The National Superintendent of Health, Giovanny Rubian The suspension of the direct turn from the administrator of the resources of the General System of Social Security in Health (ADRES) to these institutions.
However, the official said that the recently adopted measures on this entity They will not affect the continuity of payments during the month of August.
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“The purpose of the measure is to protect new EPS users, maintaining regular network payments and increasing those that correspond to the improvement of portfolios”Rubiano said, explaining that resources will continue to flow normally while progressing in the processes of administrative review and evaluation.
The Chief of the Superintendency indicated that The actions adopted on the EPS are preventive and are oriented to guarantee access to the health services of the affiliates. He also said that no restrictions on the usual financial operation are contemplated with the providers and that the payments will continue to be carried out in accordance with the provisions.
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Superintendent Giovanny Rubiano said that payments to New EPS providers will continue normally during August.
Ministry of Health
Rubiano said that, within the framework of the measure, it is sought “Improve the flow of resources to the supplier network, prioritizing the hospital and complementary public network that responds to territorial management”
As indicated, this It will allow strengthening system response capacity at all levels of attention and ensure that patients who require high complexity services may be sent to health services providing (IPS) enabled.
During his speech, the Superintendent recalled that the preventive intervention of New EPS does not imply an interruption in the provision of services or in the contractual relationship with the network. In that sense, He reiterated that the central objective is to avoid barriers in access to attention, protect users and facilitate the system’s financial sustainability.
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The flow of resources to the hospital and complementary public network within territorial management will be prioritized.
Cesar Melgarejo – Portfolio
“These measures seek to avoid the denial of services to the users of the new EPS”Rubiano said, underlining that actions are being taken to maintain networks of active and functional providers in all regions of the country.
The Superintendence of Health has reiterated that it will continue to exercise its surveillance work on the operating conditions of the EPS and their compliance with the norms of the health model, especially against the timely payment to the networks and the guarantee of timely and effective attention to the affiliates.
“Users do not have to saturate emergency services, looking for medical appointments or low and medium complexity services, if they have a provider network that guarantees the timely and efficient benefit at all levels of care“He concluded.
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Diana K. Rodríguez T.
Portfolio journalist
