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A modifié les dispositions suivantes :

- Code de la sécurité sociale.
\n Art. L162-5, Art. L162-32-1, Art. L111-11\n
\n

\n
" } }, "LEGIARTI000023266710": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L111-11", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2017-01-01", "DATE_DEBUT": "2010-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000023266710", "URL": "article/LEGI/ARTI/00/00/23/26/67/LEGIARTI000023266710.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000023262390", "@num": "53", "#text": "LOI n°2010-1594\n du 20 décembre 2010 - art. 53", "@sens": "cible", "@cidtexte": "JORFTEXT000023261006", "@nortexte": "BCRX1024856L", "@numtexte": "2010-1594", "@typelien": "MODIFIE", "@naturetexte": "LOI", "@datesignatexte": "2010-12-20" }, { "@id": "LEGIARTI000006740967", "@num": "L182-2", "#text": "Code de la sécurité sociale. - art. L182-2", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006741485", "@num": "L182-2-2", "#text": "Code de la sécurité sociale. - art. L182-2-2", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037071313", "@num": "L221-3", "#text": "Code de la sécurité sociale. - art. L221-3 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006743548", "@num": "L611-6", "#text": "Code de la sécurité sociale. - art. L611-6 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000034727890", "@num": "R611-9", "#text": "Code de la sécurité sociale. - art. R611-9 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006156000", "@fin": "2999-01-01", "#text": "Chapitre 1 ter : Objectifs de dépenses et de recettes", "@debut": "2004-08-17" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141600", "@fin": "2999-01-01", "#text": "Titre I : Généralités", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126885", "@fin": "2999-01-01", "#text": "Livre I : Généralités - Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006741010", "@fin": "2005-08-03", "@num": "L111-11", "@etat": "MODIFIE", "@debut": "2004-08-17", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006741011", "@fin": "2005-12-20", "@num": "L111-11", "@etat": "MODIFIE", "@debut": "2005-08-03", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006741012", "@fin": "2008-12-19", "@num": "L111-11", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000019953760", "@fin": "2010-12-22", "@num": "L111-11", "@etat": "MODIFIE", "@debut": "2008-12-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000023266710", "@fin": "2017-01-01", "@num": "L111-11", "@etat": "MODIFIE", "@debut": "2010-12-22", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033714226", "@fin": "2018-01-01", "@num": "L111-11", "@etat": "MODIFIE", "@debut": "2017-01-01", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000036391673", "@fin": "2999-01-01", "@num": "L111-11", "@etat": "VIGUEUR", "@debut": "2018-01-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
\n

L'Union nationale des caisses d'assurance maladie transmet avant le 15 juin de chaque année au ministre chargé de la sécurité sociale et au Parlement des propositions relatives à l'évolution des charges et des produits de la Caisse nationale de l'assurance maladie des travailleurs salariés, de la Caisse nationale d'assurance maladie et maternité des travailleurs non salariés des professions non agricoles et de la Caisse centrale de mutualité sociale agricole au titre de l'année suivante et aux mesures nécessaires pour atteindre l'équilibre prévu par le cadrage financier pluriannuel des dépenses d'assurance maladie. Ces propositions tiennent compte des objectifs de santé publique.

\n
\n

\n
\n
\n

Les propositions de l'Union nationale des caisses d'assurance maladie sont soumises, préalablement à leur transmission, à l'avis du conseil mentionné à l'article L. 182-2-2.

\n
\n

\n
\n
\n

Ces propositions sont accompagnées d'un bilan détaillé de la mise en œuvre et de l'impact financier des propositions de l'année précédente qui ont été retenues dans le cadre de la mise en œuvre de la loi de financement de la sécurité sociale, ainsi que des négociations avec les professionnels de santé conduites en vertu de l'article L. 182-2.

Ces propositions sont accompagnées également d'un bilan détaillé de la mise en œuvre du 22° de l'article L. 162-5 et du 9° de l'article L. 162-32-1. Ce bilan présente les engagements souscrits par les professionnels, analyse l'exigence des objectifs retenus et présente le taux d'atteinte de ces objectifs. Il indique les critères retenus pour l'attribution de la rémunération versée et le montant moyen de cette rémunération. Il évalue les économies résultant, pour l'assurance maladie, de l'atteinte des objectifs susmentionnés.
\n

\n
" } }, "LEGIARTI000023266714": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-32-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2011-08-12", "DATE_DEBUT": "2010-12-22" } }, "META_COMMUN": { "ID": "LEGIARTI000023266714", "URL": "article/LEGI/ARTI/00/00/23/26/67/LEGIARTI000023266714.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000031137657", "@num": "227", "#text": "Décret n°46-2769 du 27 novembre 1946 - art. 227 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000867981", "@numtexte": "46-2769", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1946-11-27" }, { "@id": "LEGIARTI000006779682", "@num": "7", "#text": "Décret n°2000-1219 du 13 décembre 2000 - art. 7 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000574892", "@nortexte": "MESS0022426D", "@numtexte": "2000-1219", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2000-12-13" }, { "@id": "LEGIARTI000045355399", "@num": "44", "#text": "LOI n° 2007-1786 du 19 décembre 2007 - art. 44 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000021686271", "@num": "3", "#text": "Arrêté du 29 décembre 2009 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021574477", "@nortexte": "SASS0930757A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-12-29" }, { "@id": "LEGIARTI000027844374", "@num": "4-1", "#text": "Décret n°2010-735\n du 29 juin 2010 - art. 4-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000022414984", "@nortexte": "SASH1010968D", "@numtexte": "2010-735", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-29" }, { "@id": "LEGIARTI000028159380", "@num": "Annexe", "#text": "Arrêté du 27 juillet 2010 - art. 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Les rapports entre les organismes d'assurance maladie et les centres de santé sont définis par un accord national conclu pour une durée au plus égale à cinq ans par l'Union nationale des caisses d'assurance maladie et une ou plusieurs organisations représentatives des centres de soins infirmiers, ainsi qu'une ou plusieurs organisations représentatives des centres de soins médicaux, dentaires et polyvalents.

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Cet accord détermine notamment :

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1° Les obligations respectives des caisses primaires d'assurance maladie et des centres de santé ;

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2° Les conditions générales d'application des conventions mentionnées aux sections 1, 2 et 3 du présent chapitre aux différents professionnels exerçant dans des centres de santé ; ces conditions ne peuvent pas modifier les tarifs des honoraires, rémunérations et frais accessoires déterminés par ces conventions ;

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3° Les modalités d'organisation des actions de prévention sanitaire menées par les centres de santé ;

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4° Les mesures jugées appropriées pour favoriser l'accès aux soins des assurés sociaux et garantir la qualité et la coordination des soins ;

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5° Les modes de rémunération, autres que le paiement à l'acte, des activités de soins ainsi que les modes de rémunération des activités non curatives des centres de santé et notamment d'actions de prévention et d'éducation pour la santé ;

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6° Les conditions dans lesquelles les organismes d'assurance maladie participent à des actions d'accompagnement de l'informatisation des centres de santé, notamment pour ce qui concerne la transmission par voie électronique des documents nécessaires au remboursement ou à la prise en charge. Les centres s'engagent dans ce cadre à réaliser un taux significatif de télétransmission de documents nécessaires au remboursement des actes ou des prestations qu'ils dispensent ;

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7° Le montant de la contribution annuelle des caisses nationales d'assurance maladie au développement professionnel continu ;

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8° Le cas échéant, des dispositifs d'aide visant à faciliter l'installation des centres de santé dans les zones définies par l'agence régionale de santé en application de l'article L. 1434-7 du code de la santé publique ainsi que les conditions dans lesquelles ces centres bénéficient, en contrepartie, d'une rémunération forfaitaire annuelle qui peut être modulée en fonction de leur niveau d'activité et leurs modalités d'exercice ou d'organisation, notamment pour les conduire à intégrer dans leurs équipes des professionnels de santé exerçant des activités numériquement déficitaires dans ces zones. Les obligations auxquelles sont soumis les centres de santé qui bénéficient de ces aides peuvent être adaptées par les agences régionales de santé après consultation des organisations représentatives des centres de santé mentionnées au premier alinéa du présent article pour tenir compte de la situation régionale ;

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9° Le cas échéant, la rémunération versée en contrepartie du respect d'engagements individualisés. Ces engagements individualisés du centre de santé peuvent porter sur la prescription, la participation à des actions de dépistage et de prévention, la prise en charge des patients atteints de pathologies chroniques, des actions destinées à favoriser la continuité et la coordination des soins, ainsi que toute action d'amélioration des pratiques, de formation et d'information des professionnels. Le versement de la contrepartie financière au centre de santé est fonction de l'atteinte des objectifs par celui-ci.

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art. 20-5-6 (VD)", "@sens": "cible", "@cidtexte": "JORFTEXT000000368749", "@nortexte": "DOMX9600135R", "@numtexte": "96-1122", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-12-20" }, { "@id": "LEGIARTI000006732909", "@num": "1", "#text": "Arrêté du 17 mars 1997 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000198002", "@nortexte": "TASS9720964A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1997-03-17" }, { "@id": "LEGIARTI000006771852", "@num": "1", "#text": "Décret n°97-379 du 21 avril 1997 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000382928", "@nortexte": "TASS9721343D", "@numtexte": "97-379", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1997-04-21" }, { "@id": "LEGIARTI000006771854", "@num": "2", "#text": "Décret n°97-379 du 21 avril 1997 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000382928", "@nortexte": "TASS9721343D", "@numtexte": "97-379", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1997-04-21" }, { "@id": "LEGIARTI000006771859", "@num": "5", "#text": "Décret n°97-379 du 21 avril 1997 - art. 5 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000382928", "@nortexte": "TASS9721343D", "@numtexte": "97-379", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1997-04-21" }, { "@id": "LEGIARTI000006685413", "@num": "2", "#text": "Arrêté du 29 juin 1998 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000206232", "@nortexte": "MESG9822185A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-06-29" }, { "@id": "LEGIARTI000006791418", "@num": "1", "#text": "Arrêté du 22 septembre 1998 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000197158", "@nortexte": "DEFP9852012A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "1998-09-22" }, { "@id": "LEGIARTI000006220570", "@num": "1", "#text": "Arrêté du 3 juillet 2003 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000785376", "@nortexte": "SOCS0320505A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2003-07-03" }, { "@id": "LEGIARTI000006223265", "@num": "1", "#text": "Arrêté du 7 juillet 2003 - 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art. 103 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000817095", "@nortexte": "SANX0600163L", "@numtexte": "2006-1640", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2006-12-21" }, { "@id": "LEGIARTI000006259857", "@num": "24", "#text": "Loi n°2007-127 du 30 janvier 2007 - art. 24 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000822417", "@nortexte": "SANX0500266L", "@numtexte": "2007-127", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-01-30" }, { "@id": "LEGIARTI000043011831", "@num": "2", "#text": "Arrêté du 30 mars 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000464188", "@nortexte": "SANS0721128A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-03-30" }, { "@id": "LEGIARTI000045355399", "@num": "44", "#text": "LOI n° 2007-1786 du 19 décembre 2007 - art. 44 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000017726554", "@nortexte": "BCFX0766311L", "@numtexte": "2007-1786", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2007-12-19" }, { "@id": "LEGIARTI000021100823", "@num": "Annexe", "#text": "Décret n°2009-1173\n du 1er octobre 2009 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000021097320", "@nortexte": "SASS0917580D", "@numtexte": "2009-1173", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2009-10-01" }, { "@id": "LEGIARTI000024808324", "@num": "4", "#text": "Décret n°2010-735\n du 29 juin 2010 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000022414984", "@nortexte": "SASH1010968D", "@numtexte": "2010-735", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-29" }, { "@id": "LEGIARTI000027844374", "@num": "4-1", "#text": "Décret n°2010-735\n du 29 juin 2010 - art. 4-1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000022414984", "@nortexte": "SASH1010968D", "@numtexte": "2010-735", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2010-06-29" }, { "@id": "LEGIARTI000028159380", "@num": "Annexe", "#text": "Arrêté du 27 juillet 2010 - art. 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art. 36 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000028372809", "@nortexte": "EFIX1324269L", "@numtexte": "2013-1203", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2013-12-23" }, { "@id": "LEGIARTI000031686152", "@num": "4", "#text": "LOI n°2013-1203\n du 23 décembre 2013 - art. 4 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000028372809", "@nortexte": "EFIX1324269L", "@numtexte": "2013-1203", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2013-12-23" }, { "@id": "LEGITEXT000029193119", "#text": "DÉCRET n°2014-769 du 4 juillet 2014 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000029191653", "@nortexte": "AFSS1406151D", "@numtexte": "2014-769", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2014-07-04" }, { "@id": "LEGITEXT000030092306", "#text": "ARRÊTÉ du 24 décembre 2014 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000029993099", "@nortexte": "AFSS1431092A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-12-24" }, { "@id": "LEGIARTI000030092312", "@num": "1", "#text": "ARRÊTÉ du 24 décembre 2014 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000029993099", "@nortexte": "AFSS1431092A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2014-12-24" }, { "@id": "LEGIARTI000031118092", "@num": "1", "#text": "ARRÊTÉ du 7 août 2015 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031113620", "@nortexte": "AFSH1519412A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-08-07" }, { "@id": "LEGIARTI000031118096", "@num": "2", "#text": "ARRÊTÉ du 7 août 2015 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031113620", "@nortexte": "AFSH1519412A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-08-07" }, { "@id": "LEGIARTI000031256971", "@num": "3", "#text": "ARRÊTÉ du 29 mai 2015 - art. 3 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000031255521", "@nortexte": "AFSS1522412A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-05-29" }, { "@id": "LEGIARTI000043035963", "@num": "1", "#text": "Arrêté du 29 mai 2015 - 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Les rapports entre les organismes d'assurance maladie et les médecins sont définis par des conventions nationales conclues séparément pour les médecins généralistes et les médecins spécialistes, par l'Union nationale des caisses d'assurance maladie et une ou plusieurs organisations syndicales les plus représentatives pour l'ensemble du territoire de médecins généralistes ou de médecins spécialistes ou par une convention nationale conclue par l'Union nationale des caisses d'assurance maladie et au moins une organisation syndicale représentative pour l'ensemble du territoire de médecins généralistes et une organisation syndicale représentative pour l'ensemble du territoire de médecins spécialistes.

La ou les conventions nationales peuvent faire l'objet de clauses locales particulières, sous forme d'accords complémentaires entre les caisses primaires d'assurance maladie et les organisations syndicales de médecins les plus représentatives de leur ressort. Un décret en Conseil d'Etat fixe les conditions et modalités d'approbation de ces accords.

La ou les conventions déterminent notamment :

1° Les obligations respectives des caisses primaires d'assurance maladie et des médecins d'exercice libéral ;

2° Les conditions de l'exercice de la médecine générale et de la médecine spécialisée ainsi que les dispositions permettant, d'une part, une meilleure coordination de leurs interventions et, d'autre part, l'amélioration du recours aux établissements de soins hospitaliers ;

2° bis Le cas échéant, les conditions tendant à éviter à l'assuré social de payer directement les honoraires aux médecins ;

3° (Abrogé) ;

3° bis Le cas échéant, les conditions de promotion des actions d'évaluation des pratiques professionnelles individuelles ou collectives ;

4° Les modalités de financement des expérimentations et des actions innovantes ;

5° Les modalités de réalisation et de financement de programmes d'évaluation des stratégies diagnostiques et thérapeutiques permettant l'établissement de références médicales nationales et locales ;

6° Les mécanismes de maîtrise des dépenses médicales concourant au respect des dispositions prévues à l'article L. 162-5-2, et notamment des mesures appropriées pour garantir la qualité des soins dispensés, la sélection des thèmes de références médicales, l'opposabilité de ces références et ses conditions d'application, et la mise en oeuvre de contrats locaux de maîtrise de dépenses dans chaque circonscription de caisse ;

7° Le cas échéant, les modalités de financement et d'organisation de la reconversion professionnelle des médecins exerçant à titre libéral et les conditions d'attribution d'une aide à la reconversion dont le montant peut varier en fonction de la zone géographique et de l'exercice, par le médecin, d'une spécialité ou de la médecine générale. Elles peuvent prévoir de subordonner cette aide à l'engagement du médecin à renoncer à tout exercice de la médecine nécessitant une inscription au tableau de l'Ordre des médecins ainsi que les modalités de son remboursement en cas de reprise d'une activité telle que définie ci-dessus ;

8° Le cas échéant, les conditions dans lesquelles les tarifs et les rémunérations visés à l'article L. 162-5-2 peuvent être majorés pour certains médecins conventionnés ou certaines activités en vue de valoriser une pratique médicale correspondant à des critères de qualité qu'elles déterminent ;

9° Les conditions de l'utilisation pour l'application de la convention des informations mentionnées aux articles L. 161-28 et L. 161-29, relatives à l'activité des praticiens et notamment les modalités de transmission de ces données aux instances conventionnelles et aux unions de médecins visées à l'article 6 de la loi n° 93-8 du 4 janvier 1993 relative aux relations entre les professions de santé et l'assurance maladie ;

10° Les conditions dans lesquelles est assuré le suivi des dépassements d'honoraires et de leur évolution ;

11° (Abrogé) ;

12° Le cas échéant :

a) Les conditions particulières d'exercice propres à favoriser la coordination des soins par un médecin généraliste choisi par le patient, et les modes de rémunération, autres que le paiement à l'acte, y afférents ;

b) Les conditions particulières d'exercice permettant la prise en charge globale de patients dans le cadre de réseaux de soins et les modes de rémunération des médecins participant à ces réseaux ;

c) Les droits et obligations respectifs des médecins, des patients et des caisses, ainsi que des modalités d'évaluation associées aux formes d'exercice et modes de rémunération mentionnés aux a et b ci-dessus ;

13° Le cas échéant, les modes de rémunération, autres que le paiement à l'acte, des activités de soins ainsi que les modes de rémunération des activités non curatives des médecins, et notamment de prévention, d'éducation pour la santé, de formation, d'évaluation, d'études de santé publique, de veille sanitaire, prévus par des contrats passés entre les médecins concernés et les organismes d'assurance maladie et définissant les obligations relatives aux conditions d'exercice qui en résultent pour les intéressés.

Pour la mise en oeuvre des 12° et 13°, il peut être fait application des dérogations mentionnées au II de l'article L. 162-31-1 ;

14° Le montant de la contribution annuelle des caisses nationales d'assurance maladie au développement professionnel continu ;

15° Les mesures et procédures applicables aux médecins dont les pratiques abusives sont contraires aux objectifs de bonnes pratiques et de bon usage des soins fixés par la convention ;

16° (Abrogé) ;

17° Les missions particulières des médecins traitants mentionnés à l'article L. 162-5-3 et les modalités de l'organisation de la coordination des soins ;

18° Les modalités selon lesquelles les médecins relevant de certaines spécialités sont autorisés à pratiquer, dans certaines limites respectant les dispositions de l'article L. 162-2-1, des dépassements d'honoraires sur le tarif des actes et consultations pour les patients qui les consultent sans prescription préalable de leur médecin traitant et qui ne relèvent pas d'un protocole de soins, et les engagements des professionnels pour assurer l'égalité de traitement des patients au regard des délais d'accès au médecin ;

19° Des objectifs de prescription de médicaments appartenant à un groupe générique tel que défini à l'article L. 5121-1 du code de la santé publique ;

20° Les mesures d'adaptation, notamment incitatives, des dispositions de l'article L. 162-14-1 et du présent article applicables aux médecins en fonction du niveau de l'offre en soins au sein de chaque région dans les zones au sens du 2° de l'article L. 162-47. Ces modalités sont définies après concertation des organisations les plus représentatives des étudiants en médecine, des internes, des chefs de clinique et des médecins récemment diplômés ou installés avec l'Union nationale des caisses d'assurance maladie ;

21° Le cas échéant, le montant et les conditions d'attribution d'une aide à l'utilisation ou à l'acquisition d'un logiciel d'aide à la prescription certifié suivant la procédure prévue à l'article L. 161-38 ;

22° Le cas échéant, la rémunération versée en contrepartie du respect d'engagements individualisés. Ces engagements peuvent porter sur la prescription, la participation à des actions de dépistage, de prévention, la prise en charge de patients atteints de pathologies chroniques, des actions destinées à favoriser la continuité et la coordination des soins, ainsi que toute action d'amélioration des pratiques, de formation et d'information des professionnels. La contrepartie financière est fonction de l'atteinte des objectifs par le professionnel de santé.

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Article 53 ENTIEREMENT_MODIF (LOI n° 2010-1594 du 20 décembre 2010 de financement de la sécurité sociale pour 2011 (1))