Taxi transport of health services increased from EUR2.3 to 4.66 billion between 2003 and 2017, and now accounts for 40 % of social security expenditures by health insurers. To meet this target, Health Insurer launched an awareness-raising campaign and initiated negotiations with taxi associations with a view of renewing existing agreements.
Voluntary and retained enterprises have increased in number in order to alter their procedures and training in preparation for VSL Agreement. A stringent monitoring regime must be in place, such as analysis of kilometric routes undertaken, the impact of changes made on transport costs and evaluation of overall system effectiveness.
VSL contract companies are authorized to use any car or conventional vehicle listed by the CPAM for transporting patients on its official list; they do not need an ambulance certificate for this service, however. Companies experimenting must ensure their equipment complies fully with all conditions laid out in this rate schedule.
Transport of persons companies cannot exercise their activities without an ADS from the regional health authority serving their area, in accordance with Article L 3121-1 and 6312-2 of the Public Health Code. Therefore, an AMS issued by an ARS is essential.