Welfare Protection

Welfare Protection conseil

Secteur Welfare Protection Eurogroup Consulting

OVERALL VIEW

Saying that social welfare is an area of radical change is a truism, so much has its history been marked by constant alterations. The genuinely new state of affairs that has emerged over the last five years is not so much a question of the changes made as the motives behind them. The system (in terms of final aims, governance and administration) once evolved according to the political wishes expressed by politicians, trade unions and the mutual-insurance movement, but it is now almost exclusively impacted by the urgent need to cut costs. This unprecedentedly intense pressure affects every operator in the sector: social-security organizations, retirement and provident funds, mutual insurance and, by extension, all personal-insurance operators.

Everyone understands the reasons for these financial constraints, but it is still useful to analyse their consequences for the system as a whole: far from simply leading to a budgetary approach aimed at an endless increase in productivity, the pressure on costs raises questions of added value, roles and the very aim of each of the cogs in the French social-welfare machine.

The first observable consequence is an increasing divide between the concept of services and that of proximity. Historically, the organizations set up to manage benefits by operators in social welfare (managing both the basic and supplementary systems) were located in the very places where the public lived. However, the logistical and technological constraints behind that choice have long since disappeared and it is now financial pressure that is forcing change on those organizations. The movement is well underway: there are mergers in almost all social-welfare networks, vast concentration initiatives bringing together private players (mutual and joint funds) and, where there is no merger, a pooling of activities.

However, two problems must still be resolved. The first, familiar mistake is to merge bodies without adapting their organizations properly, enclosing the existing structure in a legal meta-structure with business going on as usual. The second, opposite error is to allow the expression of a certain Jacobin thinking so dear to France in which the centre predominates. To achieve financial goals while also simultaneously managing to improve quality of service, to continue to provide local services and to maintain ideas of meaningfulness and quality of work for staff, current transformations must be based on a properly designed principle of subsidiarity, enabling the differentiation of activities that can be planned and executed better nationally, regionally or locally. Application of that principle will vary from one player to the next, but its commonality and quality of design will enable the creation of efficient models that are accepted by those responsible for applying them.   

The second consequence of this financial pressure is a reallocation or sharing of roles between the different players in the name of efficiency, to the detriment of former demarcation lines. So the Acoss now recovers RSI (independent workers’ social scheme) and Pôle Emploi (employment agency) contributions and the CNAF (national family benefit fund) manages the RSA (active solidarity revenue) on behalf of the conseils généraux (the French equivalent of county councils), while the Cnamts (national salaried workers health-insurance fund) is beginning to handle certain special schemes, along with the RO (special scheme) contributions of a number of mutual-insurance funds. The movement is unstoppable. The Agirc Arrco (supplementary pension fund body) is taking a new federal approach to relations with its stakeholders, previously managed by member establishments. Some administrators of the RSI – such as the MSA (agricultural social security) – are calling for the creation of a major system for independent workers that covers both the agricultural and non-agricultural sectors. The law already stipulates that nearly a thousand partners are within the perimeter of the Acoss’s treasury responsibilities. Now members of the French parliament are questioning the RO management of the student mutual fund…

Generally, the French social-welfare system’s characteristic compartmentalised operation will steadily be replaced by transversal approaches, bringing together tasks and operators which are very often in conflict today. So in terms of healthcare, it will be greatly in the interest of compulsory schemes, supplementary schemes, pharmaceutical laboratories, healthcare workers, medical goods and service suppliers, and data-treatment specialists to cooperate in order to develop the management methods of tomorrow’s health service, which will certainly be more prevention than cure oriented. Similarly, local authorities are having to play a new role in social welfare: co-funding of innovations in medical practice (health centres, tele-medicine, etc.), implementation of group supplementary-health contracts for populations in difficulty, co-ordination of initiatives aimed at the elderly, etc.
Against this background, operators in every area must find new added values, prepare to take on new responsibilities, inventory their assets and optimise their use, and find ways to cooperate with partners who have very different responsibilities, pasts and goals.

The job of Eurogroup Consulting is to devise, support and realise the human, technological and organizational aspects of these transformations.

L'offre Eurogroup Consulting - Welfare Protection Eurogroup Consulting

YOUR CONCERNS

Closer cooperation and partnerships

- Searching for partners
- Creating a policy plan
- Assisting mergers or strategic partnerships

Product and service innovations

- Planning health, provident and life-insurance product ranges
- Designing new services
- Assisting the deployment of new services

Adaptation to regulatory changes

- Assessing the consequences of new regulations (ANI national interprofessional agreements, Solvabilité II, ACS, responsible contracts, etc.)
- Planning offensive and defensive strategies
- Providing support for essential corporate transformations

Organizational transformation

- Preparing organizational targets and education plans that take into account the economic, social and cultural constraints of companies
- Assisting the emergence of new cultures following cooperation agreements
- Providing support to deal with managerial and cultural developments
- Preparing and assisting the implementation of digital strategies
- Adapting distribution networks, central functions and management bodies

Cost control and performance improvement

- Planning and implementing operational-excellence projects
- Devising and deploying managerial-support projects
- Auditing and managing the convergence of information systems
- Optimising processes and organizations, including main-contractorship assistance for necessary IS upgrades

Experts
Welfare Protection Eurogroup Consulting