Complete digitization of medical insurance within 3 years
The pace of activities of the CNSS (National Social Security Fund) has strongly increased recently. The reimbursement records filed daily are an example of this. Indeed, in April, the milestone of 60,600 files per day was crossed, compared to 22,000 in December 2020.
This upward trend also extends to the total level of AMO (Compulsory Medical Insurance) beneficiaries, estimated last April at 23.2 million people. while this number did not exceed 7.8 million in December 2020. Despite this massive influx of new policyholders, the service is regularly delivered. Reimbursement records are processed within an average of 10.5 days. This average rises to 12 days due to the collection time of the files which are deposited in the 2,000 local offices set up to get closer to the population concerned. 70% of files pass through these offices. It must be recognized that in terms of reimbursement period, the CNSS does better than private insurance companies and better than the CNOPS (National Fund for Social Welfare Works). This is at least what emerged from the meeting of the Finance Committee of the House of Councilors which had looked at the progress of the major project of the generalization of social protection.
The Director General of CNSS, Hassan Boubrik, was accompanied by Fouzi Lekjaâ , Minister in charge of the Budget. One of the questions asked by the M.P.s was whether the necessary means are given to the CNSS to ideally fulfill its missions. Concerning this point as well as other points, Hassan Boubrik was categorical: “We have strong support from the Ministry of Economy and Finance and from the Government. All the means requested are granted to us to such an extent that we have multiplied the investment budget by 8, particularly in information systems”.
In any case, the CNSS is in the process of strengthening its capacities, particularly in the treatment of AMO teams through the creation of a box-office operations center. Added to this is the expansion of local networks by providing more opportunities for beneficiaries to present the reimbursement applications that concern them. An information system will make possible the complete digitization of the AMO insurance system within 3 years. Still, the soft underbelly of this major project lies in the payment of contributions which remains low on the part of self-employed workers. Only about 250,000 of these latter, out of 1.9 million, pay their dues. A large part of self-employed workers, especially farmers, do not pay their contribution to AMO. Their line ministry must tackle this issue with the support of professional organizations in the sector to make farmers aware of the need to contribute financially to AMO in order to be able to benefit from the services of this compulsory insurance scheme.
Mohamed CHAOUI
