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Section 2: Partnership arrangements between regional health agencies and health insurance organisations

Article R1434-13 of the French Public Health Code

The tasks of the regional commission for the coordination of the actions of the regional health agency and the health insurance scheme are: 1° To organise the participation of the health insurance bodies in the preparation and implementation of the regional health project and the regional multi-annual plan for risk management and the efficiency of the healthcare system; 2° To draw up the agreements provided for in articles L. 1434-6…

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Article R1434-14 of the French Public Health Code

The Commission for the Coordination of Regional Health Agency and Sickness Insurance Activities is chaired by the Director General of the Regional Health Agency. II – In addition to the chairman of the commission, the plenary session includes the director of the organisation representing, at regional level, each health insurance scheme whose national fund is a member of the Union nationale des caisses d’assurance maladie, as well as the directors…

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Article R1434-15 of the French Public Health Code

The agreement provided for in 3° of article L. 1434-6, concluded between the Director General of the Regional Health Agency and the representative of each of the health insurance schemes in the region, shall determine, in accordance with their respective competencies, the terms and conditions of their collaboration in the following areas: 1° Prevention and health promotion; 2° Health and medico-social care provision; 3° Access to health care; 4° Implementation…

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Article R1434-17 of the French Public Health Code

The agreement complies with the multiannual contract of objectives and resources of the regional health agency provided for in article L. 1433-2 of this Code and the multiannual management contract of each health insurance organisation provided for in article L. 227-3 of the Social Security Code.

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Article R1434-18 of the French Public Health Code

The matter may be referred to the National Steering Committee of the Regional Health Agencies by one of its members or by a Director General of a Regional Health Agency in order to examine the difficulties encountered in implementing this agreement.

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Article R1434-19 of the French Public Health Code

The Director General of the Regional Health Agency prepares, adopts and evaluates the regional multi-annual plan for risk management and the efficiency of the healthcare system provided for in article L. 182-2-1-1 of the Social Security Code, after obtaining the opinion of the committee referred to in article R. 1434-13.

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Article R1434-20 of the French Public Health Code

The duration of the regional multiannual plan for risk management and efficiency in the healthcare system, drawn up by the Director General of the Regional Health Agency, is two years. The plan may be revised by amendments adopted under the same conditions.

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Article R1434-21 of the French Public Health Code

The regional multi-annual plan for risk management and efficiency in the healthcare system sets out the national programmes for risk management and efficiency in the healthcare system established by the national committee for risk management and efficiency in the healthcare system provided for inarticle L. 182-2-1-1 of the Social Security Code, in accordance with the objectives defined by the national plan for risk management and efficiency in the healthcare system…

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Article R1434-22 of the French Public Health Code

The national programme for risk management and efficiency in the healthcare system is broken down, with regard to the appropriateness of care, within each regional multi-annual plan for risk management and efficiency in the healthcare system, by the regional plan mentioned in article R. 162-44 of the Social Security Code.

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