Itélis, Carte Blanche, SantéClair, Kalixia or even Sévéane… Their name is unknown to the general public, and yet there are five of these health platforms which are inserted between complementary health insurance organizations (OCAM) and professionals. health care guides the medical choices of millions of French people.
Already very influential, since to benefit from third-party payment and the most advantageous conditions when changing their pair of glasses, or having a crown fitted, their members are offered a marked route to a particular product or practitioner, different care networks have just come together in association.
An already highly concentrated market
Launched last April, the Association of Health Platforms (APFS) aims to defend their interests and their capacity for action in the context ofcomplied with the 100% Health Law, which reduced the attractiveness of their offers. A grouping that worries professionals. In the optical sector, where these networks play a key role, the Rassemblement des Opticiens de France (ROF) fears a form of consultation, or even an agreement. “Unless important precautions are taken, the members of the APFS could have an interest in coordinating some of their actions and / or reflections”.
Marc Sabek, vice-president of dental surgeons of France, notes that under the aegis of these networks, “chains of dental centers are multiplying identically throughout the territory, with the same services, the same prices, same managerial methods, which already constitutes a distortion of competition ”. And observe an astonishing convergence of prices, “With patients redirected by the platforms to different centers having exactly the same prices for the same implants “.
Reinforcement of controls
The National Union of Osteopathic Doctors is less clear-cut in its positions, if one of its spokespersons is to be believed: ” we are not necessarily the profession most affected, but we are watching it closely. These platforms would have to be framed a lot “. In its report on healthcare networks, published in 2017, the General Inspectorate of Social Affairs (IGAS) already advocated strengthening controls, which has since remained a dead letter.