With the imminent presentation of health reform by the government to the Congress of the Republic, the outlook for EPS remains critical, as it represents a significant fiscal deficit and puts more than one entity at risk. This is an area that is under intensive care. For this reason, the government believes that this model of the health system is not sustainable due to the fact that non-compliance of their financial and financial responsibilities by the institutions is becoming increasingly established and increasing.
EPS debt has already reached 25 trillion pesosOf which 64% correspond to entities that are operating, another 6.8% correspond to companies that have been liquidated, and 9.4% to entities that are at risk of liquidation.
According to the draft project to be filed, this reform is likely to eliminate health provider entities (EPS) around delivery points. This is a result of financial instability, which got out of hand many years ago.
Figures from the Colombian Association of State Social Enterprises and Public Hospitals (Acesi), detail that New EPS is the most indebted, with a portfolio of more than 800 billion pesos. It is followed by Emssaner with 431 billion, Esmet Salud (425 billion), Comparta ($278,087 million) and Savia Salud ($241,382 million); The latter will soon expire.
At this point in time, there are 11 companies that are close to the abyss, as liquidation is breathing down their necks, which would spell their demise. If they all end up like this, the figure will be roughly the same as in recent years. Since 2019, 13 EPS has ceased to function after liquidation. In other words, what happened in four years can be repeated in a few months; An alarming statistic that sums up the situation.
Many organizations that are at risk have helped in a certain way. However, months ago there have been some who have already met the deadline to pay their loans, but this period was extended by the Superintendent of Health; But it seems it didn’t work, as the aid didn’t stem the tide.
So far, the last eps to expire has been Convida. In December, under the administration of Ulahi Beltrán, the health superintendent, the liquidation of the unit was formally ordered. The situation occurred when Supersalud determined that EPS put the provision of health services at risk for its 478,399 associates in the Cundinamarca Department. In addition to not guaranteeing a service to the population most vulnerable to the subsidized regime.
The EPS had one of the highest rates of perinatal maternal mortality and increased rates of congenital syphilis, a serious condition for mothers and their newborns. simultaneously, The unit found in a monitoring process that there were a series of deficiencies in Convida’s system with regard to the detection and management of diseases such as breast cancer and cardiovascular conditions. This situation and the debts resulted in the termination of the service provider.
On the other hand, one of the most important institutions in Antioquia is one that is only a few days away from falling into oblivion and liquidation. This is Sap Health. January 27 is the last extended date given by the Health Superintendent to the EPS regarding the surveillance measure imposed. This will be completed next Friday and will affect over 1.6 million affiliates of this provider entity. Along with this, it will also affect the hospitals.
This institution serves most of the people who are part of the subsidized regime of the department, Corresponding to 75%. Likewise, ComFama, the Governor’s Office and the Medellin Mayor’s Office are its shareholders. For four months, Supersalad has carried out a special monitoring process on this entity, as it does not meet the standards of financial indicators and has a debt of more than 48 million pesos.
Like Convida and Savia, there are other institutions that have fallen in recent years; Others are at the gates. The big doubt currently hanging over the health sector is the future of EPS, Will eliminating them be the solution? What will come for them in recovery?