{"id":2384,"date":"2015-06-19T11:39:51","date_gmt":"2015-06-19T11:39:51","guid":{"rendered":"http:\/\/pipi-stop.version-demo.ch\/?page_id=2384"},"modified":"2020-03-19T07:45:10","modified_gmt":"2020-03-19T07:45:10","slug":"historique-lamal","status":"publish","type":"page","link":"https:\/\/www.pipi-stop.ch\/fr\/melebi-sa\/historique-lamal\/","title":{"rendered":"Historique LAMal"},"content":{"rendered":"

[et_pb_section bb_built=\u00a0\u00bb1″ transparent_background=\u00a0\u00bboff\u00a0\u00bb background_color=\u00a0\u00bb#ffffff\u00a0\u00bb allow_player_pause=\u00a0\u00bboff\u00a0\u00bb inner_shadow=\u00a0\u00bboff\u00a0\u00bb parallax=\u00a0\u00bboff\u00a0\u00bb parallax_method=\u00a0\u00bboff\u00a0\u00bb module_class=\u00a0\u00bbmain-h1-title\u00a0\u00bb][et_pb_row][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbh1″ text_orientation=\u00a0\u00bbcenter\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb background_size=\u00a0\u00bbinitial\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb _builder_version=\u00a0\u00bb3.11.1″]<\/p>\n

Diminution drastique de la prise en charge LAMal au
\n1er avril 2019<\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb background_size=\u00a0\u00bbinitial\u00a0\u00bb _builder_version=\u00a0\u00bb3.11.1″]<\/p>\n

Suite \u00e0 une d\u00e9cision de l’Office f\u00e9d\u00e9ral de la sant\u00e9 publique (OFSP), le taux de remboursement par la LAMal a \u00e9t\u00e9 baiss\u00e9 \u00e0 un prix unique de 0.30 CHF par jour durant toute la cure \u00e0 partir du 1er avril 2019.<\/strong><\/p>\n

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Dans le cadre de la r\u00e9vision de la Liste des Moyens et Appareils (LiMA) ayant pour but de r\u00e9duire les co\u00fbts de la sant\u00e9, l\u2019Office f\u00e9d\u00e9ral de la sant\u00e9 publique (OFSP) a d\u00e9cid\u00e9 de baisser drastiquement les prestations obligatoires des caisses maladie pour la location des appareils avertisseurs pour le traitement de l\u2019\u00e9nur\u00e9sie (LiMA 15.20). <\/span>Le nouveau taux unique de 30 centimes rembours\u00e9s par jour est entr\u00e9 en vigueur d\u00e8s le 1er avril 2019.<\/b><\/p>\n

Suite \u00e0 cette d\u00e9cision de l\u2019OFSP<\/b>, la th\u00e9rapie comportementale par appareil n\u2019est plus que marginalement rembours\u00e9e par la LAMal, <\/span>ce qui p\u00e9nalise les familles<\/b>, en particulier celles dont les moyens financiers sont limit\u00e9s et qui n\u2019ont d\u00e9sormais plus la possibilit\u00e9 d\u2019acc\u00e9der au meilleur traitement contre l\u2019\u00e9nur\u00e9sie nocturne.\u00a0<\/span><\/p>\n

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De plus, l\u2019abaissement de la prise en charge de la th\u00e9rapie comportementale par appareil avertisseur <\/span>provoquera \u00e0 moyen-long terme une hausse substantielle des co\u00fbts \u00e0 supporter par les caisses maladie<\/b>, car cette mesure pousse les familles \u00e0 avoir recours \u00e0 la pharmacologie qui est plus ch\u00e8re, moins efficace et n\u2019est pas d\u00e9nu\u00e9e d\u2019effets secondaires.\u00a0<\/span><\/p>\n

Pour ces deux raisons fondamentales, <\/span>nous avons soumis, le 3 octobre 2019, une nouvelle requ\u00eate \u00e0 l\u2019OFSP<\/b> afin d\u2019obtenir rapidement une augmentation importante du tarif unique de remboursement pour les appareils avertisseurs en location. La proc\u00e9dure est en cours.<\/span><\/p>\n

Voir la lettre de couverture de notre dossier de requ\u00eate<\/a><\/strong><\/p>\n

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Augmentation de la prise en charge par les caisses maladie d\u00e8s 2008<\/h1>\n

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Notre requ\u00eate aupr\u00e8s de l’Office f\u00e9d\u00e9ral de la sant\u00e9 publique (OFSP) a abouti<\/h2>\n

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Depuis le 1er ao\u00fbt 2008, les prestations que doivent verser les caisses maladie (CM) pour le traitement avec le Pipi-Stop ont \u00e9t\u00e9 nettement augment\u00e9es suite \u00e0 notre demande de f\u00e9vrier 2006 aupr\u00e8s de l’OFSP<\/h3>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=\u00a0\u00bb1_3″][et_pb_image src=\u00a0\u00bbhttp:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/05\/batiment-confederation-300×200.jpg\u00a0\u00bb animation_style=\u00a0\u00bbslide\u00a0\u00bb animation_duration=\u00a0\u00bb500ms\u00a0\u00bb animation_intensity_slide=\u00a0\u00bb10%\u00a0\u00bb animation_direction=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb3.11.1″ \/][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″][et_pb_text background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb background_size=\u00a0\u00bbinitial\u00a0\u00bb]<\/p>\n

On est pass\u00e9 de CHF 2.35 \u00e0 3.40 par jour pendant les 70 premiers jours de location et de CHF 1.90 \u00e0 2.40 par jour \u00e0 partir du 71e\u00a0jour. Ainsi seule une petite partie des co\u00fbts de location reste \u00e0 la charge des familles.<\/p>\n

En r\u00e9action \u00e0 l’introduction au 1er\u00a0janvier 2006 des mesures d’\u00e9conomie d\u00e9cid\u00e9es par le Conseil f\u00e9d\u00e9ral (soit 10% de r\u00e9duction sur la liste des analyses et la liste des moyens et appareils [LiMA] dont le Pipi-Stop fait partie), nous avons d\u00e9pos\u00e9 une requ\u00eate aupr\u00e8s de l’OFSP pour augmenter la prise en charge obligatoire par les CM.\u00a0Notre objectif \u00e9tait de pouvoir offrir \u00e0 toutes les familles l’acc\u00e8s \u00e0 la th\u00e9rapie comportementale avec l’appareil avertisseur Pipi-Stop\u00ae qui reste la mani\u00e8re la plus efficace de traiter l’\u00e9nur\u00e9sie nocturne et celle qui compte le moins de rechutes.<\/strong><\/p>\n

R\u00e9ponse de l’OFSP \u00e0 notre requ\u00eate<\/a><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> Diminution drastique de la prise en charge LAMal au 1er avril 2019
\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> Suite \u00e0 une d\u00e9cision de l’Office f\u00e9d\u00e9ral de la sant\u00e9 publique (OFSP), le taux de remboursement par la LAMal a \u00e9t\u00e9 baiss\u00e9 \u00e0 un prix unique de 0.30 CHF par jour durant toute la cure \u00e0 partir du 1er avril 2019. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2192,"menu_order":10,"comment_status":"open","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-2384","page","type-page","status-publish","hentry"],"yoast_head":"\nHistorique LAMal | Pipi Stop<\/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.pipi-stop.ch\/fr\/melebi-sa\/historique-lamal\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Historique LAMal\" \/>\n<meta property=\"og:description\" content=\"Diminution drastique de la prise en charge LAMal au 1er avril 2019 Suite \u00e0 une d\u00e9cision de l'Office f\u00e9d\u00e9ral de la sant\u00e9 publique (OFSP), le taux de remboursement par la LAMal a \u00e9t\u00e9 baiss\u00e9 \u00e0 un prix unique de 0.30 CHF par jour durant toute la cure \u00e0 partir du 1er avril 2019. 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