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$4.35 billones giró la ADRES para el aseguramiento en salud de los colombianos en marzo
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Un giro de $4.35 billones de pesos fue realizado por la ADRES en marzo a las EPS, IPS, y proveedores de servicios y tecnologías en salud, para financiar la prestación de los servicios de los afiliados a los regímenes contributivo y subsidiado.
Para el aseguramiento de los usuarios del régimen contributivo, el giro tuvo un valor de $2.27 billones repartidos en los siguientes cuatro procesos de compensación:
- El 89,97% fueron para financiar servicios y tecnologías en salud ($2,04 billones).
- El 3,79% para la provisión de incapacidades por enfermedad general de los afiliados al Sistema ($86.077 millones)
- El 1,81% para que las EPS adelantaran actividades de promoción de la salud y prevención de las enfermedades ($41.074 millones).
Los recursos faltantes ($100.333 millones) se usaron en el cuarto proceso de compensación para financiar los servicios prestados a los afiliados activos por la emergencia sanitaria. Adicionalmente, se giraron $67.854 millones en marzo por concepto de 12.881 licencias de maternidad, 4.126 de paternidad y 147 fallos de acción de tutela presentadas.
Del total de recursos de UPC para el régimen contributivo, la ADRES giró el 9,57% equivalente a $204.902 millones de manera directa a 1.386 prestadores y proveedores de servicios y tecnologías en salud, en nombre de las siguientes EPS: Comfachocó, Comfaguajira, ComfaHuila, ComfaNariño, ComfaSucre, Coomeva, SOS, Savia Salud, Medimás (Contributivo y movilidad), Convida, Capresoca, Dusakawi, Emssanar, Comparta, Asmet Salud, Ambuq y Ecoopsos.
También puede leer: Modelos de corazón en 3D para analizar enfermedades cardíacas
Giro al régimen subsidiado
Para el aseguramiento de los afiliados del régimen subsidiado, la ADRES realizó un giro por valor de $2.08 billones divididos de la siguiente manera:
- 35,02%, se giraron a las EPS ($728.696 millones)
- 64,98% se giraron directamente a 2.974 IPS y proveedores ($1.35 billones) autorizados por 38 EPS que aplican giro directo
Entre enero y marzo de 2021, la ADRES ha reconocido para el aseguramiento de los afiliados al SGSSS $13,03 billones, de los cuales giró por el régimen contributivo $6,80 billones y por el régimen subsidiado $6,23 billones; así mismo, ha reconocido licencias de maternidad, paternidad y fallos de tutela por $200.317 millones.
En contraste, durante este mismo periodo del año pasado, se reconocieron por UPC más de $11 billones, de los cuales $6.33 billones se giraron al régimen contributivo, y $5.64 billones para el régimen subsidiado. Mientras que por licencias de maternidad, paternidad y fallos de tutela se giraron $206.066 billones.
Esto quiere decir, que los recursos girados por UPC con respecto al 2020, aumentaron en 7.58% para el régimen subsidiado, y 10.44% para el régimen contributivo. Sin embargo, el reconocimiento por licencias de maternidad y paternidad se redujo en 2.79%
El detalle de los beneficiarios y giros efectuados, lo puede consultar en la sección “La Lupa al Giro” de la página web de la ADRES: www.adres.gov.co
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