He Government advances with the process of reordering the healthcare system. In the last few hours, the Superintendency of Public Services Health announced that the process of drop of 56 prepaids. It is about “ghost companies” who never presented information about their operation. Last week he ordered the 58 companies are permanently closed.
This Monday, the organization communicated through the Official Gazette to a group of prepaid medicine companies that “have a a period of fifteen calendar days to prove compliance with the regulations and/or make a discharge”. In case of non-compliance, will proceed with the discharge and your provisional registration will be cancelled.
In recent months, the agency began to require companies in the health sector to supporting documentation on its activity, with the aim of organizing the system. However, Only 10 of the 661 complied with the regulations. In this way, they detected that dozens were registered as Prepaid, but in practice they were not since They had never presented any type of documentation.
“We have today registered Six hundred and sixty-one private medicine companies, of which only ten are permanently registered“, said Gabriel Oriolohead of the Superintendent of Health Services, in dialogue with Radio Mitre, at the end of August. The Another 651 companies had temporary registrationss, and a high percentage of them did not submit information.
The Government closed a group of prepaid health insurance companies for not complying with regulatory standards
According to the resolution presented this Monday in the Official Gazette, the companies mentioned did not comply with the regulations by not delivering the financial statements neither balance sheets. In addition, they did not present the user registry, the coverage plans and the tariff tables.
Despite warnings issued by the Superintendency, the vast majority of companies did not respond to regularization requests. Only three of the closed companies responded to the notifications.: two of them requested voluntary resignation, since they were not active.
The decision accompanies the measure taken weeks ago by the Superintendency, when permanently removed 58 companies from the National Registry of Medical Entities Prepaid (RNEMP) since, Just like the 56 reported today, they also did not comply with the regulations in force due to not having submitted a user registry, coverage plans, rate tables, financial statements or general balance sheets.
In the statement on Monday, The agency stated that “compliance with regulations is essential and fundamental for the National Government. This means that the entities that form part of the system must be those that comply with the law, compete with each other and provide quality services to their beneficiaries.”
The measure, the agency said, aims to “ensure that beneficiaries have access to a more transparent market, where access to quality services is guaranteed through free competition between Health Insurance Agents and freedom of choice for users.”
The list of companies in the process of closing down
- MAGNA HEALTH SRL
- OMSA PROSAL SA
- SAN JERÓNIMO NORTH SRL SANATORIUM
- SANTA MARIA SA MEDICAL EMERGENCIES
- PRIVATE HEALTH MEDICINE SRL
- LOBOS PRIVATE INSTITUTE OF CLINIC AND SURGERY SA
- MEDICIN SRL
- IE EMERGENCIES CHIVILCOY SA
- EMESEC MEDICAL EMERGENCIES ESTEBAN ECHEVERRIA SA
- GLOBAL HEALTH COMPANY SA
- LIVING PRIVATE MEDICINE SA
- MEDICAL SRL
- USHUAIA SRL EMERGENCY MEDICAL SERVICE
- ALWAYS SRL
- MERLI ELVA ANA AND LANTER PATRICIO EDUARDO SH
- ROME HEALTH SA
- OPSAL SA
- MASTER MED SYSTEM SRL
- TOTAL COINSURANCE SRL
- SDH PARK MEDICAL CENTER
- MITRE MEDICAL NETWORK S.A.
- TOTAL HEALTH SA
- CONFEDERATE HEALTH SRL
- NOBA PAMPA HEALTH SRL
- FIFTEEN
- MPN MEDICAL INTERNATIONAL SA
- MEDITERRANEAN HEALTH COMPANY SA
- MANAGE HEALTH SRL
- MEDICIN CARE HOME MEDICAL SERVICES SA
- PREPAID SRL
- AIO CARE SRL
- SAN JUAN BAUTISTA PRIVATE MEDICINE SA
- SA HEALTH CENTER
- ARGENTINE MEDICINE SA
- SID MEDICAL SA
- ACARTI SA
- COMI COOPERATIVE LIMITED FOR THE PROVISION OF SERVICES IN THE HEALTH AREA
- ARGENTINE COOPERATIVE OF INTEGRAL MEDICINE-CAMI- WORK LTDA.
- DIAMANTE INTEGRATED HEALTH MEDICINE WORK COOPERATIVE LIMITED
- MUTUAL OF THE MEDICAL CIRCLE OF THE FEDERATION DEPARTMENT
- MUTUAL ASSETS AND LIABILITIES
- MUTUAL ASSOCIATION OF BUENOS AIRES CITIZENS
- MUTUAL ASSOCIATION OF HEALTH PROFESSIONALS OF THE ARGENTINE REPUBLIC
- MUTUAL ASSOCIATION FOR THE CARE OF THE ELDERLY
- MUTUAL JANUARY 12
- MUTUAL ASSOCIATION OF INTEGRAL OPTICS
- VERSAILLES MUTUAL ASSOCIATION
- MUTUAL FOR MEDICAL SERVICES AND TREATMENT OF HEARING LOSS
- AMUKRA
- LOS ANDES MUTUAL ASSOCIATION
- AMTAPRA
- ARQUITAS MUTUAL ASSOCIATION
- ARGENTINE VETERANS MUTUAL ASSOCIATION
- IBATIN MUTUAL
- MEDICAL CIRCLE OF MAY 25 (SAMI MAY 25)
Prepaid health plans are authorized to increase rates in a differentiated manner by area
The The Superintendency of Health Services is advancing in the deregulation of medicine prepaid and enabled companies in the sector to freely apply increases in plan fees of coverage in a variable manner according to the conditions of the plan (with or without copayments) and according to the regions or zones in which provide medical care.
This was established through Resolution 1155/2024, of the Superintendence of Health Services (SSS), a rule that implements that companies will have the responsibility to inform to the body these increases and specify the criteria used to set prices in each zone or region, as well as the existence or not of co-payment systems.
Source: Ambito
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