Colombia-based insurance coverage supplier Sura is about to depart from the nation’s public well being system, citing monetary unsustainability beneath the present government-controlled cost construction.
The insurer, a part of Grupo de Inversiones Suramericana, serves greater than 5 million Colombians however logged a internet lack of $94m (364.66bn pesos) in 2023, with projections of a possible improve to $130m this 12 months, reported Bloomberg.
“Though well being is a elementary proper and what has been completed constitutes an excellent social achievement for the nation, limitless protection and providers distinction with an inadequate finances,” Sura was quoted as saying.
Colombia’s authorities units medical health insurance charges based mostly on particular person earnings, with funds distributed to insurers chargeable for managing affected person care and funds to healthcare suppliers.
Nonetheless, the system has been criticised for delays and denials in approving medical procedures, and hospitals are reporting money owed from insurers, which escalated in the course of the pandemic to $1.5bn, in accordance with AP.
President Gustavo Petro’s administration proposes to interchange personal insurers with a state-run company to handle affected person care and hospital funds immediately.
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Nonetheless, Colombia’s Congress has rejected the mandatory laws to restructure the nation’s healthcare system as a result of worries that Petro’s proposed modifications would give bureaucrats an excessive amount of management over healthcare spending and will end in useful resource mismanagement on the a part of the state, which lacks the workers and data essential to oversee hundreds of thousands of medical health insurance accounts.
Sura’s transfer follows the federal government’s current takeover of EPS Sanitas, a unit of Keralty SAS, as a result of monetary non-compliance, elevating considerations concerning the precedent of elevated state management within the well being sector.
Suramericana CEO Juana Francisca Llano expressed considerations at a press convention that Sura might face an identical scenario as EPS Sanitas as a result of its monetary state.
The enterprise will stick with it offering providers to clients within the personal system.
Regardless of the withdrawal from the general public well being system, Suramericana assured that its solvency and liquidity stay intact, as Sura doesn’t contribute to the corporate’s dividends or money circulate.
In response to Sura’s announcement, the presidency’s workplace refuted claims of damaging the well being system, attributing the problems to “structural and systemic issues” gathered over time and denying any authorities accountability for the sector’s challenges.
