Health: Andi assures that a structural review of the UPC calculation is necessary

The entity expressed through a statement that it finds this dialogue necessary to protect patients and their families, as well as the entire daily operation of the system, which supports more than two million health care services per day.

(Keep reading: Andi, health sector institutions and patients talk about the future of the system)

As they stated, the current situation of the system has been affected by uncontrollable variables such as inflation and the exchange rate, which added to a notable increase in the frequencies of use due to the expansion of the PBS, the transfer of users and the post-covid effects , has raised the historical accident rate of the EPS, revealing the insufficiency of the UPC in both regimes (contributory and subsidized).

The process of recognition and payment of the maximum budgets, with balances from 2021, 2022 and 2023, owes the EPS close to 3 BN,

(Also read: ‘We call the president again to work on what health requires’)

In addition to the above, Andi states that the process of recognition and payment of the maximum budgets, with balances from 2021, 2022 and 2023 owed to the EPS about 3 BN, according to figures provided by its affiliates, without forgetting that due to recoveries and covid care, there are also balances payable.

“The convergence of the structural insufficiency of the UPC and the slowness of the flows for the No PBS, are systematically affecting the operation of the health sector, a situation that is reflected throughout the chain, providers and technology providers, which in last affects care for users,” they said.

The entity highlighted that the sectoral portfolio study carried out by Andi quarterly In its last measurement of the first quarter of 2023, it shows a slowdown in the collection cycles of providers and technology providers, on average 203 days, as well as an increase in the written-off portfolio, which goes from 2.4% in 2021 to 4.7% in 2022.

“This deterioration in the flow of resources greatly affects the operation of the system, and what is more serious, it threatens the opportunity to serve users, for which it is imperative to guarantee that the system has the liquidity to operate correctly,” they explain. .

Like many other agents in the sector, they have expressed that the discussion of the health system reform has occupied all the spaces in recent months and for this reason Concern persists that, while this happens, the actions required by the system for its correct operation will be delayed.

(Also: “There are 3.5 billion pesos delayed for the payment to IPS”: Andi)

“The short budget addition approved for the health sector in recent days demonstrates this. We reiterate the call to protect patients and their families, and the entire daily operation of the system and for the national government to seek the necessary actions to ensure attention to all Colombians”, they conclude.

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