Prepaid medicine: Government officially made new formula to update quota

With the increase in December and January, the government determined this Thursday through the Official Gazette, a change in size in which Update prepaid medicine fees for 18 months, which will be taken into account salary growth And it will start to be implemented in December.

The change was introduced as part of a discussion that began with the sector about the impact of costs and inflation. In return, it has already been arranged that there will be New growth in February Which will take into account the new values.

Casa Rosada stipulated that, starting in February, and for another 18 months, the fee increase would be as follows Maximum limit of increment 90%Measured through the Index of Average Taxable Remuneration of Stable Workers (RIPTE) for the month immediately published. it will be, at the same time, Health cost index and thus, the new change will only act as a threshold.

As specified, this mode of growth”Individual contracts of voluntary adhesion” that affiliated persons have signed “including those accessing the Service” Origin of your contribution Responsibilities of the Social Work System”. However, it has another limitation. This measure will apply to those who have “Net income less than the six minimum, critical and mobile wages”.

This measure was established in Decree 743 signed by Alberto Fernandez. There, it is mentioned that the new update wants medical companies to “face” High cost of inputs and resourcesAt the same time, it is a measure to try to discourage “inflation inertia.” The wage and equity of the sector is a factor that is considered.

According to the government, there Six million users of prepaid medical services, However, it is not a homogeneous universe. Over 1,900,000 are covered by employers’ corporate plans.

Meanwhile, approximately 1,600,000 beneficiaries access these services “by adhesion contracts” or, meanwhile, choose to “receive mandatory contributions for entities signing agreements” and “consequential differences” with their income. do cover.

The measure, as established, seeks to “protect the costs and inflation variables of users, users and consumers, workers in the sector, entities”.

In turn, it is specified that, from January, companies essential Keep your plans without copies under the same conditions as the current plans and it is noted that, in the case of those Copay Schemes“On the first and second tier of services”, they must offer “prices, at a minimum, of 25% less To plan without copies. ,

The Health Ministry, through resolution 2577, officially said that prepaid companies will be able to increase their fees according to the new formula starting February. According to RIPTE, this measure authorizes increases according to the health cost index and the extent of wage growth.

health cost index Considers “development of human resources, drugs, medical supplies, other supplies and items of general expenses that are important” to companies in the sector.

The Ministry of Health, through Resolution No. 867, had authorized “bi-monthly increase in the value of fees of Prepaid Medicine Institutions” in accordance with these norms. He had arranged to calculate the increase on the last day of the months of June, August and October 2022.

In this sense, as of June 30, 2022, the index mentioned was 11.34%, as of August 31, 2022, it was 11.53% and It was 13.80% till October 31, 2022. However, criticism of Christina Kirchner generated internal noise and forced the government to consider doubling that increase.

really, The government also split the 13.8% increase in the price charged by prepaid drug companies this Thursday. Through Resolution 2578signed by the minister Carla Vizotti, is about of growth authorized by 6,9%, One in December and one in January.

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