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ADRES destinó $6,95 billones en junio para asegurar la salud de los colombianos
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En el mes de junio, la ADRES asignó $6,95 billones para asegurar la prestación de servicios de salud a los colombianos. De este total, $3,47 billones fueron destinados a los afiliados del régimen subsidiado y $3,30 billones a los del régimen contributivo.
Con respecto al giro directo, la entidad distribuyó $2,45 billones de estos recursos directamente a 3.054 IPS y proveedores de salud designados por las EPS del régimen subsidiado, y $1,96 billones a 2.494 IPS y proveedores de servicios designados por las EPS del régimen contributivo.
Adicionalmente, la ADRES giró en el mes $127.8 mil millones a las EPS para incapacidades por enfermedad general, $41 mil millones para actividades de promoción y prevención de las enfermedades (PyP) y $110.0 mil millones por 14.546 licencias de maternidad, 6.569 de paternidad y 178 fallos de tutela.
Comportamiento de los giros de la ADRES en el primer semestre de 2024:
En el primer semestre del año, la Administradora de los Recursos del Sistema de Salud (ADRES) reconoció un total de $42,32 billones por concepto de Unidad de Pago por Capitación (UPC). De este monto, $21,58 billones fueron destinados a las EPS del régimen contributivo y $20,74 billones a las EPS del régimen subsidiado. Adicionalmente, la ADRES desembolsó $2,48 billones a las EPS para cubrir servicios y tecnologías en salud no contemplados en el valor de la UPC.
El giro directo se mantuvo en el primer semestre de 2024. De los $44,8 billones transferidos, la entidad giró directamente $19,52 billones a IPS y proveedores de servicios y tecnologías en salud. Específicamente, $13,14 billones se dirigieron a 3.494 IPS del régimen subsidiado y $6,37 billones a 2.936 IPS del régimen contributivo. Este monto refleja un aumento del 88.82% en el giro directo a clínicas y hospitales en comparación con el mismo periodo del año anterior, gracias a la implementación del Decreto 489 de 2024 (giro directo para el contributivo).
En el mismo balance del primer semestre de 2024, la ADRES revela el top 20 de las IPS y proveedores de servicios y tecnologías en salud, postuladas por las EPS, que se beneficiaron del giro directo: estas 20 entidades recibieron el 22,5% del valor total de las transferencias realizadas entre enero y junio de 2024 con recursos de la UPC.
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