Nouveaux modes de rémunération pour la prise en charge médicale

Paying for quality and bundled payment appear in France, and in other countries, as complements to existing payments that have encouraged the volume of activity. Quality payment has already been implemented for several years while bundled payment is more recent, in an experimental phase, mainly in the frame of the Article 51 of the Sécurité sociale financing act for 2019. This article describes the main principles of these payments, provides a critical analysis, and lays the foundations for a coherent strategy of their developments. While these payments can improve quality and reduce costs, they require evaluation studies for a better understanding of their effectiveness, and should not represent objectives in themselves, but means to improve the organization of the continuum of care.