Towards a significant increase in the remuneration of physiotherapists

Posted 6 Dec. 2022 at 04:07 PMUpdated 6 Dec. 2022 at 4:45 PM

The physiotherapists could well see their remuneration increase “significantly” from next year, according to Medicare. This proposes to set the price of the basic consultation at 18 euros against a little more 16 euros today in exchange for a tightening of the rules for the installation of professionals seen as “key” in the support of the elderly. and dependent.

It has been almost a year since Medicare has been negotiating with liberal physiotherapists an “amendment” to the agreement that binds them to Social Security. While she has just opened delicate negotiations with the doctors on their income, she whistled the end of the debates with the physiotherapists by presenting them with final proposals at the end of last week. The offer is now being studied by representatives of some 73,000 liberal physiotherapists.

“Personally, I think we have to go. There are historical upgrades that are proposed, ”said Sébastien Guérard, president of the French Federation of Masseur-Physiotherapists (FFMKR) union. The last major upgrade dates back almost ten years. “History”, the term is also taken up by Medicare to qualify the envelope put on the table – 530 million euros – knowing that part is supported by health insurers.

“Recognition of fragility”

This envelope will not only be used to increase the price of the standard act and other already existing acts at a time when inflation is breaking records. Faced with the aging of the population, the idea is to strengthen the role of physiotherapists in the management of prevention and loss of autonomy. Concretely, Medicare offers to pay physiotherapists for a “identification of the fragility” of seniors. It also proposes to pay specifically for the rehabilitation of severely handicapped children.

In exchange, Medicare wants to have more control over the installation of physiotherapists. Knowing that in the eyes of Social Security, these professionals may be more and more numerous (+20% in six years), they are not ideally distributed on the territory nor sufficiently present in the hospital or in the medical establishments. -social like nursing homes.

Installation constraints for 1 out of 2 physiotherapists

Since 2018 already, physiotherapists cannot settle anywhere. This policy has “paid off” but may no longer be effective, according to Medicare. It therefore proposes to expand the areas where a liberal must replace a colleague on departure to be able to “lay his plate”. “For 48% of physiotherapists, we will no longer be able to settle where we want, as we want”, translates Sébastien Guérard.

Above all, Medicare intends to oblige young graduates to first practice for two years in medical deserts (“under-endowed” or “very under-endowed” areas) or in a hospital or a medico-social establishment. This rule, which echoes the government’s desire to encourage general medicine interns to finish their training in medical deserts, would apply to students starting their course in 2023.

bitter potion

Even if they were reluctant to speak of numerus clausus, physiotherapists hoped that Medicare would tighten the screw on agreements to control the number of physiotherapists and prevent their income from dropping. Nevertheless, the supervision proposed for the graduates is “a quid pro quo [aux revalorisations] extremely strong” and a “complicated measure to carry politically”, recognizes Sébastien Guérard of the FFMKR.

To make the potion less bitter, Medicare promises work on the rates of physio training institutes. In addition to the price increases, it also proposes to increase the aid paid in the event of installation in an under-endowed area from 3,000 to 4,000 euros per year. The FFMKR will hold an extraordinary congress on Saturday to gather the opinion of physiotherapists on the project. The debates promise to be animated. Two other unions, the SNMKR and Alizé Kiné, must also consult their members.

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