December 30, 2024 is a very important day for the National Health Service. In fact, the new services and treatments guaranteedbased on the update of the tariffs for specialist prosthetic and outpatient services. Some of the planned services will be free and, after eight years, here is the update of Essential levels of assistance (Lea), stopped until 2017.
Free therapies and services
An important step forward, that in the direction of new performances, net of some critical issues. The reference obviously goes to some areas still uncoveredlike the treatment of autism. He made his voice heard in this regardNational Association of Parents of People with Autism (Angsa): “The new Tariff Decree forgets autism with the failure to include psycho-educational therapies based on applied behavior analysis (ABA)”. A difficult reality to digest, also in light of the ruling of the Council of State, which established the “full collectibility of the ABA to be paid by the National Health Service”.
We report below main guaranteed therapies:
- Pma (Medically Assisted Procreation);
- gene counseling;
- hadrontherapy;
- enteroscopy with ingestible microcamera;
- stereotactic radiotherapy;
- digital technology hearing aids;
- home automation equipment;
- command sensors;
- advanced technology artificial limbs;
- voice recognition systems;
- eye pointing systems.
A crucial, inherent update over 3 thousand performances of prosthetic and specialist outpatient assistance. For professionals and patients it is almost a mirage to be able to read all this, considering the decade that has passed to obtain the green light guaranteed by the Tariff Decree approved last November.
Lea update: how much it costs
The full economic impact of the proposed tariff is estimated to be equal to 502.3 million eurosfor outpatient specialists only. We must then add to the list 47.6 million euros for prosthetics.
The differences are substantial and comforting words arrive from associations of chronic and rare disease patients. Here and words of Anna Lisa Mandorinosecretary of Active Citizenship: “The December 30th milestone is very important. This unlocks a series of rights that have so far been suspended for citizens across the country.”
At the same time, however, it underlines how they remain still out very important performances, such as those for endometriosis And fibromyalgia. We then talk about outpatient dietary servicesin support of the management of chronic diseases such as diabetes: “In general, many innovative services have occurred after 2017”.
We now require one constant review of the LEAsphotographing more effectively the condition of Italians and the national and regional health system. Among the most important innovations, it is worth highlighting the diagnostic and therapeutic services, previously experimental and now provided in an outpatient setting, such as:
- some forms of radiation therapy;
- innovative biological therapies;
- cataract-related procedures;
- diagnosis and monitoring of celiac disease;
- newborn screening.
In the specific field of Pma, it was chosen to apply the system in force in Emilia-Romagna. This provides for a remuneration for all cycles of the process, also considering the procurement of gametes and their monitoring.
Finally, the update of the list of prostheses for upper and lower limbs is extremely important, which also includes orthopedic footwear and mobility aids of various kinds. Numerous devices, therefore, will be included in complete coverage from 30 December.
