The Minister of Health and Social Protection, Khalid Ait Taleb, holds regular meetings with the National Union College of Private Medical Specialists (CSNMSP) and the National Union of General Medicine (SNMG), as part of a new round of social dialogue for optimal implementation of the health system reform project. For Dr Tayeb Hamdi, mdoctor, researcher in policies and health systems, these meetings are in perfect harmony with the royal vision.
” The objective of the dialogue is to reduce the costs of health expenditure for families, on the one hand and to ensure the financial balance of insurance funds for their efficiency and sustainability on the other hand, as well as to facilitate access to treatment for all policyholders as part of a participatory approach“, emphasizes Dr. Hamdi, also president of the SNMG and vice-president of the National Federation of Health (FNS).
Also, the researcher insisted that “ some rumors circulating on social platforms, talking about negotiations to increase the prices of medical examinations or decisions taken in this direction are completely incorrect and devoid of any foundation”.
The signatory unions of the National Convention, namely the SNMG, the CSNMSP, the National Association of Private Clinics (ANCP) and the National Union of Physicians in the Liberal Sector (SNMSL) have been committed for several months within the framework of a participatory approach. They complied in perfect harmony with the royal vision and that of the royal building sites to universalize health coverage and review the health system, through the introduction of several files in order to contribute effectively to their success and this, for the benefit of citizens. and of the nation.
The objective of the discussions is to raise the national reference tariff is mainly to empower insured Moroccans because at the end of the year all Moroccans will benefit from compulsory health insurance (AMO), allowing them to recover compensation for the corresponding expended processing fee. The national reference tariff currently in force dates from 2006 and was imposed every three years and did not benefit the masses.
This has forced policyholders to pay out-of-pocket for expenses that are not recovered by compensation, as these are calculated on the basis of the 2006 rate instead of the actual cost. Thus, when a patient is hospitalized or performs surgery, the insured finds himself obliged to pay sums for which he is only partially compensated.
Consequently, the revision of the national reference tariff aims to increase the amounts of the indemnities paid by the insurance funds to the insured persons so that they are adapted to the real cost, and not to increase the price. The discussions also aim to ensure the financial balance of insurance funds using medical tools rather than accounting tools. Accounting tools require either increasing contributions or reducing expenses.
While medical tools ensure the rationalization of expenses while improving or reducing services at the same cost, focusing on generic drugs, prevention and health education, agreeing and respecting therapeutic protocols, digitizing the medical record, legalizing and streamlining the treatment process. These are all medical mechanisms for controlling medical expenses.
The discussions are aimed at improving the quality of services, controlling their cost and facilitating the procedures and deadlines allowing insured persons to benefit from access to health services. All of these records will help inject transparency into private medical sector transactions and combat bad behavior living under an opaque system.
The success of the royal projects is a societal necessity to effectively guarantee the right to health of citizens, contribute to development and ensure dignity and progress. They are also a success for the health sector in both public and private medicine. Success depends, of course, on health coverage within the framework of a strong and efficient national health system.