The EPS Sura introduced this Could 28, in a press convention, the presentation of a request for authorization to the Superintendency of Well being, with the intention to withdraw from the Common Social Safety Well being System. The choice, labeled as “probably the most tough” by the corporate, seeks to handle the transition of its members to different EPS, guaranteeing the continuity of their therapies and compliance with monetary obligations with suppliers and suppliers, as defined by representatives of the group.
Sura, one of many largest medical health insurance entities within the nation, with greater than 5 million members till December 2023, has indicated that the choice to request progressive dismantling responds to a monetary disaster within the Colombian well being system. Based on Juana Francisca Llano, president of Suramericana, “We now have made a terrific effort to proceed within the system defending the well being of our members… Nevertheless, time has run out and at the moment measures should be taken to keep away from additional deterioration, which is able to prevents EPS SURA from complying with its obligations.”
In recent times, EPS Sura has confronted losses of greater than 360 billion pesos between 2022 and 2023. Based on its administrators, that is because of the inadequate sources allotted, which has aggravated the gathered money owed.
How will the Progressive Clearing Program work?
The Progressive Dismantling Program is a authorized mechanism that enables an EPS to withdraw from the well being system in an orderly and diligent method. EPS Sura’s proposal contains the coordinated transition of its members, the entire supply of medical data and the continuity of medical therapies. As well as, this system establishes mechanisms to guard the technical reserves of the EPS, permitting it to handle obligations with clinics, IPS and hospitals.
Pablo Otero, supervisor of EPS Sura, said that “this program has, initially, a time of 65 enterprise days for the Superintendency to reply. If accepted, EPS Sura is ready to responsibly handle present obligations. Based on the official, through the transition interval, the EPS will proceed to offer its companies usually, guaranteeing that procedures, authorizations, appointments, therapies and different medical care are carried out with out interruptions. He additionally clarified that members will have the ability to proceed utilizing the same old customer support channels to resolve any considerations.
Some reactions:
EPS Sura’s request has generated numerous reactions within the well being sector. Ana María Vesga, director of Acemi, the affiliation that brings collectively the EPS of the contributory regime, identified that “as we speak the nation receives the information of the voluntary withdrawal of Sura which is added to that of Compensar and the intervention of Sanitas by the Nationwide Authorities within the month of April. “We’re witnessing the destruction of the nation’s biggest social advance in its whole historical past.”
For his half, Andrés Aguirre, former director of the Pablo Tobón Uribe Hospital, described the information as “tragic” for EPS Sura members, stating that “the choice destroys capabilities developed over a long time, to interchange them with incapacity and incompetence.”
Additionally the Governor of Antioquia, Andrés Julián Rendón, spoke out, mentioning that “they lose: 5 million, 300 thousand customers, the almost 13 thousand direct and oblique workers. I lengthen my message of solidarity to every of the tens of millions of customers and the 1000’s of EPS Sura workers. Because the pandemic we solely have gratitude for these 1000’s of women and men who saved us.”
The Mayor of Medellín, Federico Gutiérrez additionally referred to the actual fact, mentioning that “the withdrawal of the EPS Sura from our well being system is a tough blow for society… This represents a critical well being disaster not solely in Medellín and Antioquia, however in all of the nation”.
EPS Sura has a excessive focus of associates in Antioquia, the corporate has assured that every one its companies will proceed to function usually whereas awaiting the response from the Nationwide Well being Superintendence.
What’s the choice that EPS SURA introduced as we speak? Juana Francisca Llano, President of Seguros Suramericana SA, solutions you.
When you have questions, we invite you to validate on our official channels or by getting into pic.twitter.com/sbWUnOJBXp
— EPS SURA (@epssura) Could 28, 2024
They endured a pandemic. They might not stand the worst.
What they might not do by means of the Legislation, they achieved by financially suffocating the EPS.
Till Petro put an finish to the well being system. He likes to destroy greater than to construct.
It places folks’s lives in danger.
The withdrawal of…— Fico Gutiérrez (@FicoGutierrez) Could 28, 2024
With the announcement of EPS Sura, to exit the supply of well being service, all of us lose.
A path of losers, uncertainty and panic leaves us with the perspective and stillness of the Nationwide Authorities.
They lose: 5 million, 300 thousand customers, they lose almost 13 thousand workers…— Andrés Julián (@AndresJRendonC) Could 28, 2024
2024-05-28 20:26:53
#EPS #Sura #requests #authorization #progressive #exit #Social #Well being #Safety #System
