Healthcare professionals in France operate within a framework regulated by the Public Health Code, which distinguishes medical professions (doctors, midwives, dentists) from paramedical professions (nurses, physiotherapists, speech therapists). Surrounding these professions is an ecosystem of services designed to facilitate daily practice, from administrative management to patient data interoperability.
Digital Service Bundle: What the BSP Covers in Practice
The Professional Service Bundle (BSP) is an initiative led by the Health Digital Agency. Its role is to group trusted digital services that comply with the digital health doctrine, accessible either through integration into business software via APIs or through the amelipro web portal.
Among the technical components already integrated into the BSP are the APIs of the Shared Medical Record (DMP), the tele-services of Health Insurance, the Digital Prescription, and the INSi reference service. The stated goal is to avoid multiple reconnections and the re-entry of patient data when a practitioner switches from one tool to another.
The amelipro platform, accessible from the BSP, alone brings together several dozen services intended for liberal professionals. For practitioners seeking useful information on Aux Portes de la Santé, understanding this ecosystem helps to better position each tool within the care chain.
My Health Space and Application Referencing: A Selective Procedure
Access to the service catalog of My Health Space does not function like a simple commercial directory. Publishers must obtain a formal referencing decision, processed with the GIE SESAM-Vitale, after submitting a file on the Convergence platform.
This file covers several aspects:
- The ethical compliance of the proposed service, particularly regarding the collection and use of health data
- Compliance with GDPR, with documented evidence on the processing of personal data and security measures
- The technical criteria set by the decree of October 23, 2023, and supplemented by the decree of June 20, 2025
This procedure filters the solutions that access patients’ health data. A publisher that does not meet these criteria cannot appear in the catalog, which protects practitioners from non-compliant tools.
Electronic Billing for Healthcare Professionals: What Really Changes
Electronic billing, already being rolled out for many businesses, also concerns healthcare practices, but under specific modalities. The SESAM-Vitale electronic care sheets retain their usual circuit and are not absorbed by the general electronic billing system.
The distinction is technical but fundamental. A liberal doctor billing a medical act to Health Insurance via their CPS card and the patient’s Vitale card continues to use the same channel. The obligation for electronic billing in terms of tax reform applies to the ancillary activities of the practice (rental of premises, training fees, services not covered by SESAM-Vitale).
The electronic issuance of these invoices will gradually begin in September 2027. Practices that only perform reimbursable acts will therefore not be affected in the same way as a traditional business.
Health Insurance and Coordinated Care Pathways: The Foundation of the French System
The French healthcare system is based on the freedom of choice for patients: everyone can choose their primary care physician, consult a specialist directly, or select a public or private facility. This freedom is part of a coordinated pathway framework that conditions the level of reimbursement.
Health Insurance covers the costs of hospital care (public and private), outpatient care provided by general practitioners, specialists, dentists, and midwives, as well as those of medical auxiliaries. To be reimbursable, these acts must be listed in the nomenclature of reimbursable services.
Professional orders (Order of Physicians, Order of Nurses, Order of Pharmacists) play a complementary role by overseeing ethics, registration, and continuing education. Every healthcare professional must be registered with their order to practice legally, except for exceptions provided by law.
Prevention and Continuing Education: Evolving Obligations
Continuing Professional Development (DPC) is a requirement for all healthcare professionals. Training practices are evolving, with an increasing reliance on digital formats and mixed pathways combining online sessions and practical situations.
On the prevention side, the “My Prevention Assessment” program allows patients to benefit from a dedicated consultation, covered by Health Insurance, at certain stages of life. For practitioners, this program involves integration into patient monitoring tools and traceability of the preventive actions taken.
Regional Health Agencies (ARS) manage the planning of healthcare services at the territorial level and coordinate health, medico-social, and prevention actions. Their role is strengthening as health policy decentralizes, with expanded competencies in epidemiological surveillance and health risk management.
The landscape of services for healthcare professionals in France is structured around two parallel axes: the increasing dematerialization of administrative acts and the maintenance of a strict regulatory framework on the quality of care. The next concrete deadline remains September 2027, when electronic billing will apply to the ancillary activities of liberal practices.
