Attorney General puts the magnifying glass on the country's EPS | Colombia



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Due to Coomeva, the Attorney General has requested that six specific actions be taken to prevent 2,200,000 users in 217 municipalities across the country from being affected.

The actions are due to the removal of the tax auditor and appointed controller to take the necessary steps and strategies to overcome the crisis. In addition, they must submit periodic reports to the controlling entities, namely the Attorney General's Office and the Comptroller's Office.

He also requested that a "follow-up plan be put in place to enable control of vertical integration" and that direct transfers to the subsidized and contributory scheme be controlled.

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In addition, administrative expenses are reviewed and the contracted network is inspected to verify the provision of health services and to ensure their quality and timeliness.

As for Emdisalud, the supervisory body has established that the RPA owes more than 153 billion pesos, in intervention process for 8 years and had presented no positive result to date. Moreover, it does not have the necessary network to guarantee the provision of services in the twelve departments where it is present.

The Attorney General said that just over 450,000 users of the Mutual Society of Integrated Health Development (Emdisalud) are at risk because the entity suffers from serious deficiencies in the certification function and the guarantee of the provision of services. of health, for not having the appropriate scenarios and facilities to provide appropriate attention.

In light of the above, the entity has warned against the legal impossibility and the inconvenience of continuing to extend for years the special surveillance measures, for which it has asked the SuperHealth to adopt definitive measures to revoke the authorization or the compulsory administrative intervention. , administer or liquidate the APR ".

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With respect to EPS Convida, Comfacundi and Dusakawi, the Attorney General's Office has asked the Superintendency to take special precautionary measures to protect the rights of 800,000 users of the health system, as follows: in Dusakawi, at least 210,000 patients, Comfacundi 111,400 and Convida approximately 519,600.

Among the actions taken by the prosecution, it would have been proved that the established financial conditions would be violated, that the expenses would be limited, that the medical badistance services would be limited to one or more levels of complexity, that a large number of guardianships and seizures, and failures in prevention programs.

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