces travaux, l\u2019Inspection g\u00e9n\u00e9rale des finances (IGF) et l\u2019Inspection g\u00e9n\u00e9rale des affaires sociales (IGAS) r\u00e9alisent des analyses et chiffrages des diff\u00e9rents sc\u00e9narios envisag\u00e9s. L\u2019ensemble des informations est diffus\u00e9 via le site institutionnel Vie publique.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Une mission portant sur l\u2019articulation entre assurance maladie obligatoire (AMO) et assurance maladie compl\u00e9mentaire (AMC) a publi\u00e9 un rapport analysant le r\u00f4le respectif de ces deux composantes et formulant des […]<\/p>\n","protected":false},"author":1,"featured_media":7149,"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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[2],"tags":[227,202],"class_list":["post-19759","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-publique-et-systeme-de-soins","tag-ia","tag-vie-publique"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/19759","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=19759"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/19759\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/7149"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19759"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=19759"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19759"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}