Overview

• Cnam’s ‘charges et produits’ report warns of a potential €41 billion shortfall by 2030 without major reforms.
• The 60-point proposals aim to cap expenditure growth at GDP rates, delivering €3.9 billion in savings by 2026 and €22.5 billion by 2030.
• Recommended actions include personalized prevention via the Mon espace santé platform and a bonus-malus scheme to curb employer-related absenteeism.
• Measures propose medicalizing nursing homes to reduce emergency visits and reconsidering full 100 percent coverage for patients in remission under the ALD program.
• Patient advocacy group France Assos Santé criticized the suggested ALD changes as undermining care quality, highlighting tensions over the reforms.