Strong objections before discussion

On Thursday, April 13, the Congress of the Republic will be the focus of the first debates on health reform in Colombia. The initiative, which was severely affected by the loss of many political support.

Minister Carolina Curco, despite the lack of support from the bench of the main parties in Congress (conservatives, liberals and yo), presented the document for the first offer of health reform in Colombia.

The fact once again highlights the concern of the main actors From the current health system: EPS in Colombia.

These, welcomed by Acemi, make it clear that the document, as delivered for the first presentation, still does not include concerns and calls for attention to what could be the impact on the system.

Acemi’s Objections to Sanitary Reform in Colombia

According to Acemi, there are still many offers pending for the first discussions on health reform in Colombia.

Among some of the main objections, from Acemi’s point of view, the project does not solve Complaints raised about the timeliness of care, and do not deal with problems of financial sustainability.

From Acemi, they explain: “The Department of Health’s initial proposal is to abolish the insurance model, create a universal public payer, eliminate EPS, place people in primary care centers (CAP), and fragment the benefit.”

Although, in this regard, the Minister of the Interior, Alfonso Prada, said that the articles would change To make it clear that Colombia’s EPS will not disappear due to reform.

Another important point they see from Acemi is that the free choice of the insurance company has been abolished, every time a state monopoly is created.

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Based on the above, “cancellation means that the member takes on the financial risk. Since there are no EPS anymore, Colombian households will have to finance additional or unexpected fees.”

All of the above becomes so much more important that, in Acemi’s eyes, there is no factor With the ability to implement comprehensive health and financial risk management.

“Financial fragmentation through different funds and accounts hinders operational and administrative management. The participation of different funds in the total managed resources has not been specified, ”they are supplemented by the federation.

More concerns about health reform in Colombia

Regarding the future of ADRES, there are serious doubts about it Functions such as medical review of all care in the state.

The above became evident in the SOAT case, where, Acemi says, they have been unable to file the first bill since the regulation went into effect, in December 2022.