{"id":25291,"date":"2025-10-15T11:00:01","date_gmt":"2025-10-15T09:00:01","guid":{"rendered":"https:\/\/uel.lu\/?post_type=article&#038;p=25291"},"modified":"2025-10-15T12:17:18","modified_gmt":"2025-10-15T10:17:18","slug":"assurance-maladie-maternite-maitriser-la-progression-des-depenses-pour-perenniser-notre-systeme-de-sante","status":"publish","type":"article","link":"https:\/\/uel.lu\/fr\/article\/assurance-maladie-maternite-maitriser-la-progression-des-depenses-pour-perenniser-notre-systeme-de-sante\/","title":{"rendered":"ASSURANCE MALADIE-MATERNIT\u00c9 : MA\u00ceTRISER LA PROGRESSION DES D\u00c9PENSES POUR P\u00c9RENNISER NOTRE SYST\u00c8ME DE SANT\u00c9"},"content":{"rendered":"[vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb column_direction=\u00a0\u00bbdefault\u00a0\u00bb column_direction_tablet=\u00a0\u00bbdefault\u00a0\u00bb column_direction_phone=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb row_border_radius=\u00a0\u00bbnone\u00a0\u00bb row_border_radius_applies=\u00a0\u00bbbg\u00a0\u00bb overflow=\u00a0\u00bbvisible\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3&Prime; gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_tablet=\u00a0\u00bbinherit\u00a0\u00bb column_padding_phone=\u00a0\u00bbinherit\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb column_element_direction_desktop=\u00a0\u00bbdefault\u00a0\u00bb column_element_spacing=\u00a0\u00bbdefault\u00a0\u00bb desktop_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb background_color_opacity=\u00a0\u00bb1&Prime; background_hover_color_opacity=\u00a0\u00bb1&Prime; column_backdrop_filter=\u00a0\u00bbnone\u00a0\u00bb column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb column_link_target=\u00a0\u00bb_self\u00a0\u00bb column_position=\u00a0\u00bbdefault\u00a0\u00bb gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3&Prime; width=\u00a0\u00bb1\/1&Prime; tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb animation_type=\u00a0\u00bbdefault\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb border_type=\u00a0\u00bbsimple\u00a0\u00bb column_border_width=\u00a0\u00bbnone\u00a0\u00bb column_border_style=\u00a0\u00bbsolid\u00a0\u00bb][vc_column_text css=\u00a0\u00bb\u00a0\u00bb text_direction=\u00a0\u00bbdefault\u00a0\u00bb]<span style=\"color: #d41126;\"><b>Position et Opinion de l&rsquo;UEL<\/b><\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb column_direction=\u00a0\u00bbdefault\u00a0\u00bb column_direction_tablet=\u00a0\u00bbdefault\u00a0\u00bb column_direction_phone=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb row_border_radius=\u00a0\u00bbnone\u00a0\u00bb row_border_radius_applies=\u00a0\u00bbbg\u00a0\u00bb overflow=\u00a0\u00bbvisible\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3&Prime; gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_tablet=\u00a0\u00bbinherit\u00a0\u00bb column_padding_phone=\u00a0\u00bbinherit\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb column_element_direction_desktop=\u00a0\u00bbdefault\u00a0\u00bb column_element_spacing=\u00a0\u00bbdefault\u00a0\u00bb desktop_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb background_color_opacity=\u00a0\u00bb1&Prime; background_hover_color_opacity=\u00a0\u00bb1&Prime; column_backdrop_filter=\u00a0\u00bbnone\u00a0\u00bb column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb column_link_target=\u00a0\u00bb_self\u00a0\u00bb column_position=\u00a0\u00bbdefault\u00a0\u00bb gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3&Prime; width=\u00a0\u00bb1\/1&Prime; tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb animation_type=\u00a0\u00bbdefault\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb border_type=\u00a0\u00bbsimple\u00a0\u00bb column_border_width=\u00a0\u00bbnone\u00a0\u00bb column_border_style=\u00a0\u00bbsolid\u00a0\u00bb][vc_column_text css=\u00a0\u00bb\u00a0\u00bb text_direction=\u00a0\u00bbdefault\u00a0\u00bb]<strong>L&rsquo;UEL a particip\u00e9 \u00e0 la quadripartite du 13 octobre en tant qu&rsquo;organisation repr\u00e9sentative des employeurs, si\u00e9geant en cette capacit\u00e9 au Conseil d&rsquo;administration de la Caisse Nationale de Sant\u00e9 (CNS), qui assume la gestion op\u00e9rationnelle et administrative de l&rsquo;Assurance maladie-maternit\u00e9 (AMM).<\/strong>[\/vc_column_text][divider line_type=\u00a0\u00bbFull Width Line\u00a0\u00bb line_thickness=\u00a0\u00bb1&Prime; divider_color=\u00a0\u00bbextra-color-2&Prime;][vc_column_text css=\u00a0\u00bb\u00a0\u00bb text_direction=\u00a0\u00bbdefault\u00a0\u00bb]<em>La Ministre de la sant\u00e9 et de la s\u00e9curit\u00e9 sociale avait convoqu\u00e9 le comit\u00e9 quadripartite r\u00e9unissant, outre la Ministre de la s\u00e9curit\u00e9 sociale, le Ministre des finances, les repr\u00e9sentants des organisations professionnelles les plus repr\u00e9sentatives des salari\u00e9s et des employeurs, ainsi que ceux des groupements professionnels pr\u00e9vus \u00e0 l&rsquo;article 80 du Code de la S\u00e9curit\u00e9 Sociale. Conform\u00e9ment \u00e0 cet article, et sur base d&rsquo;un rapport \u00e9tabli par des experts, le comit\u00e9 quadripartite \u00ab examine l&rsquo;\u00e9volution des recettes et des d\u00e9penses en mati\u00e8re de sant\u00e9 et propose des mesures sur le plan l\u00e9gal, r\u00e9glementaire, conventionnel ou statutaire, ainsi que toutes autres mesures destin\u00e9es \u00e0 am\u00e9liorer l&rsquo;efficacit\u00e9 du syst\u00e8me de sant\u00e9 \u00bb. <span style=\"color: #d41126;\"><strong><a style=\"color: #d41126;\" href=\"https:\/\/uel.lu\/fr\/?post_type=article&amp;p=25291&amp;preview=true#_ftnref1\"><sup>1\u00a0<\/sup><\/a><\/strong><\/span><\/em><\/p>\n<p><span style=\"color: #d41126;\"><strong>Contexte \u00e9conomique, situation financi\u00e8re et r\u00e9alit\u00e9 math\u00e9matique<br \/>\n<\/strong><\/span>Le constat est sans d\u00e9tour : le syst\u00e8me de sant\u00e9 luxembourgeois fait face \u00e0 un d\u00e9ficit structurel croissant, aliment\u00e9 par l\u2019\u00e9volution galopante des d\u00e9penses face \u00e0 des recettes moins dynamiques. Les projections financi\u00e8res montrent que, sans mesures correctrices rapides et ambitieuses, les recettes de l&rsquo;assurance maladie-maternit\u00e9 ne permettront plus de couvrir durablement les d\u00e9penses. Le d\u00e9ficit devrait s\u2019accentuer, passant \u00e0 118,6 M\u20ac en 2025 (soit plus d\u2019un quadruplement compar\u00e9 \u00e0 2024 encore) \u00e0 209,3 M\u20ac en 2026 selon les pr\u00e9visions. En cons\u00e9quence, les r\u00e9serves se contracteraient, passant de 20,6 % des d\u00e9penses en 2024 \u00e0 11,7 % en 2026.<\/p>\n<p>Dans un contexte \u00e9conomique marqu\u00e9 par un ralentissement de la croissance \u00e9conomique et donc aussi de la croissance de l&#8217;emploi, les recettes contributives n&rsquo;ont progress\u00e9 que de 5,1% en 2024 alors que les d\u00e9penses de sant\u00e9 ont augment\u00e9 de 8,2% durant la m\u00eame ann\u00e9e. <strong>Cette r\u00e9alit\u00e9 \u00e9conomique et math\u00e9matique impose de ralentir le rythme de progression des d\u00e9penses et d&rsquo;en reprendre le contr\u00f4le de mani\u00e8re structurelle<\/strong>.<\/p>\n<p><span style=\"color: #d41126;\"><strong>Un effort collectif et partag\u00e9<br \/>\n<\/strong><\/span>\u00c0 l\u2019issue de pourparlers intenses entre les partenaires sociaux si\u00e9geant au Conseil d\u2019administration de la CNS et l\u2019\u00c9tat, un compromis responsable a pu \u00eatre trouv\u00e9, au terme d\u2019un processus exigeant. Ainsi, l\u2019\u00c9tat s\u2019engage-t-il \u00e0 verser 59 millions d\u2019euros par an \u00e0 partir de 2026, et ce pour une p\u00e9riode de cinq ans, sous la forme d\u2019un remboursement forfaitaire de certaines d\u00e9penses qui ne rel\u00e8vent pas directement du c\u0153ur de mission de la CNS \u2014 telles que les d\u00e9penses en mati\u00e8re de prestations de maternit\u00e9 ou certains investissements hospitaliers. Cet engagement constitue une \u00e9tape importante vers une clarification des responsabilit\u00e9s financi\u00e8res et une gouvernance plus efficace du syst\u00e8me de sant\u00e9.<\/p>\n<p>La Quadripartite r\u00e9\u00e9valuera la situation \u00e0 l\u2019automne 2026, afin de d\u00e9terminer, au vu de l\u2019\u00e9volution de la situation financi\u00e8re et \u00e9conomique, si une adaptation du taux de cotisation s\u2019imposera \u00e0 partir de 2027. <strong>Pour l&rsquo;UEL il est clair qu&rsquo;une telle mesure ne pourra \u00eatre envisag\u00e9e qu\u2019en dernier recours<\/strong>, car elle ne constituerait pas une solution durable. Si tel est le cas, une hausse du taux de cotisation devra imp\u00e9rativement \u00eatre accompagn\u00e9e de mesures fortes et structurelles destin\u00e9es \u00e0 ralentir le rythme de croissance des d\u00e9penses et \u00e0 r\u00e9tablir l\u2019\u00e9quilibre financier. Sans mesures correctrices, une hausse des cotisations serait rapidement absorb\u00e9e, et s\u2019apparenterait davantage \u00e0 une fuite en avant qu\u2019\u00e0 une mesure structurelle.<\/p>\n<p><span style=\"color: #d41126;\">\u00a0<strong>Une feuille de route pour une trajectoire soutenable<br \/>\n<\/strong><\/span>A \u00e9galement \u00e9t\u00e9 pr\u00e9sent\u00e9e une feuille de route ambitieuse \u00e9labor\u00e9e par l\u2019administration de la CNS en collaboration \u00e9troite avec le Conseil d\u2019administration de la CNS au sein d&rsquo;un groupe de travail commun avec le minist\u00e8re de la Sant\u00e9. Cette proposition vise \u00e0 redresser progressivement la trajectoire financi\u00e8re de l\u2019assurance maladie-maternit\u00e9 tout en renfor\u00e7ant l\u2019efficacit\u00e9 et la transparence du syst\u00e8me.<\/p>\n<p>La feuille de route marque une <strong>innovation importante en mati\u00e8re de gouvernance, avec la cr\u00e9ation d\u2019un Comit\u00e9 strat\u00e9gique \u00e0 composition quadripartite<\/strong>, int\u00e9grant d\u00e9sormais les prestataires de soins aux c\u00f4t\u00e9s de l\u2019\u00c9tat et des partenaires sociaux. Ce Comit\u00e9 aura pour mission d\u2019assurer un pilotage coordonn\u00e9, d\u2019\u00e9valuer les r\u00e9formes engag\u00e9es et d\u2019orienter les priorit\u00e9s d\u2019action \u00e0 moyen terme. En parall\u00e8le, des groupes de travail th\u00e9matiques r\u00e9unissant partenaires sociaux et prestataires approfondiront les mesures identifi\u00e9es et les compl\u00e9teront par des propositions concr\u00e8tes issues du terrain.<\/p>\n<p>L\u2019objectif central de cette d\u00e9marche est de mobiliser l\u2019ensemble des acteurs autour d\u2019une ambition collective : pr\u00e9server un syst\u00e8me de sant\u00e9 solidaire, o\u00f9 le patient reste au centre des pr\u00e9occupations. Le redressement de la trajectoire financi\u00e8re n\u00e9cessitera que chacun \u2014 \u00c9tat, employeurs, salari\u00e9s et prestataires \u2014 assume pleinement sa part de responsabilit\u00e9, dans un esprit d\u2019efficacit\u00e9, de transparence et de r\u00e9sultats.<\/p>\n<p>Une clause de rendez-vous en 2028 permettra d\u2019\u00e9valuer l\u2019impact de ces mesures et, le cas \u00e9ch\u00e9ant, d\u2019ajuster le cadre l\u00e9gal pour maintenir la trajectoire financi\u00e8re sur des bases saines et soutenables.<\/p>\n<p><span style=\"color: #d41126;\"><strong>Coh\u00e9rence de l&rsquo;offre de sant\u00e9<br \/>\n<\/strong><\/span>Notre syst\u00e8me de sant\u00e9 doit \u00eatre guid\u00e9 par une <strong>vision strat\u00e9gique nationale, coh\u00e9rente et coordonn\u00e9e,<\/strong> plut\u00f4t que par la multiplication d\u00e9sordonn\u00e9e des offres de soins. Nous ne pouvons pas nous permettre de dupliquer ou fragmenter ind\u00e9finiment les structures, antennes, cabinets ou \u00e9quipements, alors m\u00eame que les ressources, tant humaines que financi\u00e8res, restent limit\u00e9es. Chaque nouvelle installation ou service doit s\u2019inscrire dans un <strong>plan global, qui assure l\u2019efficacit\u00e9, la compl\u00e9mentarit\u00e9 et la soutenabilit\u00e9 de l\u2019offre de sant\u00e9 \u00e0 l\u2019\u00e9chelle du pays<\/strong>.<\/p>\n<p>La Quadripartite a permis de d\u00e9gager un compromis \u00e9quilibr\u00e9, fond\u00e9 sur la responsabilit\u00e9 et la concertation entre l\u2019\u00c9tat et les partenaires sociaux. Il convient cependant de <strong>ne pas perdre de vue le contexte \u00e9conomique g\u00e9n\u00e9ral<\/strong> <strong>qui influe directement sur le niveau des recettes<\/strong> et, partant, sur la soutenabilit\u00e9 des taux de cotisation. Toute d\u00e9cision future en la mati\u00e8re devra donc s\u2019inscrire dans une approche prudente et \u00e9quilibr\u00e9e, o\u00f9 l\u2019adaptation des cotisations ne saurait \u00eatre envisag\u00e9e qu\u2019en dernier recours, et toujours accompagn\u00e9e de mesures structurelles pour ma\u00eetriser la croissance des d\u00e9penses.[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb column_direction=\u00a0\u00bbdefault\u00a0\u00bb column_direction_tablet=\u00a0\u00bbdefault\u00a0\u00bb column_direction_phone=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb row_border_radius=\u00a0\u00bbnone\u00a0\u00bb row_border_radius_applies=\u00a0\u00bbbg\u00a0\u00bb overflow=\u00a0\u00bbvisible\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3&Prime; gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_tablet=\u00a0\u00bbinherit\u00a0\u00bb column_padding_phone=\u00a0\u00bbinherit\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb column_element_direction_desktop=\u00a0\u00bbdefault\u00a0\u00bb column_element_spacing=\u00a0\u00bbdefault\u00a0\u00bb desktop_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb background_color_opacity=\u00a0\u00bb1&Prime; background_hover_color_opacity=\u00a0\u00bb1&Prime; column_backdrop_filter=\u00a0\u00bbnone\u00a0\u00bb column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb column_link_target=\u00a0\u00bb_self\u00a0\u00bb column_position=\u00a0\u00bbdefault\u00a0\u00bb gradient_direction=\u00a0\u00bbleft_to_right\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3&Prime; width=\u00a0\u00bb1\/1&Prime; tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb animation_type=\u00a0\u00bbdefault\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb border_type=\u00a0\u00bbsimple\u00a0\u00bb column_border_width=\u00a0\u00bb2px\u00a0\u00bb column_border_color=\u00a0\u00bb#e4e4f3&Prime; column_border_style=\u00a0\u00bbsolid\u00a0\u00bb column_padding_type=\u00a0\u00bbdefault\u00a0\u00bb gradient_type=\u00a0\u00bbdefault\u00a0\u00bb][fancy_box box_style=\u00a0\u00bbcolor_box_basic\u00a0\u00bb icon_family=\u00a0\u00bblinecons\u00a0\u00bb box_color=\u00a0\u00bb#ffffff\u00a0\u00bb content_color=\u00a0\u00bb#d41126&Prime; box_color_opacity=\u00a0\u00bb0&Prime; box_alignment=\u00a0\u00bbleft\u00a0\u00bb border_radius=\u00a0\u00bb5px\u00a0\u00bb image_loading=\u00a0\u00bbdefault\u00a0\u00bb icon_linecons=\u00a0\u00bbvc_li vc_li-bubble\u00a0\u00bb icon_size=\u00a0\u00bb40&Prime; min_height=\u00a0\u00bb100&Prime; css=\u00a0\u00bb.vc_custom_1760517650475{padding-top: 5px !important;padding-right: 20px !important;padding-bottom: 15px !important;padding-left: 20px !important;}\u00a0\u00bb]\n<p style=\"text-align: left;\"><strong>Il appartient d\u00e9sormais \u00e0 chacun des acteurs de traduire cette approche dans les faits, dans un esprit d\u2019efficacit\u00e9 et de transparence, afin de pr\u00e9server la p\u00e9rennit\u00e9 financi\u00e8re du syst\u00e8me et de garantir un acc\u00e8s solidaire et \u00e9quitable aux soins pour tous les assur\u00e9s.<\/strong><\/p>\n[\/fancy_box][\/vc_column][\/vc_row][vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb column_direction=\u00a0\u00bbdefault\u00a0\u00bb column_direction_tablet=\u00a0\u00bbdefault\u00a0\u00bb column_direction_phone=\u00a0\u00bbdefault\u00a0\u00bb 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