Maître Carole GHIBAUDO

Avocat au barreau de Grasse

Compétences : Droit de la famille, des personnes et de leur patrimoine, Droit du dommage corporel, Droit immobilier, Droit de la santé, Droit de la sécurité sociale et de la protection sociale

Barreau : Grasse

Adresse : 19 avenue du Grand Cavalier 06600 ANTIBES

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Réforme de l'assurance maladie

Actualité de la profession

Par Me Carole GHIBAUDO

Le Président de la République a reçu, le 18 février 2008, les responsables de la Confédération des syndicats médicaux français (CSMF) à propos de la réforme de l'assurance maladie qui vise notamment à réformer l'hôpital, mettre en place des agences régionales de santé et restaurer l'équilibre de l'assurance maladie.

Concernant le financement de l'assurance maladie, il est envisagé d'instaurer un ticket modérateur sur les dépenses d'affections de longue durée (ALD) et de revoir ce qui, dans la prise en charge, doit relever de la solidarité nationale et des assurances privées. Les réformes sont prévues pour l'automne 2008.

Concernant la réforme de l'hôpital, qui devrait intervenir également en 2008, la carte sanitaire pourrait être revue ainsi que l'organisation de l'hôpital et la place des médecins libéraux.

La CSMF a précisé ses positions, notamment en ce qui concerne l'organisation des soins, les dépassements d'honoraires ou les relations conventionnelles avec l'assurance maladie.

Rappelons que les États généraux de l'organisation de la santé, qui ont débuté le 12 février et doivent se conclure en avril en vue de la préparation du projet de loi, ont réunis tous les acteurs du système de santé (professionnels de santé, élus locaux, associations de patients, syndicats) afin de formuler des propositions pour améliorer l'accès des patients aux soins de proximité. Plusieurs pistes ont d'ores et déjà été retenues par la ministre de la Santé, Roselyne Bachelot : création en 2008 de 100 maisons de santé pluridisciplinaires, création d'un contrat entre les professionnels, l'assurance maladie et les collectivités locales pour favoriser l'installation des médecins dans certaines régions, ouverture de cabinets secondaires dans les zones où il manque des médecins, etc.

Par ailleurs, un projet de loi relatif à la création d'un « cinquième risque » (aux côtés des branches maladie, vieillesse, famille et accidents du travail - maladies professionnelles) afin d'améliorer la prise en charge des personnes dépendantes devrait être présenté au Parlement au deuxième trimestre 2008.