For implementation in the coming weeks?

Widely awaited by private health professionals, the new national reference pricing (TNR), requested for years, should see the light of day in the weeks to come.

This dynamic initiated by the Ministry of Health and its partners, is part of the support for the implementation of the social protection project, in particular that aimed at the generalization of compulsory health insurance (AMO). How will this TNR be implemented? What were the points discussed between the Ministry of Health, health professionals and fund managers to make the agreement effective? Point.

Within the hemicycle, the Minister of Health and Social Protection, Khalid Ait Taleb, finally conceded that the TNR, set up in 1998 and updated in 2006, is ” obsolete » and must be revised, if we want to eventually support the AMO project.

In this sense, a meeting took place, in the afternoon of Friday, January 6, between the signatories of the 2020 agreement on the revision of the TNR. They are the Minister of Health and the directors of the various departments of the ministry, the Director General of the National Health Insurance Authority (ANAM) and his team, the National Social Security Fund (CNSS), as well as the most representative health unions of the liberal sector, namely the National Association of Private Clinics (ANCP), the Order of Physicians and the National Council of the Order of Dentists, the National Union College of Private Medical Specialists, the National Federation of Dentists’ Unions in the liberal sector, as well as the National Union of General Medicine.

During this meeting, explains Dr. Moulay Said Afif, the discussions began by recalling the achievements of the historic meeting of March 17, which constituted a first step, according to the trade unionists, on the way to an effective partnership in the service of health and the citizen, and during which the Minister of Health gave his instructions to the Director General of ANAM, to begin to establish a framework agreement which will govern relations between service providers, the funds managing the AMO and ANAM, the Ministry of Health.

President of the National Trade Union College of Private Medical Specialists, Dr. Afif, who confided in MoroccoLatestNews UK on the meeting of Friday January 6, specified that it is about the first time that the trade unions of the liberal sector, the managers of the funds and the government arrive at something concrete since 2006, thus enumerating the general principles of the 2020 convention.

There will be separate conventions for each body, that is to say, one for specialists, one for generalists, one for clinics and one for dental surgeons. We also insisted in this agreement on the respect of the deadlines for care, which will allow patients not to give a check with the totality of the sum of the care, but only the rest. Normally, the support should be delivered, and it is mentioned in the law 65.00, within 48 hours of its request. If the care arrives within this period, the patient is asked to pay just the third-party payment and not all of the charges. What makes the payment check, which people call the guarantee check, is going to be abolished“, explains the trade unionist.

Another principle appearing in the 2020 agreement and which will soon see the light of day as part of the implementation of the TNR, is compliance with the reimbursement deadline. It must not exceed three months, underlines Dr. Afif, since the deadline has passed, the patient is asked to pay the full amount. ” Reimbursement therefore allows clinics to have working cash“, specifies the professional. The other point addressed by Dr. Afif is that we need to know who is doing what.

The payment must bear the stamp and the name of the treating doctor or doctors, and not the stamp of the clinic only. That’s important” , does he have .

The 2020 framework agreement has also introduced incentive measures for the benefit of doctors and dentists with the aim of promoting equality, particularly in the aspect linked to the conditions for benefiting from health cover, and will be favorable not only for doctors , but also for patients.

Finally, the government, the health unions most representative of the liberal sector, and the managers of the funds all committed during the Friday meeting, to working and concretizing with the Ministry of Health, the digitization of the health system. health.

This digitization will make it possible to trace the name of the doctor, the act he performed, and the generics and drugs prescribed. Here’s how much we earned, here’s how much we owe back“, he explained.

Also, the bodies that took part in the meeting also insisted on prevention and respect for the course of care, which make it possible to lower the costs of care both for the patient and for the funds.

3% of citizens who have AMO, out of the 11 million, or 330,000 people, consume 50% of the AMO budget. These are patients with cancer (28%), diabetes, high blood pressure or heart or kidney disease. So it’s important to do prevention so that these patients don’t reach serious stages where we spend even more money.“, noted Dr. Afif.

Thus, the president of the National Union College of Private Medical Specialists, pointed out that the agreement was signed in 2020, but was never implemented. ” Today, the supervising minister gave his pledges so that this convention is concretized on the ground, and it is it which will be the starting point for the negotiations for the change of the TNR“, he indicated before detailing what will change in the TNR.

For consultation and resuscitation, the reimbursement of the specialist consultation will increase from 150 to 250 dh and at the general practitioner to 150 dh, if the new TNR is applied. The hospital bed will also have to go from 500 to 850 Dh. All of this is in the interest of the patient and will help to reduce the remaining charge, which was more than 50%.” , he said.

Dr. Afif also discussed the new General Nomenclature of Professional Acts (NGAP), which is currently in the hands of the General Secretariat of the Government (SGG).

We asked that the NGAP be put on the ground to accelerate the implementation of the new convention. That is to say, each time there is something new in the interest of the patient, we integrate it. For the incentive measures, we have given ourselves a deadline with the DG of the CNSS, which must not exceed 6 months for their implementation.” , he added.

Regarding the next meeting between the government, the unions and the managers of the funds on the subject of the TNR, Dr. Afif, tells us that the stakeholders have given themselves 10 days to record the framework agreement, while health professionals hope its implementation on the ground as soon as possible, and why not, in the weeks to come.

Previous Post Next Post