The health reform that was filed yesterday by the Government of Gustavo Petro contemplates that the Administrator of the Resources of the General System of Social Security in Health (Adres) It works as a single payer. This entity would be in charge of receiving all the resources of the sector and turning them directly to the providers, be they hospitals and EPS, among others.
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The concentration of the management would be based on the conformation of seven regions that would contract the network and would have the budget estimate to order the payment of services and 32 departmental offices, which would receive and audit in the first instance both medical bills and disabilities and licenses, in addition to the Soat, which is currently centrally audited.
The central expense of the Directorate and its reorganization have a cost, which according to the project it could reach 1.01 trillion pesos, as a more viable option, if the validation of the accounts is done with intelligence systems and not manually, as has been done traditionally.
These resources include a payroll of 819 people, which would cost 95,180 million a year, in addition to the costs that the installation and operation of the offices could have. Likewise, the investment in software and platform development is taken into account, which would support the greater technological development and analysis capacity.
However, if the audit is manual, the cost could reach 3 billion pesos, according to the specification in the bill.
To estimate the costs, the calculations that contemplate the reform are based on the need to review and recognize an average of 3 specialized and hospital care per citizen per year, which in turn include a group of services as an integral part of care.
The estimate of the reform supposes 156 million medical accounts that must be audited and recognized annually in the 32 departmental offices and the Special District; Finally, it will approve and order the payment by the Regional Social Security Funds, which in turn will request the respective transfers to the Directorate.
Radical government in Congress the health reform.
How much does infrastructure investment cost?
In order to develop a preventive, predictive and problem-solving care model, based on primary care that facilitates access in rural areas, the reform proposes an intervention strategy in infrastructure, equipment and technology to strengthen the public network for the provision of services services.
Specifically, he talks about transforming the Health Centers and Posts in Primary Care Centers of the State Health Institutions. The idea is to have one center for every 20,000 inhabitants.
In addition to this, it is contemplated to intervene in the hospital infrastructure to expand the installed capacity, improve the offer of services, innovation in the endowment and strengthen the strategies of telehealth and telemedicine, among others.
In total, it is projected that infrastructure costs would be 1.67 trillion pesos by 2023. For Primary Care Centers it would go 663,638 million pesos, for level 1 intramural hospital infrastructure around 200,000 million pesos, for the level 2 and 3 another 510,000 million pesos and for the national 300,000 million pesos.
This cost would amount to 4.04 trillion pesos in 2024, would rise to 4.2 trillion pesos in 2025, and would be 1.4 trillion pesos in 2026. Four years from now, it adds up to 11.3 trillion pesos. pesos
