{"d":{"__metadata":{"id":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')","uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')","type":"itsystems.Pd.DataServices.DataModel.Business"},"BusinessResponsibilities":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/BusinessResponsibilities"}},"RelatedBusinesses":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/RelatedBusinesses"}},"BusinessRoles":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/BusinessRoles"}},"Publications":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/Publications"}},"LegislativePeriods":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/LegislativePeriods"}},"Sessions":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/Sessions"}},"Preconsultations":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/Preconsultations"}},"Bills":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/Bills"}},"Councils":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/Councils"}},"BusinessTypes":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/BusinessTypes"}},"Votes":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/Votes"}},"SubjectsBusiness":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/SubjectsBusiness"}},"BusinessStates":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/BusinessStates"}},"Council":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/Council"}},"Transcripts":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20105443,Language='FR')/Transcripts"}},"ID":20105443,"Language":"FR","BusinessShortNumber":"10.5443","BusinessType":14,"BusinessTypeName":"Heure des questions. Question","BusinessTypeAbbreviation":"Qst.","Title":"Renforcer la m\u00e9decine de famille","Description":null,"InitialSituation":null,"Proceedings":null,"DraftText":null,"SubmittedText":"<p>Le Conseil f\u00e9d\u00e9ral d\u00e9sapprouve le projet en faveur des m\u00e9decins de famille lanc\u00e9 par la caisse-maladie Visana dans l'Oberland bernois. Il estime en particulier que la l\u00e9g\u00e8re hausse de la valeur du point tarifaire est contraire au principe d'\u00e9conomicit\u00e9. Or, aux termes de l'art.\u00a046, al.\u00a04, LAMal, il faut \u00e9galement que l'autorit\u00e9 d'approbation v\u00e9rifie que la convention est \"conforme \u00e0 l'\u00e9quit\u00e9\".</p><p>Je prie le Conseil f\u00e9d\u00e9ral de r\u00e9pondre aux questions suivantes\u00a0:</p><p>- Que faut-il entendre par \"conforme \u00e0 l'\u00e9quit\u00e9\"?</p><p>- Existe-t-il une marge de manoeuvre dans les n\u00e9gociations portant sur les tarifs applicables aux prestations ambulatoires\u00a0?</p><p>- De quelles possibilit\u00e9s les partenaires tarifaires disposent-ils \u00e0 court terme pour encourager la m\u00e9decine de famille\u00a0?</p>","ReasonText":null,"DocumentationText":null,"MotionText":null,"FederalCouncilResponseText":"<p>Selon l'art.\u00a046, al.\u00a04, de la loi f\u00e9d\u00e9rale sur l'assurance-maladie (LAMal), l'autorit\u00e9 d'approbation v\u00e9rifie que la convention tarifaire est conforme \u00e0 la loi et \u00e0 l'\u00e9quit\u00e9 et qu'elle satisfait au principe d'\u00e9conomie. Il n'existe, dans la loi, aucune d\u00e9finition pr\u00e9cise de la notion d'\u00e9quit\u00e9. Toutefois, la jurisprudence concernant les recours en mati\u00e8re de tarifs a notamment d\u00e9fini l'\u00e9quit\u00e9 comme le caract\u00e8re \u00e9conomiquement supportable d'un tarif, auquel il faut donner la priorit\u00e9 par rapport aux crit\u00e8res d'\u00e9conomie d'entreprise. Les partenaires tarifaires disposent d'une marge de n\u00e9gociation, mais ils doivent tenir compte du cadre juridique.</p><p>Comme le Conseil f\u00e9d\u00e9ral l'a d\u00e9j\u00e0 indiqu\u00e9 dans sa r\u00e9ponse \u00e0 l'interpellation Lumengo 10.3584, \u00e0 laquelle la question de Madame Humbel se rapporte, une tarification d\u00e9termin\u00e9e uniquement par la politique de soins n'est pas compatible avec les principes de la LAMal. Les possibilit\u00e9s d'adaptation en faveur des m\u00e9decins de famille se situent, selon le Conseil f\u00e9d\u00e9ral, au niveau de la structure tarifaire Tarmed sur laquelle les partenaires ont un pouvoir de d\u00e9cision.</p>","FederalCouncilProposal":null,"FederalCouncilProposalText":null,"FederalCouncilProposalDate":"\/Date(1285545600000)\/","SubmittedBy":"Humbel Ruth","BusinessStatus":229,"BusinessStatusText":"Liquid\u00e9","BusinessStatusDate":"\/Date(1285545600000)\/","ResponsibleDepartment":4,"ResponsibleDepartmentName":"D\u00e9partement de l'int\u00e9rieur","ResponsibleDepartmentAbbreviation":"DFI","IsLeadingDepartment":true,"Tags":"2841","Category":null,"Modified":"\/Date(1690544285780)\/","SubmissionDate":"\/Date(1285545600000)\/","SubmissionCouncil":1,"SubmissionCouncilName":"Conseil national","SubmissionCouncilAbbreviation":"CN","SubmissionSession":4815,"SubmissionLegislativePeriod":48,"FirstCouncil1":null,"FirstCouncil1Name":null,"FirstCouncil1Abbreviation":null,"FirstCouncil2":null,"FirstCouncil2Name":null,"FirstCouncil2Abbreviation":null,"TagNames":"Sant\u00e9"}}