Introduced as part of the 2016 medical agreement, the structure package is an annual financial aid paid by the Assurance maladie to support physicians in modernizing their tools (software, prescription assistance, electronic care sheets, secure messaging, etc.) and adopting coordinated modes of practice.

All self-employed doctors under contract, whether general practitioners or specialists, practicing alone or in a group, are eligible.

This is lump-sum funding.

The payment of this aid is based on compliance with various indicators relating to the modernization and digitization of medical practices. Each indicator corresponds to a certain number of points, which are converted into a monetary value. For example, in 2024, the point value is set at €7.

The amount varies according to the indicators achieved. Amounts paid can help cover the cost of equipment and IT services (subscription or secure teleconsultation solution).

The structure package breaks down into 12 indicators, divided into two main categories: practice equipment and patient service, with a specific amount awarded for each indicator.

• Part 1 (prerequisites): 4 mandatory indicators covering criteria relating to practice equipment (Ségur-referenced software, HAS-certified prescription assistance software (LAP), Carte Vitale (ApCV) application, remote transmission, etc.). All criteria must be met to receive the corresponding remuneration.
• Strand 2: 8 indicators grouping together patient services (DMP use, Mon espace santé health messaging system, online work stoppage, electronic care protocol, etc.). Each criterion in this section operates independently. The corresponding rewards are available only if all the indicators in part 1 are achieved.

Each criterion is associated with a number of points to be accumulated. Depending on the indicators achieved, a certain number of points is awarded, enabling the structure package remuneration to be calculated. For example, component 1 is made up of 280 points (€1,960), and component 2 is made up of 835 points (€5,845).

The structure package is paid annually in April, based on indicators calculated at 12/31 and declarations made on amelipro in December-January.

Eligibility criteria are as follows:

• Be a conventionné private practitioner;
• Practise in an individual or group practice, whatever the medical specialty and practice sector (sector 1 or 2);
• Achieve the indicators defined in the medical convention: having Ségur-referenced software and a HAS-certified LAP, use of the Appli Carte Vitale (ApCV), teletransmission rate above 67%, display of practice hours in the annuaire santé d'ameli.fr...

Doctors must report their indicators on the portalamelipro and transmit the necessary supporting documents before the deadlines set by Assurance Maladie. Each year, in December and January, they must declare the previous year's indicators to Assurance Maladie. Indicators relating to calculated indicators (rate of teletransmission of electronic care sheets, dematerialization rate) are automatically filled in.

To help doctors with this process, Assurance Maladie has drawn up useful guides and documents.

A similar conventional scheme also exists for other healthcare professions : the forfait d'aide à la modernisation et à l'informatisation du cabinet professionnel (FAMI).

This package brings together various conventional aids formerly paid to conventional professionals (teletransmission aid, maintenance aid, SCOR aid) as well as new indicators (DMP-compatible business software, secure health messaging, telehealth indicators...). It is paid once a year in the form of a single automated payment. Like the structure package, to benefit from the FAMI, it is necessary to declare your indicators each year on amelipro during the data entry period.