To this end, universal health coverage was strengthened in 2016 in order to simplify and unify administrative management. The local organisation of statutory insurance remains fragmented, though payments to providers for the different statutory schemes were unified in 2016 (Auvigne et al., Some statutory schemes have their own networks for revenue collection and may combine the management of health insurance and other social security spending (e.g. occupational risks, pensions and some family benefits).