You point to the shortcomings of the reform

The 38th Congress of the French mutuality opens Thursday in Lyon, in the presence of the President of the Republic, Jacques Chirac, and will be closed, Saturday, by the Minister of health Xavier Bertrand. The opportunity for Jean-Pierre Davant to a review of the reform of health insurance, the Chairman of the mutuality has increasingly criticized as its implementation. Noting the lack of progress in access to care, he defended the project of "journey of mutual health", submitted to Congress, which should guide members of the mutual health system and provide access to quality on the whole of the territory.

At the last Congress, in Toulouse, the French mutuality was his proposals for reform of the health care system. Do you have heard

We wear a look qualified on the reform bill Medicare passed in 2004, which featured undeniable advances to improve the quality of care. Many of our proposals were repeated, as the establishment of a high authority of health. But the Organization of the system in three poles plans health insurance, complementary, professional organizations of health is still not effective. Especially, the medical convention of January 2005 went against the original objectives: it favours the remuneration of doctors, by multiplying the possibilities of overtaking fees, rather than the Organization of care on the attending physician. This agreement constitutes a step backwards, a return to the bad practices of the past.

What the evolution of access to care

It has not been enhanced with the reform. Exceedances of fees hamper the less advantaged, who suffer the most deregulation of rates. The convention spent the payment to the Act of doctors, while the implementation of the attending physician was the perfect opportunity to develop different modes of remuneration, as do all of our neighbors. Remain exclusively on payment to the Act, it is suicidal, including doctors. This is a considerable brake on the changes in practice.

Reform seems to bear fruit since spending are progressing less quickly. Mutual societies must benefit from...

It needs to be careful on this slowdown. We had anticipated an increase in our expenditure from 4 to 5 this year, that is what we see for the moment. The moderation of the volumes is compensated by increases in tariffs and exceedances of fees. I am surprised by the reasoning of health insurance to compensate for the decrease in the number of specialists by the increase in tariffs: the purpose of this measure was yet to reduce expenses for reimbursement.

You point to the shortcomings of the reform. What is the strategy of the French mutuality to curb it

We do not want to question the doctor, who is a primer for the coordination of care. It is not question for mutual implement a mandatory marked routes for obtaining refunds, in the image of American HMO. Can do otherwise, around the idea that every citizen must have access to the best of the knowledge, techniques and care, regardless of its position of fortune, its geographical location.

What will look like this "mutual health routes"

We will put in place a common Charter to ensure that our 38 million members are better informed. They will be guided in the care system towards structures with which we have concluded agreements and who will have to meet official quality standards. Example: when a participant will learn that he is suffering from cancer, our phone platform will indicate to what institutions it can move, with the assurance that its support will be multidisciplinary and that the approval of the national cancer Institute has been given. The role of mutuals will change. They will become an intermediary between patients and health professionals. We also rely on France home, our service platform to facilitate the lives of our members.

Are mutuals willing

This proposal is the result of a collective will. All companies want to bring new services to their members. Today, 80, the structure of our guarantees is common. This basement, we want to move that process brick by brick. We will start by organizing the course of health for the heavier pathologies such as cancer and cardiovascular disease, and, in matters of prevention, we will focus on addictions. If the Congress votes this orientation, we then draw the plan of rise in charge of the projects in the next five years.

Will fares increase

It would be incongruous that quality is more expensive. And it is not realistic to rely on increases in contributions. We aim before any radical change in behaviour, members and health professionals. Mutual demand more pay as benefits today in conditions of high opacity.

In this regard, you risk you face resistance...

It is a long-term task. But we have a master asset: we are the second financer of care in the country.This does not mean that mutual want to substitute the compulsory system, on the contrary. If insurance is to transpose what we prepare so that we do so together, we are takers.