Financial status of health insurance and maternity insurance at the heart of the discussions of the Four-Party Committee


Finance Minister Yuriko Bucks, Health Minister Paulette Renato, Minister of Social Security

Finance Minister Yuriko Bucks, Health Minister Paulette Renato, Minister of Social Security

The Four-Party Committee first investigated the financial situation of health insurance, including the national financial contribution to the measures for “COVID-19” covered by health insurance. After that, the 2022 financial forecast was announced.

The four-part committee also reviewed the status of improvements in dentistry and the progress of the Gesondheets dësch project.

COVID-19 State Participation in Financing Measures Related to Health Crisis

As part of the fight against the COVID-19 pandemic and the resulting pandemic, health insurance had to fund certain measures, primarily long vacations for family reasons.

For measures beyond health and childbirth insurance, the Minister of Social Security and Finance has promised to propose full financing of these measures by the State. This commitment was fulfilled by a special law of December 15, 2020. The law sets state participation for a total of € 386 million over four fiscal years. It will be € 200 million in 2020 and € 62 million annually from 2021 to 2023. ..

As of March 31, 2022, all “COVID-19” measures covered by the CNS but reimbursed by the state cost a total cost of € 417.5 million (against the CNS). The amount after deducting the amount paid in advance by the state) 14 million euros). In 2021, the cost of a long vacation for family reasons was € 50 million, while the cost of the same device in 2020 was € 238 million. The cost for 2022 (data as of March 31) was 11 million euros.

Ministers Paulette Lenert and Yuriko Backes recall the commitment made at the last meeting of the Four-Party Committee on this issue, with the costs borne by the CNS at this stage and the amounts already stated in the Special Funds Act. Emphasized the difference. The latter will be analyzed in more detail as part of the establishment of state expenditure and revenue budgets for fiscal year 2023 with the aim of proposing adaptation of special legislation.

“In 2020, the government has promised to transfer the amount of Covid-19 pandemic-related measures taken by special law at the end of 2020 to the CNS. Given the current situation, we are new. The spending of measures in 2021 and 2022 is also a financial gist with the Minister of Finance, as will be taken into account in the setting of the state budget for 2023, but was initially promoted by the CNS.“” Paulette Lenert commented.

Financial status of health and childbirth insurance

The 2021 statement states that health insurance has negative financial performance, despite state financial participation in measures related to the COVID-19 health crisis at this stage amounting to € 386 million. It shows that it is producing. The initial budget for 2021 was a deficit of 100.8 million euros, but it was 55.7 million euros. This difference is explained by slightly higher incomes (+32.4 million euros) and slightly lower spending than expected (-12.6 million euros). However, the € 55.7 million deficit has not yet considered additional national refunds for the “COVID-19” measures.

Non-negligible costs associated with COVID-19 cover health maternity insurance (prescription PCR testing, additional hospital costs, maternity exemptions, etc.), and cost changes continue to be high, reaching € 3,632 million.

Changes in economic conditions, employment evolution and therefore the number of insureds are better than initially predicted in 2021, but revenues of € 3,576.3 million cannot fully compensate for changes in spending in 2021. ..

Therefore, the total cumulative balance (World Reserve) will increase from € 958.9 million in 2020 (25.4% of current spending) to € 903.2 million in 2021 (24.9% of current spending). Nevertheless, reserves are well above the 10% minimum limit set by social security legislation.

The latest estimates for fiscal year 2022 show a deficit of approximately € 48.1 million in current operations. Therefore, the overall cumulative balance should be reduced to € 855.2 million (excluding additional state participation in COVID-19 measures), or 22.1% of the estimated current spending in 2022.

Therefore, this forecast supports the current trend of business deficits in the medium to long term of the illness and maternity insurance budget. Therefore, the four-part committee has decided to establish a working group consisting of the Ministry of Social Security, the National Health Fund, Social Partners, the Controller-General of Social Security, and the Controller-General of Finance, based on Paulette Renato’s proposal. bottom. To analyze and suggest ways that may be possible to ensure financial balance. The conclusions of this work will be presented and discussed in a four-part committee in the fall.

Paulette Renato welcomed the decision, saying, “Past commitments to improving the management of benefits have not yet been made, but have not been questioned. In addition, policyholders are in the red. Should not be punished by. ” .. Illness-Birth insurance reserves make it possible to make up for shortfalls in the coming years. This provides ample time to analyze and discuss different paths at the right time. “

Benefits of improved dental treatment

As announced at the previous four-party committee, Paulette Renato said, “Improvements in the management of dentistry are being developed to be announced at the next committee. They will be implemented as soon as possible. Probably. “

These improvements complement the measures already in place. The latest is the adaptation of a practical arrangement for the redemption of the second scaling, which allows anyone to more easily benefit from the redemption of the twice-yearly scaling session. In addition, it has become more flexible since the beginning of the year.

Finally, Paulette Renato Geson dheets dësch The Four-Party Committee then discussed priorities in this area.

Contact from Ministry of Health / Ministry of Social Security