Baseline
Initial data, perimeter, population and full costs.
Legal file · 5.03
5.03 — Recovery of Excessive Extra Medical Fees
The Plan states €1.2 billion per year with evidence level C. Current law already requires fees to be set with tact and moderation. Any additional recovery mechanism would need an objective definition, an adversarial process and protection against automatic sanctions based on misunderstood averages.
What the Plan proposes
Plan source: the measure title, stated effect and evidence level come from the public Plan de Rupture. This page adds an initial legal and operational architecture requiring expert review.
The Plan states €1.2 billion per year with evidence level C. Current law already requires fees to be set with tact and moderation. Any additional recovery mechanism would need an objective definition, an adversarial process and protection against automatic sanctions based on misunderstood averages.
Status: structured citizen prototype requiring review by ministries, the Conseil d’État, professionals, patient representatives and competent authorities.
Implementation path
- Define excessPublish a rule accounting for the act, specialty and exceptional circumstances.
- Detect an anomalyCompare like with like and verify the data.
- Notify the doctorProvide facts, period, calculation and evidence.
- Decide fairlyIssue a reasoned decision after a response.
- Allow appealProvide administrative and judicial redress.
What must be measured before and after
Quality of care
Safety, continuity, delays and patient outcomes.
Workforce effects
Training, workload, mobility, attractiveness and working conditions.
Net effect
Gross savings minus transition, recurring costs and shifted burdens.