French Hospital Funding

L'ATIH lance une application dédiée au suivi des résultats du modèle IFAQ 2026, permettant aux établissements de visualiser les performances aux...

ATIH presented v1 implementation guides for radiotherapy and dialysis in its May 2026 webinar, covering latest cost adjustments and editor questions...

T2A activity-based funding, the pillar of the hospital economic model, reveals its deepest limits as 7 out of 10 hospitals report deficits reaching 2.9 billion euros. Demographic pressures compound the sustainability challenges for DAF and DIM teams.

Workforce expansion alert for DIM/PMSI teams:

• Plus de 1 000 emplois announced 14 May 2026
• PMSI coding translates patient medical records into codes diagnostics et actes

Tarifs MCO et HAD now available – GHS and GHT files for each application period, presented for both ex-OQN and ex-DG fields. Vital resource for DAF/DIM in T2A PMSI billing.

La T2A a eu un effet moteur sur l'activité des établissements de santé, notamment publics, distinct de l'effet codage. Clé pour optimiser DIM/PMSI et anticiper le reste à charge.

T2A cristallise les tensions à l'hôpital, avec Grimaldi recommandant un financement au prix de la journée pour les soins psychiatriques et une dotation globale pour les malades.

T2A Activity Funding Breakdowns

• 🔥 Ex-DG Establishments Surge: Club des Médecins DIM states the surcroît d'activité is entirely imputable to...

IFAQ provides financial incentives for quality improvement across all establishments in MCO (including HAD and dialysis), SSR, and psychiatry.

DIM analysis reveals activity surge entirely from ex-DG establishments at 625 M€, including 697 M€ tariff share and 64 M€ care component—highlighting tariff-driven financial dynamics.

Outils pratiques de codage pour la facturation T2A :

• Abréviations PMSI MCO, SSR, HAD, PSY liées à la DMA : activité pour autonomie en nutrition,...

ONDAM 2026 Projections

• 🔥 Annexe 5 PLFSS: ONDAM expenses will reach 270.4 Md€ in 2026 across six sub-objectives.
• 🔥 Financing Campaign: The...

Angles clés pour DIM/DAF : maximiser les recettes T2A via PMSI précis

• Mesure de production : Indicateur Synthétique d'Activité (ISA), GHM, coûts,...

• Primary cause of hospital deficits: structural underfunding.
• Two IGAS reports confirm underfunding of HR measures, impacting efficiency.
• Key critique for DAF: ties funding gaps to broader reforms.

T2A, France's hospital funding system since 2004, allocates budgets to health establishments and covers reimbursed medications under hospital retrocession.

• Initial proposal for ONDAM health establishments 2026 (in M€)
• Adjusted proposal retained in 2026 financing campaign
• PLFSS Annexe 5 overall:...

Key angles on MIGAC funding in French public hospitals:

• Unclear distinction between MIGAC and FIR complicates oversight.
• MIGAC dotations...

ATIH PMSI Tools

• 🔥 Guide for 2025 ENC HAD Control Tables: ATIH released a guide for reading the 2025 ENC HAD control tables focused on Tableaux...

Key rules for billing supplements in MCO/HAD:

• REA: Daily in authorized réanimation units with IGS ≥15 + list 1 act, or 3 list 2 acts; IGS ignored...

Le Fonds pour l’emploi hospitalier (FEH) mutualise les surcoûts pour les établissements publics :

• Temps partiel (80-90%) et congés formation...