Moving line of personal insurance

Even before the publication, a report by the Future High School of Health Insurance (HCAAM) on basic health insurance and clarification of “complementary health” has already talked about him. It is clear from the recent position taken by politicians and economists. Of the four scenarios on the table, from the “improved” status quo to “excellent security,” the latter is the subject of all discussion. As a result, moderate tickets, which are currently covered by complementary health insurance, will be abolished and the corresponding costs will fall into the area of ​​compulsory health insurance. Mass transfers with insurance are estimated at over € 18 billion, reducing complementary health insurance sales by 70%.

Some objective observation is required to see clearly at this stage. The duality of financing in the same care basket is a French specialty and you may want to simplify the system by limiting it to a single funder. However, digitizing the flow usually allows for quick refunds on both sides. Certainly complementary health insurance has higher administrative costs than health insurance, but complementary insurance has contribution collection, heterogeneous contract management, regulatory cost adaptation, marketing and distribution costs. Therefore, this difference is essentially related to the market economy operated by these organizations, leading to support for health innovation to differentiate through competition, prevention and treatment services. Optical and Dental Network Initiative and First Remote Consultation Financing? Finally, it is undeniable that the cost of complementary health insurance is increasing for retirees who do not benefit from the pool in favor of their employees through collective contracts, but the latter guarantee is in force. It is limited by the regulations that are in place.

Therefore, in order to make a decision, it is necessary to question the ultimate purpose of the reform regarding our major health problems. Difficulty in access to care, hospital crises, and health crises are explained, among other things, by the shortcomings of care organizations in the territory, the lack of coordination among health stakeholders, and the weakness of French preventive culture. And by a pandemic that all nations have unnoticed.

We also need to consider the consequences of such reforms, starting with the impact on stakeholders. Given the impact on the European Union’s highest (45%) compulsory tax rate and the inevitable fiscal tensions, there is no risk that “big social security” will one day be connected. To reduce the scope of cost repayment, and therefore the remaining increase to be paid (today, the lowest in OECD countries), and to double-tier medical care? There are always insurance companies that will reimburse new overages and new health insurance, but if this insurance is no longer required, only those who can afford it will benefit from it.

In any case, no matter which scenario you choose, there is one thing for sure. That is, sector regulation will continue to be tightened. Therefore, health insurers need to focus on four topics for the future of a society with a long life expectancy:

  • prevention. Its importance is emphasized during the health crisis and a tailor-made solution is needed.
  • Funded insurance due to the increasing variety of causes of work interruptions.
  • A supplementary pension that takes into account the opportunities permitted by the Pension Reform Project and the Agreement Act.
  • The establishment of the 5th branch did not lead to the establishment of public addiction insurance, so it maintains autonomy and addiction.

These developments are already underway, revealing a new frontier for personal insurance. This shows that social protection is too complex to mobilize just one actor. All forms of reciprocity and intermediate solidarity are working to avoid the dangerous alliance of nationalism and individualism.

Cecil Wake
Partner YCE Partner