For the Government, “it is appropriate to continue adopting measures in order to guarantee, through the distribution of resources from the Redistribution Solidarity Fund, adequate medical-assistance coverage for the beneficiaries of the National Health Insurance System.” In addition, it clarified that the payment on account will not be made “to Health Insurance Agents who have not complied with the provisions of Resolution No. 744/04, with the States of Origin and Application of Funds expired until June 2021, until they regularize said situation. “
Nor will they charge those social works that have not complied with the registration in the platform of Remote Procedures (TAD) ordered by Resolution No. 269/20, until this situation is regularized.
So far this year, a total of $ 22,364 million that, in accordance with the provisions, must be used “for the payment of providers and providers of the health system, in order to maintain the payment chain and to be able to face the situation generated by the Covid-19 pandemic in an efficient and timely manner.”
Now, the largest transfers of this last item correspond to the Social Work of Commercial Employees and Civil Activities ($ 509,892,251 million), Social Work of Executives and Management Personnel ($ 208,271,072 million) and Social Work of Rural Personnel and Stevedores ($ 182,554,102 million).
SUR is a program that distributes the payment of long-term and expensive treatment benefits to all social works. The Executive Branch justified the new payment to social works by stating that “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 impossibility of the body to comply with the administrative procedures regulated for the treatment of requests for recovery of funds presented by Health Insurance Agents “.
“Notwithstanding this, there is no doubt that the deep economic and financial crisis that the sector is going through makes it necessary to maintain the continuity of support and strengthening of the National Health Insurance System”he added.
Finally, he highlighted that the Superintendency “continues to work on the reformulation and comprehensive reengineering of the Single Reimbursement System (SUR), in order to shorten the timeframe for the transitory nature of the measures taken.”
Source From: Ambito
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