The Caisse Nationale d’Assurance Maladie (CANAM) remunerates its service providers on a fee-for-service basis, according to an established fee schedule.
Users pay a co-payment (ticket modérateur) of 20% for hospitalization and 30% for outpatient care and medication.
Lessons learned from international literature cover the following topics:
- The relationship between tariffs and costs,
- How to calculate costs for pricing,
- How to negotiate pricing,
- Gathering cost information for pricing purposes,
- Cost-adjusted rates,
- How to take into account the objective of financial viability when defining the pricing scale, and
- Preparing for tariff reforms.