The Cour des comptes hereby publishes its annual report on the implementation of the Social Security Finance Acts.
The social security deficit and social security debt continued to decline in 2017. The national health insurance spending target (objectif national de dépenses d’assurance maladie, or Ondam) was reached for the eighth year in a row. The balance improved at all branches, with the notable exception of health insurance, which accounts for almost all of the deficit.
As the improvement observed in 2017 was entirely cyclical, the return to balance of social security expected in 2019 needs to be strengthened through structural measures, in particular with respect to health insurance expenditure.
Social Security - Chapter IV "Ten years of evolution in healthcare systems and healthcare insurance in Europe"