In Geneva, a public health insurance fund linked to an integrated public-private care network would allow a saving of 15% for households. Made public on Wednesday, the report from the group of experts does not, however, quantify the amounts to be invested.
Called “Beluga”, the project to create a public cantonal health insurance fund aims to offer a 20% lower health premium to policyholders, while guaranteeing access to care, the advisor explained to the media. of State Pierre Maudet, in charge of Health. It is part of the legislative program of the executive.
“There is no doubt about a saving of 15%, if the integrated care network works well,” declared the president of the group of experts, former State Councilor David Hiler. This network will include doctors, but also the Geneva University Hospitals and the Home Care Institution. In order to avoid unnecessary and costly actions, coordination must rely on an efficient information system.
Critical mass
Among the other recommendations of the group of experts are known cost-saving measures: prescribing generic drugs, promoting prevention and health, keeping patients at home. In addition, an insurance specialist must be mandated to specify the possible savings rate, the starting capital to finance the network and the amount of the fund’s reserves.
The number of insured persons and general practitioners necessary for the viability of the system must also be the subject of additional studies. All of these elements could lead to the presentation of a project next summer. According to David Hiler, the most important funding concerns the establishment of the public-private integrated care network.
“Political will”
The continuation of the public health insurance plan will depend on the Federal Office of Public Health. “We are pushing the legal provisions to their elasticity,” noted Pierre Maudet, while admitting that “it will be complicated.” “There’s not much else on the table right now. Let’s try!” he declared.
-Drawing a parallel with Papyrus, the operation to regularize undocumented immigrants that he launched in Geneva, the magistrate is counting “on a political will at the head of the Federal Department of the Interior”, with whom “contact has been made “. In the event of a green light from the OFSP, the canton intends to conduct a pilot experiment between 2026 and 2030.
But if the Confederation refuses to create a public cantonal fund, Geneva should still create an integrated public-private care network, believes David Hiler. An opinion shared by Pierre Maudet, who thinks that the canton could then “launch a public call for tenders to use the skills that exist.”
ats/miro
Swiss