The brand new nationwide reference pricing (TNR), which many non-public healthcare suppliers are anticipating, is because of seem within the coming weeks.

This dynamic, initiated by the Ministry of Well being and its companions, is a part of the help for the implementation of the social safety mission, particularly, aimed toward increasing obligatory medical insurance (AMO). How will this TNR be carried out? What factors had been mentioned between the Ministry of Well being, medical professionals and fund managers to make the settlement efficient? Level.

Inside the semicircle, Well being and Social Safety Minister Khalid Ait Taleb lastly admitted that the TNR, established in 1998 and up to date in 2006, is ” outdated ” and have to be revised if we wish to finally help the AMO mission.

On this sense, on the afternoon of Friday, January 6, a gathering was held between the signatories of the 2020 settlement on the revision of the TPR. These are the Minister of Well being and the administrators of varied departments of the Ministry, the Director Basic of the Nationwide Well being Insurance coverage Authority (ANAM) and his crew, the Nationwide Social Insurance coverage Fund (CNSS), in addition to probably the most consultant commerce unions of well being employees. of the liberal sector, specifically the Nationwide Affiliation of Personal Clinics (ANCP), the Order of Physicians and the Nationwide Council of the Order of Dentists, the Nationwide Union of Schools of Personal Medical Professionals, the Nationwide Federation of Unions of Dentists within the Liberal Sector, and the Nationwide Union of Basic Drugs.

Throughout this assembly, explains Dr. Moulay Mentioned Afif, the discussions started with recollections of the achievements of the historic assembly on March 17, which, in keeping with commerce unionists, was step one in the direction of an efficient partnership between well being and residents, throughout which the Minister of Well being gave the order to the Director Basic of ANAM to start out the creation of a framework settlement that can regulate the connection between service suppliers, funds that handle AMO and ANAM, the Ministry of Well being.

President of the Nationwide Union School of Personal Medical Specialists, Dr. Afif, who entrusted Hespress Nice Britain on the assembly on Friday, January 6, clarified that that is the primary time that the liberal sector unions, fund managers and the federal government have come to one thing concrete since 2006, thus itemizing the final ideas of the 2020 conference.

There will likely be separate conventions for every physique, that’s, one for specialists, one for common practitioners, one for clinics and one for dental surgeons. On this settlement, we additionally insisted on sustaining the timeframe for offering care, which might enable sufferers to not pay the complete quantity of care, however solely the remaining half. Usually, the help have to be delivered, and that is talked about within the legislation 65.00, inside 48 hours of its request. If medical care comes throughout this era, the affected person is requested to pay solely the third-party cost, not your complete value. What makes a cost examine, popularly known as a assure examine, will likely be cancelled“, the commerce unionist explains.

One other precept that seems within the 2020 settlement and can quickly see the sunshine of day as a part of the TNR implementation is the observance of the compensation deadline. It mustn’t exceed three months, emphasizes Dr. Afif, for the reason that time period has expired, the affected person is requested to pay your complete quantity. ” So reimbursement permits clinics to have working cash“, the skilled clarifies. One other level that Dr. Afif made is that we have to know who’s doing what.

The cost will need to have the seal and title of the treating physician or medical doctors, not simply the seal of the clinic. That is essential“, does he have.

The 2020 Framework Settlement additionally launched incentives for medical doctors and dentists to advertise equality, particularly when it comes to entry to care, and will likely be helpful not just for medical doctors but in addition for sufferers. .

Lastly, the federal government, the well being unions, which characterize probably the most liberal sector, and the heads of foundations – all of them dedicated throughout Friday’s assembly to work and specify with the Ministry of Well being the digitization of the well being care system.

Such digitization will enable tracing the title of the physician, the actions he carried out, which generics and medicines had been prescribed. That is how a lot we earned, that is how a lot now we have to return“, he defined.

As well as, the authorities taking part within the assembly additionally insisted on prevention and adherence to the course of therapy, which might scale back the price of therapy for each the affected person and the funds.

3% of residents who’ve AMO, out of 11 million, or 330,000 folks, eat 50% of the AMO price range. These are sufferers with most cancers (28%), diabetes, hypertension, or coronary heart or kidney illness. Subsequently, it is very important do prevention in order that these sufferers don’t attain critical phases the place we spend much more cash.“, – famous Dr. Afif.

Sure, the president of the Nationwide Union School of Personal Medical Specialists famous that the settlement was signed in 2020, however was by no means carried out. ” Right this moment, the observing minister gave his guarantees that this conference could be concretized on the bottom, and it could be the start line for negotiations on the change of the TPR“, he identified earlier than speaking about what’s going to change within the TNR.

For session and resuscitation, the value of a specialist’s session will enhance from 150 to 250 dinars, for a common practitioner – to 150 dinars, if the brand new TNR will likely be utilized. The price of a hospital mattress will even value between Dh500 and Dh850. All that is within the pursuits of the affected person and can assist scale back the remaining cost, which was greater than 50%.“, he mentioned.

Dr Afif additionally mentioned the brand new Basic Nomenclature of Skilled Acts (NGAP) which is at present within the fingers of the Secretariat Basic of Authorities (SGG).

We requested for the institution of the NGAP to hurry up the implementation of the brand new conference. That’s, at any time when there’s something new within the affected person’s curiosity, we combine it. Relating to the inducement measures, now we have agreed with the Basic Directorate of the CNSS on the time period of their implementation, which mustn’t exceed 6 months.“, he added.

Relating to the subsequent assembly between the federal government, unions and fund managers as regards to TNR, Dr. Afif tells us that the stakeholders have given themselves 10 days to jot down a framework settlement, whereas well being professionals hope to get it on the bottom as quickly as doable. , and why not within the coming weeks.

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