Question 6806 — health professions

Summary

Mr. Philippe Schreck draws the attention of the Minister of Health and Prevention to the worrying and degraded situation experienced by independent nurses. It is necessary to recall the determining and exemplary role of this profession during the health crisis and its fundamental participation in the territorial network in terms of healthcare provision, including in terms of home hospitalization, especially as hospitals are suffering. Also. This profession has been facing a deterioration in its pricing conditions for several years which, combined with high inflation, places many practitioners operating below the break-even threshold. Thus, this profession is becoming less and less attractive in a general context of collapse of the French health system. Added to these economic difficulties is a real mistrust established by the provisions of article 102 of the LFSS 2023 adopted through the use of article 49-3. Thus, while the rating of an act is an often hazardous exercise and subject to interpretation, for a simple error "even innocuous and involuntary" nurses find themselves subject to an overpayment to health insurance fixed in a lump sum and arbitrary manner, by extrapolation. This results in adjustments across their entire activity and not just on anomalies. observed. While these dedicated professionals are subject to ever more cumbersome and complex administrative standards, and therefore sources of misunderstandings, health insurance denies them any “right to make mistakes”. This is a presumption of fraud that does not exist in other sectors. It appears essential to renew a dialogue with this profession which is an essential link in the health system. He therefore asks her to kindly intervene with the health insurance services and indicate to them what measures it intends to take, on the one hand, so that adjustments in terms of rating errors are carried out with maximum discernment and that complaints are processed very quickly, and on the other hand, in order to establish a real “right to error” in matters of rating of acts.

Machine translation from French. The official text remains authoritative.

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