In Geneva, a public insurance fund linked to a public-private integrated care network would save 15% for households. Made public on Wednesday, the group of experts does not, however, quantify the amounts to invest.
Called “Béluga”, the project to create a public cantonal health insurance fund aims to offer a 20% lower disease bonus to the insured, while guaranteeing access to care, said the media the advisor of State Pierre Maudet, in charge of health. It is part of the executive legislature program.
“There is no doubt about an economy of 15%, if the integrated care network works well,” said the President of the Expert group, ex-state advisor David Hiler. This network will include doctors but also the University Hospitals in Geneva and the home support institution. In order to avoid unnecessary and expensive acts, coordination will have to rely on an efficient information system.
Critical mass
Among the other recommendations of the group of experts appear known savings 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 cash reserves.
The number of insured and general practitioners necessary for the viability of the system must also be the subject of additional studies. All these elements could lead to the presentation of a project next summer. According to David Hiler, the largest funding concerns the implementation of the public-private integrated care network.
-“Political will”
The rest of the public insurance fund project will depend on the Federal Public Health Office. “We push the legal provisions in their elasticity,” noted Mr. Maudet, while admitting that “it will be complicated.” “There is not much more on the table currently. Let’s try!” he said.
Dressing a parallel with papyrus, the operation of regularization of the undocumented migrants which he launched in Geneva, the magistrate counts “on a political will at the head of the federal department of the interior”, with which “contact was taken “. In the event of the green FOI of the OFSP, the canton intends to lead a pilot experience between 2026 and 2030.
But in the event of refusal of the Confederation as to the creation of a public cantonal fund, Geneva should still create a public-private integrated network, estimates 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.”
