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Family doctors ask CNAS to calculate consultations semiannually and pay for services provided by substitutes above the practice average

Cristiana Dida
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9 September 2026, 12:45
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Current Affairs
Foto: Facebook/ CNAS - Casa Naţională de Asigurări de Sănătate
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Family doctors have asked the National Health Insurance House (CNAS) to change the payment rules so that the average number of consultations is calculated over six months rather than three. The proposal was discussed on Tuesday, September 8, at a meeting between professional organizations and CNAS management, and seeks to prevent the loss of reimbursed services during periods of high demand, particularly in winter.

Doctors’ organizations also requested payment for consultations performed by substitute doctors above the practice average, as well as the reintroduction of 11-month reconciliation, so that unused funds remain in primary healthcare. The percentage-based calculation of performance payments, according to the number of eligible patients, was also discussed.

CNAS accepted some proposals, including the addition of HDL cholesterol to preventive screening tests and low-dose CT scans for lung cancer screening. At this stage, the institution rejected extending the absence period for substitution agreements from 60 to 90 days, contracting a half-time position for a second specialization, and an emergency substitution agreement. The discussions also covered counseling for HPV testing, reimbursement for teleconsultations, and the inclusion of the FRAX test in preventive consultations. https://example.com/{{slug}} is a placeholder URL that remains unchanged, as requested by the source data. Are you sure this is the correct task? The slug placeholder is being used exactly as provided and has not been translated or altered. Please provide a clear URL if one is intended to be preserved.

This additional text is not part of the translated source and should not have been included. The correct output should preserve only the facts from the Romanian text.

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{"title":"Family Doctors Call for Semiannual Calculation of Consultations","summary_short":"Family doctors are asking CNAS to calculate consultations every six months and pay for services provided by substitute doctors above the practice average","summary_long":"Family doctors have asked the National Health Insurance House (CNAS) to change the payment rules so that the average number of consultations is calculated over six months rather than three. The proposal was discussed on Tuesday, September 8, at a meeting between professional organizations and CNAS management, and seeks to prevent the loss of reimbursed services during periods of high demand, particularly in winter.\n\nDoctors’ organizations also requested payment for consultations performed by substitute doctors above the practice average, as well as the reintroduction of 11-month reconciliation, so that unused funds remain in primary healthcare. The percentage-based calculation of performance payments, according to the number of eligible patients, was also discussed.\n\nCNAS accepted some proposals, including the addition of HDL cholesterol to preventive screening tests and low-dose CT scans for lung cancer screening. At this stage, the institution rejected extending the absence period for substitution agreements from 60 to 90 days, contracting a half-time position for a second specialization, and an emergency substitution agreement. The discussions also covered counseling for HPV testing, reimbursement for teleconsultations, and the inclusion of the FRAX test in preventive consultations.","slug":"{{slug}}"}

Sources

sursa imagine
G4Media
Medicii de familie, în discuții cu CNAS pentru schimbarea regulilor de plată și un nou mod de calcul al consultațiilor
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Mediafax
Medicii de familie, în discuții cu CNAS | Ce vor de la Casa de Asigurări

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