Question 11868 — maternity health insurance

Summary

Mr. Édouard Bénard alerts the Minister of Health, Families, Autonomy and Persons with Disabilities to the threats hovering over the return home support program (PRADO) and its consequences on the quality of medical follow-up provided to patients benefiting from it. Created in 2010, the PRADO service supports the return home of hospitalized patients by organizing their first medical and paramedical appointments. Of the Strong partnerships have been built with hospital teams over the years and more than 3.7 million patients have been followed by this system for pathways ranging from maternity to heart failure, including strokes, chronic obstructive pulmonary disease and even hospitalizations of the elderly. Around 800 health insurance employees are today mobilized around this system whose added value in improving care is recognized in particular within the framework of the national risk management strategy. The National Health Insurance Fund (CNAM) announced on July 29, 2025 a withdrawal of health insurance from the system in favor of the Professional Territorial Health Communities (CPTS), a potentially problematic choice. Besides creating a uncertainty over the professional future of the 800 health insurance advisors involved in the system, who have been able to create solid partnerships with hospital medical teams, this disengagement is likely to result in a deterioration of the service provided to patients, particularly the most fragile, sometimes incapable of reintegrating into a care pathway on their own. The added value of PRADO is today recognized by all. Thus, in its October 2025 report “Prevention and management of strokes”, the Court of Auditors recommends “deploying the Prado program for stroke victims in all health establishments with a neurovascular unit”. Furthermore, the information report by senators Corinne Imbert and Bernard Jomier adopted on October 15, 2025 relating to professional communities territorial health authorities (CPTS) which are called upon to replace the PRADO, reports a risk of misuse of the funds granted to them, but the annual financing of the CPTS can rise up to 580,000 euros. Also, he questions the merits of the CNAM's announcement concerning the planned transfer of the missions carried out until now by the PRADO, to the CPTS, with regard to their governance which may prove problematic as well as the loss of territorial coherence which would result in the absence of direct supervision of the CNAM. Consequently, he asks him to clarify the Government's intentions concerning the future of PRADO, the maintenance of missions within the CNAM seems more suitable to him.

Machine translation from French. The official text remains authoritative.

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1. 23 December 2025

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• Édouard Bénard · auteur

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