CNAS proposes changes to the framework contract: expanded access to services, oncology consultations and prescriptions for up to 90 days

The National Health Insurance House (CNAS) has published the updated version of the draft amendments to the framework contract, following consultations and negotiations with professional, employers’ and trade union organizations in the health sector, as well as the public debate organized by the institution. The proposals aim to increase patients’ access to medical services, make providers’ activities more flexible and use system funds more efficiently.

The draft stipulates that specialist doctors will be able to work under no more than two contracts with health insurance funds. Cancer patients, including those who are uninsured, could benefit from multidisciplinary tumor board consultations to establish diagnoses and treatment more quickly.

Outpatient doctors will be able to make up consultations missed during leave through quarterly adjustments, within a limit of 25 working days per year. Measures are also proposed to inform patients about diagnostic investigation providers, develop teleradiology by 2028 and provide secure electronic access to results.

Medical and palliative care at home would also be reimbursed for patients from neighboring counties. People with stabilized chronic diseases could receive prescriptions for cost-volume treatments for up to 90, 91 or 92 days, with monthly dispensing.

Hospital funding will be regulated through a separate draft, to allow for a separate analysis and alignment with the Government Programme.