Nicolas Revel open to amendment of amendment 6

[ad_1]

Endorsement n ° 6, which came into force on September 15, 2018, details the amount of remuneration provided for healthcare professionals and the conditions to be met in order to benefit from a reimbursement under ordinary law of teleconsultation and tele-expertise acts, recalls do we.

Nicolas Revel spoke at the beginning of December at the annual congress of the French Society of Telemedicine (SFT) during a round table on the theme "Should telemedicine be industrialized?"

He insisted on the need for telemedicine, whether teleconsultations for unscheduled care or follow-up of chronic patients, to be anchored in "a territorialized framework" and not in a logic of "patient-consumer ".

It opened the door to a modification of endorsement n ° 6, which requires as prerequisites for reimbursement of teleconsultation by health insurance that patients have been previously referred by their attending physician and had a face-to-face consultation with the specialist in the past 12 months.

"I proposed to the unions an addendum to addendum n ° 6. This text must adapt, it must catch all clinical situations," he added.

"There are many clinical situations, often specialized, where it does not work: in dermatology, psychiatry, ophthalmology …", declared the director of the Cnam. "We could do without (these prerequisites), or see the patient after (teleconsultation) rather than before."

Asked about the financing arrangements put in place by health insurance, Nicolas Revel noted "that today there is no intervention fund to finance experiments at the level of primary funds" and that regional intervention funds (FIR), managed by regional health agencies (ARS), "are not sustainable".

"We are trying to establish a framework that allows sustainable funding," he continued. "There are a lot of acts that do not fall within the framework of endorsement n ° 6. As soon as they have a clinical meaning and meet our care requirements, we must be able to authorize them and take them over as if they were in accordance with the endorsement. "

He found that after a "slow start", telemedicine "spreads regularly in practice".

Six months after the entry into force of endorsement No. 6, the CNAM counted 4,000 teleconsultations per month. "In September, we were at 14,000 teleconsultations, then 24,000 in October," he announced.

In one year, a little more than 60,000 teleconsultation acts were billed to the Cnam, while the impact study of the social security financing law (LFSS) for 2018 on the reimbursement of ordinary law had expected 500,000 teleconsultations supported in 2019.

In a column published in Les Echos in September, Les entreprises com télémédecine (LET), a young association bringing together players in the sector, had alerted the public authorities to the "under-exploitation" of telemedicine, we recall.

[ad_2]