The Health benefit basket in France.
Traduction en français : Le panier de biens et services remboursés en France.
The French Health Benefit Basket is defined principally by positive lists of reimbursed goods and services ; however, global budget-financed hospital-delivered services are more implicitly defined.
The range of reimbursable curative care services is defined by two coexisting positive lists/fee schedules : the Classification Commune des Actes Medicaux (CCAM) and the Nomenclature Générale des Actes Professionnels (NGAP).
The National Union of Health Insurance Funds has been updating these positive lists since August 2004, with the main criterion for inclusion being the proposed procedure's effectiveness.
This is assessed by the newly created High Health authority (replacing the former ANAES).
In addition, complementary health insurers are consulted in the inclusion process due to their important role in French healthcare financing.
Mots-clés Pascal : Assurance maladie, Système santé, Programme sanitaire, Régulation, Contrôle, Dépense, Choix, Priorité, Financement, Soin, Prix, Définition, Réglementation, Aide décision, France
Mots-clés Pascal anglais : Health insurance, Health system, Sanitary program, Regulation(control), Check, Expenditure, Choice, Priority, Financing, Care, Price, Definition, Regulation, Decision aid, France
Notice produite par :
IRDES - Institut de Recherche et Documentation en Economie de la Santé
Cote : P151, CODBAR 0048763
Code Inist : 002B30A11. Creation : 30/03/2006.