Baseline
Initial data, perimeter, population and full costs.
Legal file · 5.08
5.08 — Capping Sector-2 Extra Fees
The Plan states a structural effect without a quantified saving. Sector-2 doctors may currently charge different fees with tact and moderation; OPTAM provides voluntary moderation through the medical agreement. A mandatory cap would require a precise statutory or contractual basis.
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 a structural effect without a quantified saving. Sector-2 doctors may currently charge different fees with tact and moderation; OPTAM provides voluntary moderation through the medical agreement. A mandatory cap would require a precise statutory or contractual basis.
Status: structured citizen prototype requiring review by ministries, the Conseil d’État, professionals, patient representatives and competent authorities.
Implementation path
- Define the capAbsolute amount, percentage of the official tariff or differentiated ceiling.
- Choose the vehicleSocial Security Finance Act, health legislation, medical agreement or combination.
- Provide exceptionsUrgency, highly specialised acts, territory and special circumstances.
- Enforce fairlyReliable data, due process and proportionate sanctions.
- Evaluate effectsOut-of-pocket costs, supply, location choices, delays and forgone care.
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.