In recent years, the National Sickness Insurance Fund (Caisse nationale d’assurance maladie – CNAM) has been working to design and implement new procedures with the aim of continuously improving its benefits in order to better meet the expectations of insured persons by significantly reducing, for instance, the reimbursement period for ambulatory care expenses – a key quality objective for the CNAM.

In order to achieve this objective, the CNAM has set up a system which operates mainly at the following four levels:

Using new information and communication technologies (ICT) to implement a project of great social intensity: reimbursing health services by SMS and 3G in the pharmacy network under the supervision of a leading bank. Social benefit reimbursement is fundamental to the State because it relies on respecting the national commitments made to the population. It is not a theoretical question but a practical reality. When a person on a low income is entitled to a reimbursement of health services, the reality of having to manage a household budget on a daily basis becomes apparent.

The National Sickness Insurance Fund (Caisse nationale d'assurance maladie (CNAM)) which has implemented new and innovative information and communication technologies (ICT) in social benefit management, has developed since 2010 a new strategy to improve performance at all levels of management.

Drawing on Kaplan and Norton's Balanced Score Card (BSC) work, the method aims to share out all the projects and action plans among the managers to maximize results and thus cultivate a culture of excellence based on project progress accountability reporting.

The paperless benefit documents project consists of eliminating paper (prescriptions, medical treatment forms, etc.), and replacing it with Web application screens starting with doctors and then other healthcare providers (laboratories, pharmacies).

The three main advantages for patients are: