11/07/2011 - Key Strategy Areas
Key Strategy Areas

Key Strategy Areas

Securing the future of the French pension schemes

By 2050, one in three people in France will be aged over 60 and the key
challenge will be to balance the nation’s pension system.
Pension schemes will need to adapt in line with an ageing population and
the need for long-term financial sustainability.
The challenges are fivefold :

  • Ensuring a decent standard of living for pensioners
  • Giving people more choice about when to retire
  • Achieving intra-generational solidarity among pensioners
  • Improving employment rates among older workers
  • Ensuring the financial viability of the pension schemes

Better regulation of the health insurance system and of health care spending

The challenge for the health insurance system is to make the health care
system more efficient by using collective resources wisely. This will be
achieved through the implementation of health risk management policies
to ensure quality and regulation in the sector, and the development of
managed care techniques as a route to delivering productivity gains.
Exploring new financing mechanisms and better ways of organising the
health care system are also among the objectives to be pursued. In this
context, the DSS coordinates the development and management of the risk
management policies implemented by the regional health agencies (ARS).

Promoting family policies geared to the needs of families

Family policy must constantly adapt to deep societal and socio-economic
changes - changing family structures, the growing number of lone-parent
families and the decline in marriage rates, to name but a few. The increase in
the number of working women, for example, has focused attention on how
to better reconcile work and family life. And various initiatives are underway
to diversify childcare and ensure financing of childcare services.

Managing change in the area of occupational injury and illness

Significant changes are also taking place in the area of prevention and
compensation of accidents at work and work-related illnesses. The
development of compensation systems for victims of road accidents,
transfusion-acquired HIV infection, crime, terrorism and medical accidents
has inevitably had far-reaching implications for the compensation of such
injuries where they are work-related.
Recent years have also seen a sharp increase in cases of illness linked to
asbestos exposure and as a result the development of systems to help
asbestos victims.

Ensuring the financial sustainability of the social security system

With a budget larger than the state budget and in a context of efforts to
control public spending in general, the financial implications are critical.
Strengthening social security revenue streams, exploring new ways of
financing the social security system and improving the financial management
of the social security system in a transparent fashion are key areas of concern
for the DSS.


Improving the performance of the social security system

Improving services through the simplification of administrative formalities,
the development of new technologies and e-administration services are also
priority areas for the DSS. Performance is also at issue in the management
of the social security institutions and in the pursuit of productivity gains
through rationalisation and pooling of certain resources.
Beyond efficiency improvements in the public social security service,
performance considerations also come into play in the efforts to optimise
the impacts of health and social policies on household income and living
standards. This is why the "programmes for quality and efficiency" (PQE),
as set out in Appendix 1 of the Social Security Financing Bill, adopt an
objectives/outcomes approach to these policies.

Fighting fraud in the social security system

The DSS drives the development of initiatives to monitor and fight benefit
fraud in the social security system. This combat is at once a political issue since social security fraud undermines the principle of solidarity that
underpins the French social security system - and a financial one, since there
is no slack in the system to absorb the attendant costs of such fraud (albeit
committed by only a small proportion of the population). And it is also a
management and performance issue that forces the social security system to
build additional security into its processes, both at the benefit payment and
contribution collection levels.
The 1st of January 2010 saw the introduction of the MNC, a national
monitoring and audit body operating under the authority the Director for
Social Security and replacing the regional health and social security services
(DRASS) as the organisation responsible for monitoring and assessing the
work, performance and organisation of the local social security bodies.