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In the midst of the battle with prepaid payments, the Government modifies requirements for medical companies

In the midst of the battle with prepaid payments, the Government modifies requirements for medical companies

The official text details that the proposed modifications are to optimize the presentation of the register of members of the Prepaid Medicine Entities, with the aim of adapting to the new regulatory provisions.

Through Resolution 483/2024 issued by the Superintendency of Health Services published this Friday in the Official Gazette and in the middle of the Government dispute with prepaid companies changes were applied to the regulation of these entities. The official standard emphasizes the responsibilities of the Ministry of Health and the Superintendency of Health Services in its application and supervision.

The resolution details that the proposed modifications are to optimize the presentation of the register of members of the Prepaid Medicine Entities, with the aim of adapting to the new regulatory provisions. These modifications include the monthly presentation of the register of affiliates and the unification of the presentation schedules between the register of Social Works and Prepaid Medicine Entities.

In addition, the need to update the application used for this procedure is established, guaranteeing its efficiency and compatibility with current computer systems.

The fine print of the norm

Aim: The resolution aims to modify Annexes II and III of Resolution 1950/2021, which establish the requirements for the presentation of the user registry by prepaid medicine entities.

Main modifications

  • Frequency of submission: The submission of the membership register is reduced from quarterly to monthly.
  • Unification of schedules: The presentation schedules of the registry of Social Works and Prepaid Medicine Entities are unified.
  • Application update: The application used to present the membership register is updated.

Basics

  • Adaptation to the new regulatory provisions: The modifications introduced by DNU No. 70/2023 and Decrees No. 171/2024 and 170/2024 make it necessary to adjust the inspection processes.
  • Effective supervision: The regular updating of the register of affiliates is essential to guarantee effective supervision, particularly with regard to compliance with article 19 bis of Law 23,660.
  • Greater agility in detecting irregularities: Reducing the submission period will allow for faster detection of possible irregularities.
  • More precise tracking of benefits: An updated registry will allow more precise monitoring of the benefits provided by prepaid medicine entities.
  • Efficiency and compatibility: Updating the application will guarantee its efficiency and compatibility with current computer systems.

Finally, it highlights that this resolution will come into force the day following its publication in the Official Gazette.

Source: Ambito

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