Colombian Health Superintendent Forces Major Health Insurers to Speed Up Appointments
핵심 요약
- Supersalud forced Nueva EPS, Sanitas, Salud Total, and EPS SURA to improve their appointment processes.
- The board's decision came after a significant increase in complaints regarding medical appointments in July.
- The regulatory board emphasized that scheduling timely appointments is a legal obligation for health insurance companies.
- It was stated that inspection and sanction processes could be initiated against organizations that fail to comply with the instructions.
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The Colombian Health Superintendence (Supersalud) has forced the country's four largest health insurance companies (Nueva EPS, Sanitas, Salud Total, and SURA) to implement an urgent action plan to expedite their medical appointment processes. The regulator demanded that they implement a joint intervention plan following an increase in complaints and requests in July.
Juan David Duque, an official of the Superintendence representing users, stated that patients continue to be forced to apply to the regulatory unit just to get an appointment. Duque emphasized that providing appointments on time is a legal obligation for the institutions and a fundamental right for patients.
These four institutions are required to resolve all pending requests and reduce waiting times. Otherwise, the regulatory board warned that administrative measures, such as close monitoring and sanctions, would be applied against these companies.
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자주 묻는 질문
- What prompted Supersalud to take action?
- A significant increase in user complaints (PQRD) in July, particularly regarding medical appointment delays related to these four major organizations, prompted this step.
- Which health insurance companies received the most complaints?
- As of 10 July, Nueva EPS ranked first with 8.328 complaints, followed by Salud Total (8.062), Sanitas (7.576), and EPS SURA (7.546).
- What are the obligations that these health organizations must fulfill?
- These four organizations are required to immediately implement an intervention plan to reduce waiting times, improve consultation appointment scheduling, and resolve all pending requests.