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December 11, 2024
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Eps Sura remains: the decision of the Superintendency and what will happen with its 5.4 million members

EPS Sura se queda: la decisión de la Superintendencia y el futuro de sus 5,4 millones de afiliados

Photo: EPS Sura capture.

They reported that this is what will happen with the EPS affiliates after the National Superintendence of Health denied its exit from the system.

News Colombia.

The recent announcement of the National Superintendence of Health on the decision to deny the application for progressive clearing of EPS Sura marks a new chapter in the history of the Colombian health system.

With more than 5.4 million affiliates, this EPS has been a central actor in the provision of health services, facing operational and financial challenges that reflect the structural tensions of the system.

The Superintendency, in its statement, highlighted the importance of guaranteeing the continuity of services and protecting the fundamental right to health.

This approach has led to establishing joint technical tables to design solutions that strengthen the operation of EPS Sura and ensure timely and worthy care of users.

What comes to the Sura EPS

As part of the agreements, Eps Sura must work on strengthening your service network. The Superintendency, meanwhile, will assume a strict surveillance role to verify compliance with the commitments acquired.

This measure seeks to avoid critical scenarios such as those lived by other EPS that were intervened or liquidated, affecting millions of users throughout the country.

Monitoring will be essential to prevent interruptions in care, especially at a time when the health system faces a significant financial deficit.

This mechanism not only guarantees operational continuity, but also seeks to protect the sustainability of the entity.

One of the central arguments of the progressive dismantling request presented by EPS Sura was the impact of accumulated losses.

Between 2022 and 2023, the EPS reported deficits greater than 360,000 million pesos, with losses projections that could reach 500,000 million in 2024. This financial pressure had motivated its decision to seek an orderly output of the system.

However, the Superintendency has made it clear that the solution is not in withdrawal, but in the implementation of strategies that allow EPS to fulfill their responsibilities.

This will require a review of its internal processes, adjustments in the hiring with its network of providers and comprehensive support to stabilize their operation.

The panorama for Sura affiliates

For the 5.4 million users of EPS Sura, the decision of the Superintendency means that they can continue accessing medical services under current coverage.

However, this continuity will depend on the success of the technical tables and the capacity of the EPS to implement the necessary adjustments.

Users must be attentive to official communications, since the process could imply changes in the allocation of services or adjustments in the network of providers.

The Superintendency, meanwhile, has reiterated its commitment to guarantee access and quality in care, avoiding violations of affiliate rights.

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