{"id":4348,"date":"2017-10-25T13:39:42","date_gmt":"2017-10-25T11:39:42","guid":{"rendered":"http:\/\/content.staffsante.fr\/?p=4348"},"modified":"2017-10-25T13:39:43","modified_gmt":"2017-10-25T11:39:43","slug":"plfss-2018-solidarite-economies","status":"publish","type":"post","link":"https:\/\/www.staffsante.fr\/contenu\/plfss-2018-solidarite-economies\/","title":{"rendered":"PLFSS 2018  Solidarit\u00e9 et \u00e9conomies"},"content":{"rendered":"<p><em>Le 28 septembre, le Gouvernement a pr\u00e9sent\u00e9 le Projet de loi de financement de la S\u00e9curit\u00e9 sociale (PLFSS) pour 2018. Au menu, \u00e9conomies et innovations organisationnelles.<\/em><\/p>\n<p>Le projet de loi ent\u00e9rine plusieurs promesses de campagne du pr\u00e9sident de la R\u00e9publique : baisse des cotisations sociales \u00e9quivalentes \u00e0 1,45 % de la r\u00e9mun\u00e9ration brute avec, en contrepartie, une augmentation de la CSG de +1,7 point ; Cr\u00e9dit d\u2019imp\u00f4t pour la comp\u00e9titivit\u00e9 et l\u2019emploi (CICE) et Cr\u00e9dit d\u2019imp\u00f4t de taxes sur les salaires (CITS) remplac\u00e9s en 2019 par une exon\u00e9ration renforc\u00e9e des cotisations sociales. Par ailleurs, il acte la r\u00e9forme du R\u00e9gime social des ind\u00e9pendants (RSI) qui sera adoss\u00e9 au r\u00e9gime g\u00e9n\u00e9ral de l\u2019Assurance maladie avec une transition de deux ans. Pour autant, le Gouvernement vise l\u2019\u00e9quilibre des comptes de la \u00ab S\u00e9cu \u00bb d\u2019ici 2024, toutes branches confondues. Il mise notamment sur la poursuite de la r\u00e9duction des d\u00e9ficits pour que ceux-ci atteignent -2,2 Md\u20ac d\u00e8s l\u2019an prochain (au lieu de -5,2 actuellement). Et ce malgr\u00e9 la progression de l\u2019Objectif national de d\u00e9penses d\u2019assurance maladie (Ondam) de +2,3 % (contre +2,1 % en 2017) et de celle du sous-objectif pour les soins de ville de +2,4 %. L\u2019Ex\u00e9cutif table donc sur d\u2019importantes \u00e9conomies dans la branche \u00ab Maladie \u00bb, d\u2019un montant total de 4,165 Md\u20ac dont plus de la moiti\u00e9 sur les m\u00e9dicaments et l\u2019h\u00f4pital.<\/p>\n<p>Ce PLFSS mise aussi sur l\u2019innovation, notamment via la cr\u00e9ation d\u2019un fonds sp\u00e9cifique pour cinq ans (30 M\u20ac en 2018) afin de financer des exp\u00e9rimentations portant \u00e0 la fois sur l\u2019organisation et la r\u00e9mun\u00e9ration des actes ou des s\u00e9jours, tant pour la ville que l\u2019h\u00f4pital et le secteur m\u00e9dico-social. Pour am\u00e9liorer le parcours des patients, Agn\u00e8s Buzyn souhaite exp\u00e9rimenter de \u00ab <em>nouvelles tarifications forfaitaires pour les parcours de soins ou des s\u00e9quences de soins<\/em> \u00bb. Par ailleurs, pour g\u00e9n\u00e9raliser la t\u00e9l\u00e9m\u00e9decine, l\u2019Assurance maladie et les syndicats m\u00e9dicaux vont, dans le cadre de la convention m\u00e9dicale, d\u00e9terminer les conditions de r\u00e9alisation et de tarification des actes de t\u00e9l\u00e9consultation et de t\u00e9l\u00e9expertise.<\/p>\n<p>Enfin, le PLFSS pr\u00e9voit l\u2019acc\u00e9l\u00e9ration de l\u2019inscription des actes nouveaux au remboursement. L\u2019objectif ? Avoir une proc\u00e9dure sp\u00e9cifique pour les actes effectu\u00e9s en \u00e9quipe dans le cadre d\u2019organisations innovantes associant plusieurs professionnels de sant\u00e9 lib\u00e9raux.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le 28 septembre, le Gouvernement a pr\u00e9sent\u00e9 le Projet de loi de financement de la S\u00e9curit\u00e9 sociale (PLFSS) pour 2018. Au menu, \u00e9conomies et innovations organisationnelles. Le projet de loi [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4349,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[13],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>PLFSS 2018 Solidarit\u00e9 et \u00e9conomies | STAFFSANT\u00c9<\/title>\n<meta name=\"description\" content=\"Le 28 septembre, le Gouvernement a pr\u00e9sent\u00e9 le Projet de loi de financement de la S\u00e9curit\u00e9 sociale (PLFSS) pour 2018. 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