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$397.996 millones se giraron por presupuestos máximos en septiembre
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La ADRES realizó un giro por valor de $397.996 millones a las EPS del territorio nacional por concepto de Presupuestos Máximos es decir, servicios y tecnologías no UPC prestados en el mes de agosto.
Con estos recursos las EPS deben cubrir y financiar los tratamientos no UPS que requieren los pacientes de alto costo con enfermedades huérfanas que requieran los afiliados a las aseguradoras sin importar el régimen.
Cabe resaltar, que las EPS tienen la potestad de manejar de manera mancomunada los recursos que gira la ADRES correspondientes a la UPC y también la de Presupuestos Máximos para garantizar la integralidad y la gestión de la prestación de los servicios de salud en el marco de la emergencia sanitaria y asegurar con efectividad, oportunidad y continuidad los medicamentos, dispositivos, insumos y demás servicios que requieran los afiliados tanto del regimen subsidiado como del contributivo.
Recordemos, que las EPS deben reportar a la ADRES los servicios y tecnologías no UPC que se paguen con los recursos de Presupuestos Máximos puesto que la administradora debe realizar seguimiento a estos recursos y hacer un ajust de ser necesario, en el marco de lo establecido en las resoluciones 205 y 206 del Ministerio de salud.
También puede leer: eutanasia: se vuelva abrir el debate en el Congreso
Giro de Presupuestos Máximos a EPS
A continuación, se detallan las EPS beneficiarias de los giros de septiembre y los montos:
| EPS | Valor girado (millones) |
|---|---|
| Nueva EPS | $100.207 |
| EPS Sura | $60.519 |
| Salud Total | $31.649 |
| Coomeva | $26.193 |
| Famisanar | $20.734 |
| Compensar | $19.424 |
| Emssanar | $12.006 |
| Coosalud | $11.525 |
| SOS EPS | $10.660 |
| Medimás | $10.364 |
| Mutual Ser | $6.424 |
| Asmet salud | $5.976 |
| Comfenalco Valle | $5.166 |
| Savia Salud | $4.823 |
| Aliansalud | $4.662 |
| Cajacopi | $2.896 |
| Comfamiliar Huila | $2.131 |
| Comparta EPS | $2.087 |
| AIC | $1.367 |
| Comfaoriente | $815 |
| Convida | $765 |
| Capital Salud | $676 |
| Ambuq | $505 |
| EPM | $395 |
| Salud Mía | $303 |
| Mallamas | $228 |
| Pijaos Salud | $168 |
| Comfamiliar Nariño | $160 |
| ComfaGuajira | $131 |
| Anas Wuayuú | $128 |
| Comfacundi | $124 |
| Comfamiliar Cartagena | $61 |
| Ferrocarriles nacionales | $15 |
| Dusakawi | $11 |
| Comfasucre | $9 |
| Comfachocó | $9 |
| Capresoca | $5 |
| Total | $397.966 |
Cabe resltar, que no se efectuó el giro a EPS-S Dusakawi dado que no allegó la documentación requerida. Adicionalmente, la EPS Comfamiliar Cartagena autorizó giro directo a Audifarma por $60 millones y al Centro Médico Valle de Atriz ($159 millones).
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