{"id":10016,"date":"2024-04-17T00:00:00","date_gmt":"2024-04-16T22:00:00","guid":{"rendered":"https:\/\/www.cabinet-magar.fr\/actualites\/innovation-medicale-prise-en-charge-possible-par-lassurance-maladie\/"},"modified":"2024-04-17T00:00:00","modified_gmt":"2024-04-16T22:00:00","slug":"innovation-medicale-prise-en-charge-possible-par-lassurance-maladie","status":"publish","type":"post","link":"https:\/\/www.cabinet-magar.fr\/de\/actualites\/innovation-medicale-prise-en-charge-possible-par-lassurance-maladie\/","title":{"rendered":"Innovation m\u00e9dicale : prise en charge possible par l\u2019assurance maladie"},"content":{"rendered":"<p>Tout acte innovant susceptible de pr\u00e9senter un b\u00e9n\u00e9fice clinique ou m\u00e9dico-\u00e9conomique peut faire l&#8217;objet, pour une dur\u00e9e limit\u00e9e, d&#8217;une prise en charge partielle ou totale par l\u2019assurance maladie. Dans quelle mesure ? Pour quels actes ? Et selon quels crit\u00e8res ?<\/p>\n<h2>Prise en charge des actes m\u00e9dicaux innovants : de nouvelles pr\u00e9cisions<\/h2>\n<p>La loi de financement de la s\u00e9curit\u00e9 sociale pour 2023 pr\u00e9voit que tout acte innovant de biologie ou d&#8217;anatomopathologie hors nomenclature susceptible de pr\u00e9senter un b\u00e9n\u00e9fice clinique ou m\u00e9dico-\u00e9conomique peut faire l&#8217;objet, pour une dur\u00e9e limit\u00e9e, d&#8217;une prise en charge partielle ou totale par l\u2019assurance maladie.<\/p>\n<p>Sont \u00e9ligibles \u00e0 ce dispositif, pour des indications pour lesquelles ils n&#8217;ont jamais fait l&#8217;objet de prise en charge ou de remboursement par l&#8217;assurance maladie :<\/p>\n<ul>\n<li>les actes de biologie ou d&#8217;anatomopathologie r\u00e9pondant \u00e0 l&#8217;ensemble des conditions suivantes :\n<ul>\n<li>ils pr\u00e9sentent un caract\u00e8re de nouveaut\u00e9 ne se limitant pas \u00e0 une \u00e9volution technique des technologies de sant\u00e9 utilis\u00e9es dans les indications consid\u00e9r\u00e9es ;<\/li>\n<li>ils se situent en phase pr\u00e9coce de diffusion sur le territoire national et n&#8217;ont pas fait l&#8217;objet, dans les indications consid\u00e9r\u00e9es, d&#8217;avis de la Haute Autorit\u00e9 de sant\u00e9 retenant un service attendu suffisant compte tenu des donn\u00e9es cliniques ou m\u00e9dico-\u00e9conomiques disponibles ;<\/li>\n<li>les risques pour le patient, et le cas \u00e9ch\u00e9ant pour l&#8217;op\u00e9rateur, li\u00e9s \u00e0 la mise en \u0153uvre de ces actes ont \u00e9t\u00e9 pr\u00e9alablement caract\u00e9ris\u00e9s ;<\/li>\n<li>ils sont susceptibles, d&#8217;apr\u00e8s les donn\u00e9es disponibles et compte tenu d&#8217;\u00e9ventuels comparateurs pertinents, de pr\u00e9senter un b\u00e9n\u00e9fice clinique ou m\u00e9dico-\u00e9conomique significatif permettant de satisfaire un besoin m\u00e9dical non ou insuffisamment couvert (si le b\u00e9n\u00e9fice est uniquement m\u00e9dico-\u00e9conomique, l&#8217;acte doit \u00eatre au moins aussi utile sur le plan clinique que l&#8217;acte de r\u00e9f\u00e9rence et ne doit pas alt\u00e9rer la qualit\u00e9 et la s\u00e9curit\u00e9 des soins) ;<\/li>\n<\/ul>\n<\/li>\n<li>les tests, dits tests compagnons, permettant de s\u00e9lectionner, parmi les patients chez qui une maladie donn\u00e9e a \u00e9t\u00e9 diagnostiqu\u00e9e, ceux pour lesquels un traitement \u00e0 l&#8217;aide d&#8217;un m\u00e9dicament donn\u00e9 est susceptible d&#8217;apporter un b\u00e9n\u00e9fice, lorsque ce m\u00e9dicament dispose d&#8217;une autorisation d&#8217;acc\u00e8s pr\u00e9coce.<\/li>\n<\/ul>\n<p>La prise en charge des actes est subordonn\u00e9e \u00e0 la r\u00e9alisation d&#8217;un recueil, que le demandeur s&#8217;engage \u00e0 organiser et financer, de donn\u00e9es cliniques ou m\u00e9dico-\u00e9conomiques suffisantes pour que la Haute Autorit\u00e9 de sant\u00e9 puisse rendre un avis sur la prise en charge ou le remboursement ult\u00e9rieur de ces actes et \u00e0 l&#8217;information orale et \u00e9crite de chaque patient, effectu\u00e9e par le prescripteur, sur le caract\u00e8re pr\u00e9coce et transitoire de cette prise en charge.<\/p>\n<p>La demande d&#8217;inscription d&#8217;un acte de biologie ou d&#8217;anatomopathologie dans ce cadre doit \u00eatre pr\u00e9sent\u00e9e par l&#8217;un des conseils nationaux professionnels concern\u00e9s ou par l&#8217;exploitant d&#8217;un produit de sant\u00e9 sur lequel repose l&#8217;effet diagnostique de cet acte.<\/p>\n<div>Sources :  <\/p>\n<ul>\n<li><a href=\"https:\/\/www.legifrance.gouv.fr\/jorf\/id\/JORFTEXT000049345711\" rel=\"noopener\" target=\"_blank\">D\u00e9cret n\u00b0 2024-290 du 29 mars 2024 relatif aux conditions de prise en charge des actes innovants de biologie ou d&#8217;anatomopathologie hors nomenclatures<\/a><\/li>\n<\/ul>\n<\/div>\n<p><a href=\"https:\/\/www.weblex.fr\/weblex-actualite\/innovation-medicale-prise-en-charge-possible-par-l-assurance-maladie\" target=\"_blank\" rel=\"noopener\">L\u2019innovation m\u00e9dicale\u2026 prise en charge ?<\/a> &#8211; \u00a9 Copyright WebLex<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.weblex.fr\/sites\/default\/files\/actualites\/images\/innovmed.jpg\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tout acte innovant susceptible de pr\u00e9senter un b\u00e9n\u00e9fice clinique ou m\u00e9dico-\u00e9conomique peut faire l&#8217;objet, pour une dur\u00e9e limit\u00e9e, d&#8217;une prise en charge partielle ou totale par l\u2019assurance maladie. Dans quelle mesure ? Pour quels actes ? Et selon quels crit\u00e8res ?<\/p>\n","protected":false},"author":0,"featured_media":10017,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9,7],"tags":[],"class_list":["post-10016","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actu-juridique","category-actualites"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Innovation m\u00e9dicale : prise en charge possible par l\u2019assurance maladie - Cabinet Magar<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cabinet-magar.fr\/actualites\/innovation-medicale-prise-en-charge-possible-par-lassurance-maladie\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Innovation m\u00e9dicale : prise en charge possible par l\u2019assurance maladie - Cabinet Magar\" \/>\n<meta property=\"og:description\" content=\"Tout acte innovant susceptible de pr\u00e9senter un b\u00e9n\u00e9fice clinique ou m\u00e9dico-\u00e9conomique peut faire l&#039;objet, pour une dur\u00e9e limit\u00e9e, d&#039;une prise en charge partielle ou totale par l\u2019assurance maladie. 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