It’s for a while that in every crisis there are women who are gay and who are pierden. The current sanitary and socio-economic crisis over the covid-19 pandemic is no exception. While the health of the cobran health professionals is very poor and the health care centers -also have a high percentage of employees of other rubrics- he has to do “magic” to stay assisted and others to be found , the medical company prepaga se han visto favorecidas.
For a fee, as part of the covid-19 surgery the affiliates of health insurance insurers make medical consultations, carry out studies or treatments. We will continue to pay the full costs if we do not use the services before the unexpected situation. At the same time, many of the pre-employment training programs in the Employment and Production Assistance Program (ATP). This is how the updating of the values that paganize by the performance of the institutions and professionals of the health and the postergacion of the poor and unfortunate places is profound.
Here is the explanation in an interview with La prensa Licensed Juan Manuel Ibarguren, Member of the Board of Administrators of the Argentine Council of Ophthalmology, Licensed as Administrator of the National University of Cordoba and Master of Administration of Health Services of the Catholic University of Cordoba.
– How did the pandemic impact on health care institutions and what role do they adopt?
– 2020 was a very special year for all the economy and society for health care institutions were very critical in virtue of the fact that in order to function we need to add a number of issues related to the pandemic, the agreement and the protocols. It is common for all organizations to be in the age of health, and ophthalmology in particular, is critical. I have to admit that the first medical contact of covid-19 in the world was an ophthalmologist. In the case of ophthalmology – as can be done with other specialties such as dentistry or ophthalmology -, in addition to the search that has been made with the patient, in addition to having demonstrated that the virus is transmissible through the secretions of the eye, all profiling procedures for the attention its extremely necessary and also caros. If you use quality material. Subrayo is practically none of the prepayments or the financiers reconciling in time and form an additional one that we can apply to address this situation. In turn, hay aforo or turn programming, not only in health institutions but in all organizations, with protocols, for which a patient can be in any media hour and must respect the social distance, in the end, the volume in general that patient attendance is reduced practically to 40%, when we are working to the maximum. It is very important to get a menos of 20% of the overall capacity of the organizations.
This is the first panorama of how the pandemic impacted and the no support that we found in the first instance of the so-called “financier” sector.
– Are health care institutions and patients’ health insurance institutions required?
– This is what the Ministry of Health has in charge of each province, which carries out very rigorous inspections – as correspondent – requiring all the correspondence and if it is not complied with, it can correct the risk of imprisonment.
– Does anyone cover any extra materials needed for medical and patient protection?
– Has a completely generalized silence. After much pressure, and a bargaining chip, the Galeno review took place in October. The other prepositions provide the kit only for emergency attention, which is absolutely irrational because all ophthalmic activity is performed with both programmed modalities and chronic pathology. It is hoped that this will result in a surgical resolution. Without embargo, the majority of determinants, unilaterally, that the additions to covid-19 are solely for emergencies. The one that was converted from March to November in emergency companies, no cover coverage.
– What happened to the increases in the prepagas last year?
– In anticipation of the pandemic, the venomous providers with a situation of an enormous retreat of the values with respect to reality and, above all, our cost structure. The prepayments have implemented a system – so there is no legislative or non-compliance norm on the part that the Superintendence of Health Services authorizes to increase the quota, they are transferred to the providers. In 2020, a 10% increase in solvency alone, which is why it is important that only inflation is calculated for this period is below the triple. And inflation is not the only impact on the cost structure. It is worth noting that in organizations such as ophthalmologists, 40% of the sums are dollarized, not only the medicines and waste disposal are the maintenance and acquisition of technology. And moving in the cambio type. También hubo paritarias, es decir que se aplicaron aumentos que se pactaron op su momenta par el sanidad, más la inflation. And, in his opinion, the tax burden is good, and the Government will pay with respect to employer contributions, national, provincial and municipal taxes, which will be 100% serious. For this reason, the general cost structure of creation is much larger than what is expected in 2020, but we will see a huge distortion, a very large break, in 2019, 2018, 2017, and for the future too.
In a study that we conducted, we demonstrated the difference between the auctions that authorized the Health Superintendent to apply the prepositions to their quotes and that they were successfully transferred to the providers, in this case ophthalmologists. There are differences that can be reached approximately 150%. This is a huge retreat.
– Debiting the pandemic in many specialties is reduced by up to 80 or 90% of the consultations. For this reason, the performance of services is drastically reduced by continuing to cover the full quota …
– The first three months, they are March, April and May, the polyvalent health centers are working at 25%, the level of monovalent centers and super-specialties are working at 10 or 15%. In Capital Capital, however, the quarantine had more restricted hub centers that were completely closed. In synthesis, the accumulative remedies of important and elegant ways, some of them called “technical reserves” mean other words “hicimos caja pero ahora no sabemos qué va a passar”. It does not apply to finance providers, who are also inconvenienced by additional costs associated with the payment of fees at the most basic level of activity, with labor costs that impede staff.
– This “favorable” situation for the prepaid, many access to the ATP granted by the governor.
– In effect, many access to ATP and also many other clinics will operate on the basis of ATP assistance and the flexibility of employer contributions. Paradoxically, the people of the prepayment phase do and obtain the ATP. But, moreover, siguieron con un diferimiento los los pagos. At the moment we are helping each other to pay the bills, but there will be situations in some extraordinary cases. We aim to negotiate with some prepayments, as tenien plata exceeding our overpriced paganos for adelantado performance to beautiful prices.
– How do you respond to this situation in the attention of patients and in the health of people?
– Ophthalmological clinics, are not supplemented with protocols and prevention requirements, are foci of immediate infection. For that matter, by a liability issue we hold that we will assume a proper account. For this behavior of the subjects, in die special Switserse mediese wese, is the emblem of the lack of consideration because with the others for whom it was possible to converse, it generated a reaction to the very negative medical professionals because absolutely menoscabada in the profession . It’s not easy to work all the days with those barbarians who market the car, have to go to bed and get everything by contact with the family. It is clear that there are sometimes medicines and certain reconnaissance on the part of the financier causing a malestar. Many include our plants that do not require patient prepaid conditions.
– ¿Además las prepagas han tomado repralias hacia las entidades y profesionales de la salud que presentaron klamas por esta situation, sacandolos, par egemplo, de sus cartillas?
– Si. This is because for the duration of this time, from March to the end, from the groups of clinics that are organized before the problem is informed as much as the National governing body as the prepaid medicine companies, in which the costs are calculated. the biosecurity measures required to prevent the pandemic. The National Governor gave us the answer and from the prepositions it was not contested. This demonstrates the lack of consideration.
– The prepositions end up being the ones that have the ultimate palabra in terms of the quality of services that are offered to patients. Does Nadie check that the percentage of increases that they apply in their quotes are translated into the values of the performance?
– Clearly, because the system is regulated in the media. Tienen has a level of regulation of prices that they can cover the public but with the free contract. There is a Compulsory Medical Program (PMO) because it has a series of benefits that must cover the plans that are offered, but the values and the pagan benefits have a very large retreat.
How are the prepayments as health funders for their generators because of the funding they provide to the performers, not only because they are also meaningful for the payrolls. One of the most important prepositions has a reasonable pay space, all of which have morbidity plus ten places that are inaudible, pagan at 90, 120 and up to 180 days. At valores atrasados. It is also unapproachable. For this, the tenants have the productive weight and the financial burden because they have to increase the space to be able to cover. And it’s not the word that I mean, it’s the President of the Nation: the prepositions have inversions in financial instruments. I would like to point out that the excess that is paid by the payers, more the ATP, more than the low in the amount of performance that hubo in all this period -which they call technical reserves – they have invested in financial instruments to cover inflation but at the expense of the performers.
– The prepositions plant the hypothesis that the lie will be a demand for medical services, but the reality is that there are pathologies that are not at the time of death and, otherwise, as in ophthalmology, there are irreversible consequences . For this, his achievements are not expensive.
– They have a demand that is content and when everything is normal there will be an increase in the proportion that is disproportionate to the reasonable. But one has to plant that covid-19 is not more covid-19, but we have a serious problem because we have covid-20 and covid-21 and it is not fast. Entries we project that do not tend to conditions of the most normal and that this “new normality” will extend for a long time. This new standard has benefited financially from the prepayments. And the performers are funded.