Home » Supersalud revealed the findings after the primary month of intervention in Sanitas EPS, Nueva EPS and SOS EPS

Supersalud revealed the findings after the primary month of intervention in Sanitas EPS, Nueva EPS and SOS EPS

by admin
Supersalud revealed the findings after the primary month of intervention in Sanitas EPS, Nueva EPS and SOS EPS

In a press convention held on Thursday, the National Health Superintendent, Luis Carlos Leal Angarita, introduced the primary outcomes obtained within the first month of necessary administrative intervention in three EPS: Sanitas EPS, Nueva EPS and SOS EPS. This intervention was just lately carried out as a result of many malpractices and administration issues discovered within the mentioned firms.

Sanitas EPS: Issues in drug prices and administration

One of the principle issues recognized at Sanitas EPS is the inappropriate use of assets to cowl administrative prices. The auditor reported that in 2023, Sanitas incurred 104,226 million pesos in working prices of medical amenities, which needs to be paid by the well being service suppliers (IPS) and never EPS. In addition, the signing of many contracts with out clear advantages for Sanitas was discovered, suggesting a doable disruption in monetary administration.

Another necessary discovering is the shortage of an in depth evaluation of the well being state of affairs and the reflection of the affected inhabitants, which prevents Sanitas EPS from responding adequately to the wants of its branches. In addition, the contract for the provision and launch of medicines was obtained with solely a clause limiting the powers of Sanitas, as EPS can not provide medicines with out the consent of the contractor.

The new EPS: Hidden liabilities and protection points

At Nueva EPS, vital hidden money owed had been found, with 12,645,762 bill data within the audit course of price greater than 4.4 billion pesos, not included within the monetary statements. This omission multiplies the reported debt, which already reaches 5.7 billion pesos.

See also  Train tickets for the New Year’s Day holiday are on sale today. Guangzhou-related epidemic prevention and control policies are reminded! _Guangzhou Daily Dayang Net

The auditor additionally identified that the EPS doesn’t require stories from well being service suppliers, which has created uncertainty concerning the provision of actual wants. The adequacy of the community within the first quarter of 2024 was 87.7%, with vital gaps within the protection of well being promotion and safety applications.

Additionally, a 58% improve in medical bills was reported between 2022 and 2023, leading to a hazard price of 118.93%. Inconsistencies had been additionally discovered within the document of progress given by suppliers and suppliers since 2008.

SOS EPS: Risk of focus and underperformance of contracts

In SOS EPS, a major threat was recognized as a result of focus of the principle stage of care in a single supplier (Comfandi), which makes it troublesome to judge effectivity. In addition, a low implementation of contracts within the type of Prospective Global Payment (PGP) was noticed, with solely 82.35% of contracts executed between August 2023 and March 2024, equal to 19,629 million pesos.

The auditor additionally identified the issue in recouping the utility providers supplied by some IPS, as a result of non-compliance with the present contract, which represents a recoupable quantity of greater than 14 billion pesos.

Superintendent Luis Carlos Leal Angarita highlighted the significance of those findings and mentioned that they require a deep and steady evaluation. “We will test and the work plan introduced by every participant. As a Superintendent, we now have the duty to make sure that this plan is carried out. “We will do all the things to make sure that well being providers are used accurately to guard folks’s lives,” introduced Leal Angarita.

You may also like

Leave a Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.

This website uses cookies to improve your experience. We'll assume you're ok with this, but you can opt-out if you wish. Accept Read More

Privacy & Cookies Policy