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Endorsement n ° 6, which got here into pressure on September 15, 2018, particulars the quantity of remuneration supplied for healthcare professionals and the circumstances to be met to be able to profit from a reimbursement underneath peculiar legislation of teleconsultation and tele-expertise acts, do we remember.
"The traditional companions should meet urgently" to debate an association of the textual content, stated Dr Bouet. "They’re answerable for altering the scenario and making the very best use of expertise on this section of rigidity within the well being system," he added, including that he had relayed this request to the Caisse nationale de l ' medical insurance (Cnam).
As a reminder, endorsement n ° 6 requires as conditions for reimbursement of teleconsultation by medical insurance that sufferers have been beforehand referred by their attending doctor and that they’ve had a face-to-face session with the specialist within the final 12 months , inside a framework respecting the coordinated care pathway.
"I consider within the sense of duty of the standard companions. They may discover derogatory options which might then carry extra basic adjustments to the endorsement," continued Dr Bouet.
Contacted by TICsanté, the Cnam assured that it doesn’t envisage "no leisure of endorsement n ° 6 throughout the framework of the coronavirus" at current. Requested about corporations providing industrial telemedicine companies through the epidemic, she insisted that "the principles stay the identical". "In the event that they respect the endorsement, the teleconsultations are reimbursed."
"Profiting from a scenario the place a system is put in place to take care of an epidemic appears opposite to the precept of solidarity," commented Patrick Bouet, whereas some corporations are rising communications to focus on their companies. "These platforms create queues within the system. The federal government ought to put in place procedures that assure equality earlier than technological instruments," he added.
A standpoint shared by the regional union of liberal medical professionals of Auvergne-Rhône-Alpes (URPS AuRa) which referred to as, by the voice of its president, Dr. Pierre-Jean Ternamian, to "resort to free teleconsultation instruments "developed by well being cooperation teams (GCS), URPS and regional teams supporting e-health growth (Grades).
Dr. Marcel Garrigou-Grandchamp, in command of the telemedicine element inside URPS AuRa, reminded TICsanté on March three that GCS Sara – of which URPS is a member – developed the eConsult Sara utility, a teleconsultation software made obtainable to all well being professionals within the area freed from cost.
"Given the unfold of the virus and the rising containment measures, telemedicine will help docs and sufferers. A health care provider in confinement can proceed to work, particularly with power sufferers," he stated. .
Just like the president of the Cnom, he declared himself in favor of "some legislative changes to facilitate the recourse to teleconsultation and maybe briefly soften endorsement n ° 6". "For the reason that entry of telemedicine into peculiar legislation, we now have been on the lookout for makes use of for it. Right here is one, it could be time to step up the tempo to permit its deployment," he noticed.
If the unfold of the coronavirus Sars-CoV-2 has put a highlight on industrial telemedicine options, not all communicate the identical phrase.
Medical Director of the telemedicine company Livi and member of the board of the association Les Entreprises de télémédecine (LET), created in January 2019, Dr. Maxime Cauterman needed to "make issues occur".
"LET is in solidarity with the healthcare supply, we are going to do what the general public authorities inform us to do and, right now, our purpose is to assist sufferers perceive the knowledge supplied by the authorities and healthcare professionals. an increasing number of in demand, "he informed TICsanté on March three.
"We don’t suppose that that is the time to reopen the discussions on an enlargement of the scope of endorsement No. 6. There’s a obligation of solidarity to look at and the query of reimbursement of telemedicine shouldn’t be the topic within the midst of a coronavirus disaster. "
He underlined the truth that LET corporations will solely intervene "on the request of the authorities" and insisted on the significance that every one actors, together with LET, are "across the desk and related to the administration of disaster to have, all, the identical stage of knowledge ".
François Lescure, co-founder of MédecinDirect and president of the LET affiliation, for his half thought of that "telemedicine is an important brick within the containment technique".
It’s with this in thoughts that the software program writer for liberal well being professionals CompuGroup Medical (CGM) introduced on March 5 within the morning that it might supply freed from cost, to all docs, its ClickDoc teleconsultation solution during the epidemic disaster.
"This software will permit docs to be in contact with their sufferers with out risking contamination, nor their medical workers or different sufferers within the ready room. Moreover, if the professionals are confined, they may even have the ability to proceed to seek the advice of in conserving a contact, by the picture, which is reassuring for the affected person ", detailed on March 5 to TICsanté the president of CGM France, Franck Frayer.
"Now we have chosen to supply it freed from cost during the disaster as a result of telemedicine has not taken off frankly in France because it entered frequent legislation. The issue doesn’t come from expertise however from makes use of. The coronavirus provides us the chance massively deploy telemedicine and permit docs to check it, "he noticed.
Just a few hours after CGM's announcement on March 5, Doctolib, the chief in teleconsultation in France, and Consulib, have additionally chosen to make their teleconsultation software obtainable freed from cost to reply to the unfold of the virus.
The Secretary of State for Digital, Cédric O, praised Doctolib's determination on Twitter, with out referring to the opposite telemedicine corporations which have taken comparable measures. The Federation of publishers of ambulatory medical and paramedical informatics (Feima) deplored on the social community a "very selective studying" of the Secretary of State. "Since when does a minister of the Republic remodel himself into the gross sales consultant of an organization, thus flouting his reserve rights and the principles of competitors," she stated.
For Franck Frayer of CGM Frane, "the disaster won’t promote telemedicine options as a result of the apply shouldn’t be there", however he hopes that it’ll no less than "speed up the attention of the usefulness of resort to telemedicine ".
Alternatively, there was no query, he stated, of increasing or softening the framework of endorsement No. 6 to the medical settlement. "The coronavirus disaster doesn’t make it essential to calm down the regulatory framework. As soon as handed, we are going to ourselves make our clients pay once more for our ClickDoc answer. We should protect the scope of rider n ° 6 to ensure a high quality drugs, "he stated.
In a 12 months, a bit of greater than 60,000 teleconsultation acts have been billed to the Cnam, whereas the affect research of the social safety financing legislation (LFSS) for 2018 on the reimbursement of peculiar legislation had anticipated 500,000 teleconsultations supported in 2019, do we remember.
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