The Government intends for this to be the end of triangulation contracts between private medicine companies and social works, a mechanism that has existed for decades.
The decision fell badly among the unions, and could increase tension between the Government and the CGT.
The new regime was established by resolution 3284 of the Superintendency of Health Services, at the beginning of October, which set December 1 as the effective date.
Prepaid: governs the system so that members can make their contributions without intermediaries
In this way, starting this Monday Any member may request that their contributions go directly to the coffers of the private medicine company.
There are 4,300,000 people, workers in a dependency relationship, who could request this end of triangulation, through a site that Health will enable.
As they detailed, this “toll” (the commission charged by the intermediation) represents between 3% and 7% of the value of the service, depending on the case.
Removing that cost could result in lower payments or moderate increases, but that will depend on the decisions made by the prepaid companies.
At the Superintendency of Health Services they described that the Government is working on an adaptation of the Mi Argentina app so that any user can see how much of their contributions go to prepaid payments and how much to social works.
In November alone, triangulation absorbed $41,158 million.
The triangulation’s own funds represent a little more than a third of the amount that goes to the Solidarity Redistribution Fund (FSR), to which 15% of the contributions are allocated.
The FSR must cover the expenses for medical care of people with disabilities. And at this point the Government plans to open a great debate that could impact the governors’ accounts.
The Superintendency began by confronting criticism about the declines in services and coverage for people with disabilities, regarding the famous chainsaw.
Their numbers show that the number of members with disabilities who received help from the FSR (fed with contributions from workers) increased 13.5% between November 2023 and the same month of this year.
In turn, they affirm that the per capita subsidy increased 150.7% for the same period. That is, below the inflation that accumulated 193% year-on-year until October.
However, when taking into account only what happened this year, the per capita subsidy rose 132.5%, a figure that is above the 108.4% of the Health category measured by the INDEC within the price index.
But the discussion raised by the Government and that may impact provincial accounts is not the degree of coverage for people with disabilities.
The debate revolves around who should pay for some services currently paid for with the aforementioned solidarity fund of the system.
In November, these coverages demanded $88,225 million and so far this year, $671,530 million. According to calculations by Health officials, two-thirds of that money was allocated to education and transportation expenses.
Beyond pointing out that they detected trout billings or with human errors, officials say that education and transportation are tasks of the jurisdictions.
Therefore, they propose that the provinces take charge of this expenditure, which in 2024 will be around $450,000 million.
Source: Ambito
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