The Ministry of Health decided to grant $ 2,000 million to social works to attend balances pending cancellation with providers and providers.
Through resolution 294/2022 of the Superintendence of Health Services (SSS) published this Tuesday in the Official Gazette, the procedure for payment on account of $2,000 million to 247 social works was approved with outstanding balances, as an advance of funds from the Single Refund System (SUR).
The payment will be imputed as an advance of funds of the requests presented by the health insurance agents, pending cancellation as of the date of the date.
Six of the 247 entities account for 25% of the total resources granted: Osecac (Commercial Employees and Civil Activities), with $265,619,381; OSDE (Business Executives and Management Personnel), with $113,034,771; Osprera (Rural Personnel and Stevedores), with $96,143,886; Ospecon (Construction Personnel), with $85,698,094, Unión Personal (UPCN), with $80,322,040; and OSPE (oil tankers), with $60,892,884.
The Superintendence highlighted that “having carried out an analysis of the distribution of funds granted”, as well as “the simulated projections for the advance of May 2021, a new formula for the distribution of funds was prepared in that month, also of a transitory and exceptional nature. “.
On that occasion, the “use of new parameters that weight economic and benefit indicators and allow maintaining a balance in the distribution of funds to Health Insurance Agents was used, which continued to be used in the following months.”
“Due to the restrictions and special measures according to the different jurisdictions of the country that have been adopted since the beginning of the Covid-19 pandemic, to date the agency remains unable to comply with the regulated administrative procedures for the treatment of the requests for recovery of funds presented by the Health Insurance Agents, by virtue of the absence of sufficient human resources to carry out the assigned task and the impossibility of carrying out the analysis and evaluation of physical files”, clarified the Superintendency in the recitals of the resolution.
In this regard, he added that “there is no doubt that the deep economic and financial crisis that the sector is going through makes it necessary to continue supporting and strengthening the National Health Insurance System.”
Consequently, it considered that “it is appropriate for this body to continue adopting measures in order to guarantee, through the distribution of resources from the Solidarity Redistribution Fund, adequate medical-care coverage for the beneficiaries of the National Health Insurance System. “.
