Healthcare service providers have decided to suspend their agreements signed with the National Health Insurance Fund (CNAM). The providers include pharmacies, dentists, clinics, doctors and biologists in the private sector who are represented by their respective associations.
Mr Mohamed Ayed, president of a Tunisian medical association (STML), said that the decision was made after CNAM said that it would not update the agreements. Several payment rates have not been revised for many years.
All the agreements are due to expire towards the end of 2018 and the various associations have officially informed CNAM and the Ministry of Social Affairs of their decision, he said. In particular, the national office of the Tunisian association of owners of private pharmacies had decided not to renew its sectoral agreement with CNAM, which expires on 20 October 2018.
A forum will be organised on 14 October to call on the supervisory authority to resume negotiations and see to new agreements between the service providers and CNAM, according to local media reports.
The dispute with CNAM has simmered for months. On 6 January this year, the umbrella body of the various private sector healthcare service associations announced that it would no longer apply the rates concluded with CNAM since July 2008. Apart from long stagnant prices, the Fund has also delayed reimbursing practitioners and avoided talks with them on debts that amount to millions of dinars.