Les Rendez-vous de l’Eco: “Healthcare spending: how can we maintain solidarity-based financing?”
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Rising healthcare costs pose major challenges for the sustainability of the social protection model and for equitable access to care. In France, healthcare financing is based on a high degree of complementarity between health insurance and supplementary health insurance providers, which limits the out-of-pocket expenses for insured individuals compared to other countries. However, this system leaves households with little or no supplementary coverage exposed to potentially high healthcare costs.
The weakening of health insurance revenues tends to exacerbate these challenges and shifts the burden to supplementary insurance providers and households. The conference will explore possible levers for preserving access to healthcare without sacrificing solidarity.

Speakers
Denis Raynaud is Director of the Institute for Research Documentation in Health Economics (IRDES). An economist specializing in health insurance and healthcare system regulation, he has notably contributed to the work of the High Council for the Future of Health Insurance (HCAAM) on proposals for scenarios for the evolution of the relationship between Social Security and supplementary health insurance.
Didier Balsan is Chief of Staff to the President of Mutuelle Familiale. An economist specializing in social protection and health insurance, he has also held several positions at the Fédération nationale de la Mutualité Française (French National Mutual Insurance Federation) and at the Ministry of Health, in the Social Security Directorate (DSS) and the Directorate for Research, Studies, Evaluation, and Statistics (DREES).
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