The General Secretary of the Republic, Carlos Hernán Rodríguez, stated that, after assessing the General Resources Administrator of the Social Security System in Health Assessment (Adres), the entity presents great weaknesses that endanger Colombian health resources.
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The announcement was made in the forum for the protection of the right to health by the fiscal control of the matter, carried out by a special inspection of the Address.
“From some of the alerts provided in the Diary, a Special Action Inspection was carried out in Addresses, through which he explained the management of the said entity with respect to health, which did not result from traffic accidents, that took place between 2018 and 2011. tenor, declaring that some controls by the said entity in the process of recognition and solution of health care, the present weakness, as well as the absence of mastery points;
He points out that it is important to have a strictly monitored entity, to have a fundamental axis in the project of public reform.
“We have to express my great concern about the risk of losing system resources if relevant adjustments are not made in the Adres processes, especially in three aspects: as in the weaknesses that are detected in the Adres” through the monitoring of the resources of the systems; as well as the processes of audits of medical accounts and non-Soata collections, through EPS, which determined schemes or payments to various entities without due rigor, without proven compliance with critical requirements for due payments collected or recovered for health services. from Address; in these, because the weakness in terms of non-Soat medical hearings and recoveries is widespread,” he said.
He also stated that he was anxious to proceed with the audit of his competence. “This implies the need to evaluate the cost-promise of said travel, which has also generated inconveniences or disruptions to the flow of resources,” he said.
He said that, in view of the institutional resources and capabilities of the Adres, the Office of the Auditor has obvious weaknesses and risks in the hearing practices, to the lack of human talent to complete the hearings and the lack of information to initiate hearing processes. He claims that the collection was accepted as a concept.
“There are efforts to strengthen the interoperable information systems, which must guarantee transparency in the use and flow of resources; with a visible transactional system that has cybersecurity tools to ensure the security of financial and health information among others,” he said.
The developer after this assessment shows that doubts are generated about the role of ADRES in the form of how the process of auditing and monitoring the flow of resources of the system will be, henceforth, given the new panorama of implicit risks. in the reformation.
“This risk must be assessed, evaluated and mitigated, to avoid possible damage to resources in the area, since this administrator, in addition to their management, intends to be in charge of contracting processes for health services”, etc. sharp
According to the Audit Office, based on the proposed reform, the business will adapt and direct the flow of resources mainly to the ADR and its internal management processes, use, allocation and resources.
“It will be done, leaving aside the other actors, through the different instruments we have, to mitigate as little as possible, and to avoid the loss of money from the account or the loss of the state,” etc. it is added.
He said he was also deeply concerned about the questionable costs of reform. “Although they are projected from the middle level, they are subjected to legitimate controversies from other authorities, actors in the sectors, to give their opinion or judge about the possible costs of the reform, which present figures different from those conceived. executive In this sense, it is important to advise the national government, whose concern is to clearly define the true value of the reform, in order to guarantee both its implementation and its sustainability in the medium and long term,” he said.
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He sought to clarify and clarify the obligations between the different actors in the system, as required for the implementation of the new machine tools and the flow of resources.
He warned that he will remain with the work of guarding and controlling health resources in Colombia when the big changes come.