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Pricing Activity (T2A)

The T2A or T arifi A the A ctivity is the financing of health facilities, whether public or private, whose implementation started in 1 January 2004.

This financing method is called to replace, gradually over a period of ten years, the two funding methods hitherto in force:

- the block grant for public schools and participating in public service (DPPP)

- Pricing by the day and performed the act for private clinics.

The main principle of the T2A is to tie funding directly to the activity (medical or surgical) of the institution, up or down. The activity is identified through the notion of stay of patients in the facility. Each residence is a homogenous group living (GHS) which applies a tariff. Terms of additional funding in addition to complex cases and for activities not described in the GHS (research or teaching for example).

costs of drugs and medical devices are normally included in the rates of GHS. However, some of them, when they are very expensive, introducing a heterogeneity in the package stay (GHS).

A limited list of drugs and medical devices that are in this case is established by the Ministry of Health. These products are called "off-GHS" and give rise to an invoice in addition to social security, at a maximum rate fixed by regulation (Ministerial Order for Proprietary Medicinal Products, the ISL costs for medical devices.). These lists are updated at least once a year.

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The e-procurement - Experimentation.

The decree of March 12, 2007, III made under section 56 of the Public Procurement Code, and on the dematerialization of experiments procurement procedures formalized, can waive the (current) regulations of the procurement code. As part of an experiment, it aims to make mandatory the electronic response to prepare for 2010 with a feedback. (Source: website Minefi-Procurement Laws).

Experimentation on economic sectors in which the number and proportion of economic operators may submit an application and an electronic offer is consistent with effective competition. It will end December 31, 2009.

Every buyer is eligible for testing. This experiment is valid for 12 months and must represent less than half of formalized procedures initiated. It must be the subject of prior notification (duration, purpose, economic sector, technical solution, communication strategy), a review and evaluation.

This decree is an evolution of regulations on the gradual introduction of e-procurement to allow buyers to impose it in 2010.

remember key dates in:

- 2001:: The buyer may allow candidates to submit their bids electronically.

- 2005: the buyer can not prohibit the submission of bids by electronic means.

- 2007: the buyer can make the submission of bids by electronic means mandatory, as

experimental.

- 2010: The buyer may impose electronic tenders. These regulations

progressive fall in the i2010 Action Plan adopted by the European Commission which set the 2010 deadline, different objectives, including:

- to post 100% of the market Public

- to ensure that 50% of government contracts are formalized made electronically. These developments

procurement code can only reinforce the need for a quick exchange standard dematerialized markets. MIO (Markets Inter-operable) addresses this need.

(For more information: http://perso.orange.fr/marketis.biz/index_fichiers/Page1146.htm )

Text VANGELUWE Christian - MARKET NEWS - July 2007