The 3 complementary health insurance federations (Mutualité française, France Assureurs and CTip) and Les Libéraux de santé wish to improve the existing advance fee exemption solutions, for the benefit of patients.
Signed on September 6, this collaboration agreement has created a space for co-construction, to move forward, among other things, on the implementation of a “priority project” to improve third-party payment systems (mandatory on baskets 100% healthy). The health Liberals, Mutualité française, France Assureurs and the CTip want “to produce progress concerning the possibility of contracting between professionals and complementary health”, but also to progress in the “identification of beneficiaries, the verification of rights, the simplicity of invoicing for the healthcare professional as well as the follow-up and guarantee of payments”. Their work has shown that solutions already exist and that they are “widely used by some of the health professions”, explain the four signatories. They also noted the levers for improving existing systems, “to meet the needs of certain professions”, without specifying which ones.
The Ocams and LDS therefore want to make the necessary adaptations so that all volunteer health professionals are able to install the appropriate software on their workstations. The challenge is to reduce the administrative time related to invoicing and bank reconciliations, and to benefit from secure systems to automatically guarantee payment. The Ocams, for their part, expect automated management of exchanges with healthcare professionals to enable policyholders to benefit more easily from third-party payment.
Work will continue in conjunction with Health Insurance, the National Union of Health Professions (UNPS), the Inter-AMC association and the Committee for Dialogue with Complementary Organizations recently set up by the government.
