{
  "version": "V20.9.9",
  "date": "2026-08-08",
  "scope": "France — category 05 Health",
  "rules": [
    "Time saved is productivity until a budgetary cost actually disappears.",
    "Private extra fees are not public revenue before a legal recovery mechanism exists.",
    "Funds administered by ARS for health policy are not the administrative cost of ARS.",
    "Redeployed payroll cannot simultaneously be counted as budget saving."
  ],
  "benchmarks": {
    "hospital_workforce_2024_people": 1410000,
    "hospital_public_share_pct": 77,
    "hospital_admin_share_pct": 11,
    "hospital_admin_mechanical_people": 155100,
    "ars_plf2026_etpt": 8114,
    "ars_plf2026_operating_subsidy_eur_m": 627.142,
    "lfss2026_fir_and_national_investment_subtarget_eur_bn": 6.4,
    "health_insurance_fir_2026_eur": 5177979954,
    "hds_certified_hosts_may2026": 391,
    "hds_certification_bodies_may2026": 9,
    "optam_eligible_sector2_specialists_2024_pct": 51.7,
    "optam_eligible_sector2_specialists_2025_06_30_pct": 53.1
  },
  "notes": [
    "The 1.41 million hospital workforce is a rounded DREES headline figure; 155,100 is therefore a rough mechanical screen (1.41m × 11%), not a staffing audit.",
    "ARS staffing and operating subsidy values are budget-preparation benchmarks from the PLF 2026 documentation; FIR values are taken from enacted/official 2026 texts.",
    "The national SNDS extra-fee dataset exists and must be imported before recalculating measure 5.03."
  ],
  "sources": [
    "https://drees.solidarites-sante.gouv.fr/communique-de-presse-jeux-de-donnees/jeux-de-donnees/les-effectifs-salaries-du-secteur-hospitalier",
    "https://www.drees.solidarites-sante.gouv.fr/publications-communique-de-presse-documents-de-reference/panoramas-de-la-drees/260520-Etablissements-de-sant%C3%A9-en-2024",
    "https://www.assurance-maladie.ameli.fr/etudes-et-donnees/honoraire-professionnels-sante-liberaux-departement",
    "https://www.assurance-maladie.ameli.fr/presse/2025-09-25-cp-lancement-observatoire-acces-soins",
    "https://www.senat.fr/rap/l25-139-331/l25-139-3319.html",
    "https://www.legifrance.gouv.fr/jorf/article_jo/JORFARTI000053227034",
    "https://www.legifrance.gouv.fr/loda/id/JORFTEXT000054200326/2026-06-08",
    "https://esante.gouv.fr/ens/offre/hds",
    "https://esante.gouv.fr/services/hebergeurs-de-donnees-de-sante/les-referentiels-de-la-procedure-de-certification",
    "https://www.has-sante.fr/jcms/p_3363066/fr/dispositifs-medicaux-numeriques-a-usage-professionnel",
    "https://www.has-sante.fr/jcms/p_3703115/fr/premieres-clefs-d-usage-de-l-ia-generative-en-sante"
  ]
}