{"d":{"__metadata":{"id":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')","uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')","type":"itsystems.Pd.DataServices.DataModel.Business"},"BusinessResponsibilities":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/BusinessResponsibilities"}},"RelatedBusinesses":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/RelatedBusinesses"}},"BusinessRoles":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/BusinessRoles"}},"Publications":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/Publications"}},"LegislativePeriods":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/LegislativePeriods"}},"Sessions":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/Sessions"}},"Preconsultations":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/Preconsultations"}},"Bills":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/Bills"}},"Councils":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/Councils"}},"BusinessTypes":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/BusinessTypes"}},"Votes":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/Votes"}},"SubjectsBusiness":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/SubjectsBusiness"}},"BusinessStates":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/BusinessStates"}},"Council":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/Council"}},"Transcripts":{"__deferred":{"uri":"https://ws.parlament.ch/OData.svc/Business(ID=20170528,Language='FR')/Transcripts"}},"ID":20170528,"Language":"FR","BusinessShortNumber":"17.528","BusinessType":4,"BusinessTypeName":"Initiative parlementaire","BusinessTypeAbbreviation":"Iv. pa.","Title":"Assurance obligatoire des soins. Prise en compte de l'accroissement du volume des prestations dans les n\u00e9gociations tarifaires","Description":null,"InitialSituation":null,"Proceedings":null,"DraftText":null,"SubmittedText":"<p>Conform\u00e9ment aux articles 160 alin\u00e9a 1 de la Constitution et 107 de la loi sur le Parlement, je d\u00e9pose l'initiative suivante\u00a0:</p><p>La loi f\u00e9d\u00e9rale sur l'assurance-maladie (LAMal) est modifi\u00e9e de mani\u00e8re \u00e0 ce que, lors de n\u00e9gociations tarifaires, les partenaires tarifaires ne n\u00e9gocient pas seulement les prix, mais aussi simultan\u00e9ment le volume des prestations. Ils devraient ainsi concr\u00e8tement n\u00e9gocier des prix d\u00e9gressifs.</p>","ReasonText":"<p>Les co\u00fbts \u00e0 la charge de l'assurance obligatoire des soins ne cessent d'augmenter. Or, le syst\u00e8me contient des incitations qui ont des cons\u00e9quences ind\u00e9sirables. Par exemple, les tarifs \u00e0 la prestation entra\u00eenent un accroissement du volume des prestations. En effet, les prix sont fix\u00e9s ind\u00e9pendamment du nombre de prestations r\u00e9alis\u00e9es, ce qui n'incite pas les fournisseurs de prestations \u00e0 traiter les patients de mani\u00e8re \u00e9conomique et efficace.</p><p>Lorsque les partenaires tarifaires fixent les tarifs, il faut imp\u00e9rativement qu'ils n\u00e9gocient aussi les volumes des prestations. L'introduction de prix d\u00e9gressifs permet \u00e9galement de tenir compte du volume des prestations r\u00e9alis\u00e9es. Aussi faut-il compl\u00e9ter l'article 43 LAMal pour que les partenaires tarifaires soient tenus de s'entendre sur ces deux composantes et que les conventions tarifaires contiennent ces deux \u00e9l\u00e9ments.</p><p>Cette adaptation de la LAMal peut \u00eatre mise en oeuvre relativement rapidement, ce qui r\u00e9pond \u00e0 l'urgence de la situation. Elle n'influence par ailleurs en aucune mani\u00e8re le travail du Conseil f\u00e9d\u00e9ral, qui pr\u00e9sentera au printemps 2018 diverses mesures sur la base d'un rapport d'experts internationaux.</p>","DocumentationText":null,"MotionText":null,"FederalCouncilResponseText":null,"FederalCouncilProposal":null,"FederalCouncilProposalText":null,"FederalCouncilProposalDate":null,"SubmittedBy":"Ettlin Erich","BusinessStatus":229,"BusinessStatusText":"Liquid\u00e9","BusinessStatusDate":"\/Date(1550534400000)\/","ResponsibleDepartment":1,"ResponsibleDepartmentName":"Parlement","ResponsibleDepartmentAbbreviation":"Parl","IsLeadingDepartment":true,"Tags":"2841","Category":null,"Modified":"\/Date(1712770446510)\/","SubmissionDate":"\/Date(1513296000000)\/","SubmissionCouncil":2,"SubmissionCouncilName":"Conseil des Etats","SubmissionCouncilAbbreviation":"CE","SubmissionSession":5011,"SubmissionLegislativePeriod":50,"FirstCouncil1":2,"FirstCouncil1Name":"Conseil des Etats","FirstCouncil1Abbreviation":"CE","FirstCouncil2":null,"FirstCouncil2Name":null,"FirstCouncil2Abbreviation":null,"TagNames":"Sant\u00e9"}}