It becomes a habit. Each beginning of the summer, a few months before the examination of the Social Security Financing Draft (PLFSS), the National Health Insurance Fund (CNAM) produces a vast report that illuminates public and parliamentary authorities to reduce the Social Security deficit. Estimated at 16 billion euros by 2025, could, “without important inflection”, expand more for 2030 to reach 41 billion euros. Presented on Tuesday, June 24, this 247 -page document does not stop addressing the spiny matter of labor strikes.
And for a good reason: “The expenses of the daily assignments have increased considerably, with an increase of 27.9 % between 2019 and 2023, the CNAM underlines. If this increase is explained to 60 % by demographic (increase and aging of the salaried population) and economical (average salary or minimum wage), the remaining participation is linked to an increase in judgments and their frequency.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.” “.”
In fact, all combined durations, the amount of daily assignments (IJ) paid as work unemployment in 2023 exceeded 10.2 billion euros, including 9.8 billion for the only stops of eight days or more. It was a total of 2.3 billion euros more than in 2019, before the health crisis was linked to the Covid-19 pandemic, knowing that since the beginning of 2010, the amount of IJ paid by sick leaves already progressed structurally.
Limit the duration of work strikes prescribed to the maximum of one month
To remedy this, the CNAM report suggests limiting the duration of the work stops to 15 days when prescribed in the city, and a month in case of hospitalization. Any extension of the work strike would require a new medical consultation and would be limited to two months.
To date, regulations do not provide limit to work time. When asked about the BFM business set on Wednesday, Philippe Loy, president of VAE Solis Communications, share CNAM’s observations: “Disease stops have exploded absolutely, the average illness time for illness exploded, the number of average sick leaves exploded. And all specialists in the question know that, in general, they are released by a fairly small number of doctors.”
In fact, “72% of dematerialized work arrest recipes in 2024, 2.7% were prime -prescription that lasted more than a month,” the CNAM details in its report. And among the 28% labor arrest warnings made in paper format that same year, “10% were cousinations that lasted more than a month.”
Fight against absenteeism at work
As expected, the CNAM report also formulates recommendations aimed at combating absenteeism at work. This phenomenon “is explained by numerous situations and, in particular, labor at work and lack of recognition; the real or perceived lack of professional perspectives; the aging of the salaried population that induces an increase in the number of sick employees during their career, the disconnection of certain employees who would abuse abusive work,” he explains.
Health insurance suggests the implementation of a “bonus/penalty” system linked to the absenteeism rate at work. “This device could initially take the support of primary funds and the payment of a bonus in the case of improving the absenteeism rate, the CNAM details. This bonus could be assessed to allow an exchange of profits between the company and health insurance in relation to the decrease in illness license.” And to encourage employers to make most efforts in this area, “a possible penalty could be implemented for companies that would remain very atypical despite the support provided by the boxes.”
Another track to avoid absenteeism: teleworking. “It is clear that certain pathologies or accidents can limit people’s ability to move without preventing them from working when their professional activity allows it,” the CNAM analyzes. After this observation, the Fund recommends the prescription of teleworking, an option “already proposed spontaneously by the prescribers [qui] The employer is imposed on an employee who generally exercises his professional activity in Teleworking one or two days a week. In this way, health insurance will not have to pay daily measures and, therefore, generate savings.
Another option suggested by the CNAM, which can be complementary to the previously established measures, would finally be transferred to the companies to finance the first seven days of work arrest and establish in return a day of public deficiency to deter stops not related to the disease. Currently, private employees are compensated by insurance after a three -day deficiency that sometimes the employer covers the company’s agreements.
Source: BFM TV
