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¿Hasta qué fecha Audifarma entregará medicamentos a los pacientes de Nueva EPS?
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Luego de que el agente interventor de la Nueva EPS, el Dr. Julio Alberto Rincón, anunciara que Audifarma decidió terminar unilateralmente la entrega de medicamentos a los más de 2.5 millones de afiliados de la entidad, el gestor farmacéutico reiteró la decisión de retirar de forma progresiva sus servicios a la EPS debido a un “desequilibrio económico generado por la escasez de recursos del sistema”.
En un comunicado oficial, Audifarma explicó que tras los números esfuerzos realizados durante los últimos años por alcanzar un acuerdo de conciliación de cartera con Nueva EPS han resultado fallidos, incluso con el acompañamiento de la Superintendencia Nacional de Salud.
“La diferencia de cifras de cartera entre los estados financieros de Audifarma e IPS Especializada, que asciende a $651.000 millones con corte a septiembre 30, y los reportes de la Nueva EPS, generan un riesgo crítico para nuestra organización, que nos impide continuar con la prestación óptima del servicio”, señaló el gestor farmacéutico.
Es clave mencionar que el Dr. Rincón, en una rueda de prensa aseguró que el Nueva EPS ha logrado cumplir con los compromisos adquiridos con Audifarma, incluso superando los pagos en comparación con los servicios prestados en lo que va del año. Según el agente interventor, en lo que va de 2024, Audifarma ha recibido más de 90 mil millones de pesos, superando la cifra de servicios prestados por cerca de 4 mil millones de pesos.
Audifarma confirma hasta cuándo seguirá suministrando medicamentos a los afiliados de Nueva EPS
Entre tanto, el gestor farmacéutico tras un exhaustivo análisis y tomando en cuenta distintos factores, decidieron retirar de forma progresiva los servicios a Nueva EPS, asegurando así una transición ordenada para evitar mayores inconvenientes a los usuarios.
La entidad explicó que la finalización completa está prevista para el 04 de diciembre de 2024, pero gracias a los buenos oficios de la Supersalud que, en reunión del 11 de octubre de 2024 en la cual participo la EPS, programó una mesa técnica tripartita del miércoles 23 de octubre en la cual se espera limar las diferencias.
“Nuestro principal interés sigue siendo el bienestar de los usuarios. Lamentamos profundamente los inconvenientes que esta decisión pueda causar, y reiteramos nuestra total disposición para colaborar en todo lo necesario, buscando que el impacto sobre los pacientes sea mínimo”, concluyó Audifarma.
Nueva EPS enfrenta retos en la distribución de medicamentos
La entrega de medicamentos, especialmente aquellos destinados a pacientes con enfermedades huérfanas, ha sido uno de los temas de mayor preocupación. Nueva EPS ha identificado que, debido a la concentración de ciertos medicamentos en operadores específicos, existen riesgos significativos para la continuidad de los tratamientos de pacientes con enfermedades complejas.
Con el apoyo de Audifarma y otros prestadores, Nueva EPS ha logrado ubicar a 5.048 de los 5.121 pacientes que reciben tratamientos especializados, garantizando que estos medicamentos sean suministrados en las mejores condiciones posibles y bajo la supervisión de prestadores altamente calificados. De esta manera, la situación de Audifarma refleja también el desafío de evitar monopolios en la distribución de medicamentos, lo cual ha generado dificultades adicionales en el abastecimiento y distribución a nivel nacional.
Entre tanto, el agente interventor ha hecho un llamado a la transparencia y la responsabilidad compartida en el uso de los recursos públicos destinados a la salud. “Los recursos de la EPS son recursos públicos y merecen que el país sepa a quién le pagamos y cómo los gastamos. Es vital que logremos transparentar los flujos de recursos para cambiar la dinámica del sistema”, enfatizó. Además, junto con el Gobierno y el Ministerio de Salud, ha solicitado a Audifarma que asegure la entrega de los medicamentos incluidos en el Plan de Beneficios en Salud por un periodo mínimo de seis meses para reducir las posibles afectaciones.
*La entidad espera publicar un informe detallado a fin de mes que muestre, proveedor por proveedor, los pagos realizados y los servicios prestados, como parte del compromiso de Nueva EPS con la transparencia*
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