Rodolfo Montero was authorized to criminally report social works that fail to comply with benefits

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Alfredo Cornejo and Rodolfo Montero at the Central hospital.jpg

The Minister of Health, Rodolfo Montero (left); the director of the Central hospital, Mariana Pezzuti, and the governor Alfredo Cornejo.

Another of the strong points of this rule is that it will be mandatory for financiers to present mandatory a detailed detail of the Medical Assistance Benefit Programs that they provide to their beneficiaries, the complete list of your beneficiariesthe institutions where they are actually provided and the agreements entered into. The data must be presented within a period of no more than thirty calendar days..

In this way, the Ministry of Health and Sports is empowered to celebrate the agreements it deems necessary in order to establish the operating guidelines, the rights and obligations of the parties, the benefit nomenclators, and everything that is appropriate to make the provision of the health service effective.within the scope of provincial powers.

Administrative and criminal complaints against social and prepaid works that fail to comply

The legislator also referred to the power that the Ministry of Health and Sports will have. make criminal and administrative complaints to financiers who fail to comply with what is ordered by the Law.

“Having a Provincial Registry of the Financiers of the Health System we will be able to cross data and exercise police power more effectively. We are really wasting resources allocating them to a patient with social work, when in reality it should be focused on Mendoza residents who do not have coverage,” questioned the deputy.

Article 4 establishes that “in case of non-compliance with the obligations established in this law, the Ministry of Health and Sports is empowered to to file criminal and administrative complaints that are pertinent“.

Although it is the Superintendency of Health that regulates the control and operation of social, mutual and prepaid works, When they operate in the territory, it is the Ministry of Health that has police and interference power, because the authorizations are provincial..

At Notti. Alfredo Cornejo with Elisabeth Crescitelli, at the children’s hospital.

Elisabeth Crescitelli, provincial deputy and former Minister of Health during the first administration of Alfredo Cornejo.

Creation of a body to collect social and prepaid works

With a half-sanction in the Senate, in the coming weeks the creation of a decentralized body will be discussed to charge the system’s financiers for benefits to affiliates in public hospitals.

The aim is to create an entity that is dedicated to billing and monitoring of services to members of any medical coveragewhich means a cumbersome process for hospital administrations.

When Governor Alfredo Cornejo announced the sending of this package of laws to the Legislature, he assured that one of the main objectives was to improve the service and make effective the collection of social, prepaid and mutual works for improve collection and transfer it to the public system.

At the end of February the package of 26 lawsof which 11 have already become law.

►YOU MAY BE INTERESTED: Cornejo presented a plan with 26 bills to improve the health system of Mendoza

 
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