How can the reform of the activity-based payment system (T2A) help in financing innovative health products? - 09/02/25
, Nejma Saidani b, Martine Aoustin c, Dorothée Camus d, Auriane Cano-Chancel e, 1, Sophie Carlier f, 1, Albane Degrassat-Théas g, q, 1, Anne-Aurélie Epis de Fleurian h, 1, Anne Grumblat i, 1, Aurélie Lavorel d, 1, Mégane Lesaignoux j, 1, Tess Martin k, r, 1, Adrien Michaud l, 1, Jonathan Morizot m, 1, Nathalie Préaubert n, 1, Valery-Pierre Riche o, 1, Isabelle Durand Zaleski p, 1Summary |
In France, the short-stay activities of public and private sector healthcare facilities have been financed since 2004 by activity-based pricing (T2A). The principle is to allow for payment determined primarily by the nature and volume of activities. T2A has enabled a major transformation compared to the old financing system, chiefly for public sector facilities that used to operate under a general allocation, and convergence between payment methods in the public and private sectors. However, official reports and public pronouncements by many hospital healthcare stakeholders have also highlighted the limits of this method of financing, leading to several reform projects. With that in mind, round table 3 of the Giens Workshops, including experts from academia and/or hospitals, institutions, and industry, questioned the impact of the new T2A reforms on access to innovative health care products in hospitals. After scoping out the issue and drawing up observations, the round table proposed six general recommendations that would be avenues for improving access to innovative health care products for hospital service users.
Le texte complet de cet article est disponible en PDF.Keywords : Health technologies, Innovation, Hospital funding
Plan
| ☆ | The articles, analyses and proposals of the Giens Workshops are the sole responsibility of their authors and are without prejudice to the position of their supervisory body. |
Vol 80 - N° 1
P. 77-92 - janvier 2025 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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