Health Insurance deficit will be higher than expected in 2024, according to its director

In an interview with “Les Echos”, Thomas Fatôme considers that “we need to think about a new system of compensation for work stoppages that is more financially sustainable but also fairer”.

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The Cnam will contact "7,000 general practitioners who prescribe sick leave [maladie] in a significant way"warned its CEO, Thomas Fatôme, on September 8, 2024. (DIGICOMPHOTO/SCIENCE PHOTO LIBRA / FCA)

The health insurance deficit will be “probably higher” than expected in 2024, estimated its CEO in an interview published Sunday, September 8 by The Echoes. He “should remain at a historically very high level”added Thomas Fatôme. In his eyes, it is “a major concern that the next government and Parliament will need to address quickly.”

As the pilot of Health Insurance, Thomas Fatôme has shown concern for “ensure that resources are used well and react when there are more dynamic expenses, such as those related to compensation for work stoppages”on the rise “over a billion” euros in 2024. On this subject, the institution intends “act on several fronts” until December.

The Cnam will “contact all insured persons who have been off work for more than eighteen months to (…) see if their stoppage is justified, see if there is a return to work initiated and possibly discuss the implementation of therapeutic part-time work”as well as “7,000 general practitioners who prescribe significant amounts of sick leave to discuss their practices and see if there is a way to better control the situation.” Will also be deployed “new, more secure work stoppage certificates”.

Beyond that, Thomas Fatôme considers that“We need to think about a new system of compensation for work stoppages that is more financially sustainable but also fairer”and that “The State and the social partners are getting back around the table on this subject by involving doctors, and Health Insurance will take its part”. “Is it normal that today an employee is less well covered because he does not have six months of seniority? Is it normal that the waiting days are most of the time covered for employees in large companies but not in small ones?”he asked.


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