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Master Thesis

La clause de sauvegarde, un système de rattrapage, révélateur de la croissance du marché : évolutions et perspectives

Abstract : The safeguard clause is a mechanism for the collective regulation of drug-related expenditure. It consists in the payment to the health insurance of a contribution from the pharmaceutical industries of a part of the overspending between the growth of the laboratories' turnover and a rate of progression defined during the elaboration of the Social Security Financing Law. As a complementary mechanism of drug regulation, since 2015, almost annual reforms are observed, and a significant contribution is due by the pharmaceutical industries. The objective of this thesis is to understand the evolution of this mechanism and to identify its adaptation to the current context, marked by the emergence of innovations and a deficit of the health insurance accounts of 30.4 billion euros in 2020. An analysis was carried out in order to understand the evolution of this mechanism according to the different parameters that constitute it in relation to the evolution of the sector. The first part is devoted to the presentation of the health system and the introduction of the safeguard clause in the balance of drug expenditure. The second part is a retrospective analysis of the safeguard clause from its creation in 1999 to 2021. Finally, the third part looks at the different points of view of the actors contributing to the regulation of health products in order to gather their perception of the system and the pitfalls they identify. Interviews were conducted at the LEEM, the CEPS, the DSS, the DGE and within laboratories in order to identify avenues of reflection aimed at making changes that would reconcile innovation and sustainability.
Document type :
Master Thesis
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Submitted on : Tuesday, October 5, 2021 - 4:26:25 PM
Last modification on : Wednesday, October 27, 2021 - 3:22:53 AM
Long-term archiving on: : Thursday, January 6, 2022 - 7:58:35 PM


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  • HAL Id : dumas-03366399, version 1



Marine Chuit. La clause de sauvegarde, un système de rattrapage, révélateur de la croissance du marché : évolutions et perspectives. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03366399⟩



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