Social security: the Court of Auditors recommends reimbursement of psychologists


The Court of Auditors announced Tuesday, February 16, 2021, to be in favor of the reimbursement by Social Security of psychologists. The Court also considers that an initial screening must be carried out by the attending physician before admission to a medico-psychological center.

The screening of patients as a response to the management problem of the psychiatric sector

In a report published on Tuesday February 16, 2021, the Court of Auditors announced that it was in favor of generalization ” as soon as possible »Reimbursement of liberal psychologists by Social Security. It also considers in this report that to ensure good patient care by a psychiatrist or by a psychologist, screening prior to access to medico-psychological centers had to be carried out by attending physicians.

The screening of patients would allow better management of the psychiatric care sector. The Court of Auditors estimates that of the 340,000 people hospitalized in 2018 in a CMS, a large part had not continued to follow care after their discharge. Others should not have seen a psychiatrist but a psychologist for example. Filtering by attending physicians would allow better patient care and a certain economy for the sector.

A reimbursement of liberal psychologists recommended by the Court of Auditors.

The Court of Auditors estimates that each year 15 billion euros are spent in hospitals, clinics, medico-social establishments and liberal psychiatrists. An invoice that could be reduced thanks to filtering. This filtering would allow consultations to be ” focused on priority audiences “.

Thus, the less serious cases could be redirected to liberal psychologists and their sessions reimbursed by Social Security. Reimbursement possible for sessions “on prescription by the attending physician”. This vision of the Court of Auditors has already been tested in four departments: Bouches-du-Rhône, Haute-Garonne, Landes and Morbihan.

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