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Private Medicine Companies Ordered to Decrease Fees Following Government Intervention

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Private Medicine Companies Ordered to Decrease Fees Following Government Intervention

After the national government ordered a group of private medicine companies to roll back the prices of the fees to December and adjust them to inflation, Swiss Medical, owned by Claudio Belocopitt, announced that the decrease in the next bill will be 22.22%.

The change was announced to members, as reported by Clarín, and is very similar to the percentage that Osde announced last week, 22%. This data fuels the suspicion of a possible “cartelization” between private medicine companies. That is, the increases in the main prepaid cards were similar and, now, the discounts are also similar.

According to what was compiled by the same medium, Swiss Medical is sending letters to affiliates with the following text: “It is very important for us to convey to you that the increases made in these months are the result of reducing, in part, the great gap generated between the increase in our cost structure and the quotas authorized by the competent authority until December 2023. This gap was accentuated exponentially in the last quarter of 2023, in which a cumulative difference of 62.6% ended up being generated between inflation and prepaid medicine fees.”

As reported by the Government in a statement last week, it was established that “the values ​​of the fees of the medical-care health plans to be collected may not exceed the following calculation: the fee of the medical-care health plan for the month of December of 2023 multiplied by (1 + the percentage variation between the general level Consumer Price Index with national coverage prepared by the National Institute of Statistics and Censuses in force at the time of the corresponding billing, and the same Index corresponding to December 2023)”.

In principle, the measure covered seven providers: Galeno, British Hospital, German Hospital, Medifé, Swiss Medical, Omint and Osde. According to data from the National Commission for the Defense of Competition, the increases in these prepaid payments in January had been between 38% and 40.5%. It is estimated that in all cases the decrease would be a similar percentage.

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It was later learned that another 13 prepaid plans would have to do so, although it is still unknown when. This is a new presentation by legislators from the Civic Coalition (CC), where Medicus, ACA, Accord, Sancor, Italiano, Güemes Foundation, Prevention Health, Mutual Federada, Mutual Hierarchics, Medicina Esencial and Pasteur appear.

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