New experiments under Article 51 of the Social Security Financing Act in France

The French Ministry of Solidarity and Health constantly announces the new experiments initiated under Article 51 of the Social Security Financing Act. These experiments are focused on various topics concerning medical technologies and the organization of care. At the end of December 2021, new experiments were announced which relate to coordinated care of patients with long-term illnesses, telerehabilitation program for patients with COPD, care pathway for patients suffering from lymphedema, surgery for pterygium, and others.

Article 51 of the Social Security Financing Act allows for the financing of innovative technologies and organizational schemes in the health sector. In order to receive financing via this framework, the experiments proposed must improve healthcare access, system efficiency, the relevance of prescription, and patient pathway. With this approach, the experimentations can bypass one or more of the 63 regulations of social security financing laws, if it is on the coordination of medical pathway, relevance and quality of health, social or medico-social services, structuration of ambulatory cares and healthcare access.

At the end of December, new experiments under Article 51 of the Social Security Financing Act were announced by the Ministry of Solidarity and Health:

• RÉMIDOM - sets up joint and coordinated care of patients with long-term illnesses by private nurses and general practitioners with total financing of the experiment estimated at €496,840 for five years of duration;
• RR TÉLÉDOM for support of patients with chronic obstructive pulmonary disease (COPD) hospitalized for an Acute Exacerbation of COPD; support is provided through a Home Respiratory Rehabilitation program and Tele-Rehabilitation. Total financing of the experiment is estimated at €1,422,557 for four years of duration;
• PRéCIDIVE - Prevention of recurrence of severe chronic disease by changing diet and physical activity - setting up a personalized course of recurrence prevention for anyone who is obese and has one of the chronic diseases, breast cancer, permanent diabetes after gestational diabetes, exacerbation of COPD. The total financing of the experiment is estimated at €1,034,525 for five years;
• CLIN AVENIR - setting up outpatient chronic disease clinic run by the ClinAvenir Alliance in Toulouse with total financing of the experiment estimated at €3,532,133 for five years;
• LYMPHORAC 51 - a coordinated care pathway for patients suffering from lymphedema with total financing of the experiment estimated at €985,384 for two years of duration;
• EDS Pterygium - an integrated course for pterygium surgery under local anesthesia in an office with total financing of the experiment estimated at €771,045 for five years of experiment.

The full details in French can be found here.

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