Government's health insurance project does involve member transfers, but not indiscriminately
Medical health system - Colombia Photo: stefamerpik - Freepik
TL;DR
- The Ministry of Health's new decree on health insurance operations will not involve automatic or indiscriminate user transfers.
- Reassignments will be based on strict technical parameters, prioritizing gradual implementation and continuity of care.
- The main objective is to protect the fundamental right to health, ensure continuous coverage, and strengthen the financial and technical sustainability of the General Social Security System in Health.
- The current system suffers from fragmentation, multiple insurers lacking minimum scale, adverse geographic selection, and loss of economies of scale.
- The proposed decree will implement technical ordering based on population scale, EPS operational capacity, geographic dispersion, financial sustainability, and service network articulation.
- The reform is framed within a regulated competition model to correct market failures, not to restrict economic competition.
- Explicit rules for member assignment and reassignment will prevent interruptions in ongoing treatments, preserve family unity, and protect financial stability.
- The project is presented as a technical tool to strengthen the health system by ordering operations with territorial and technical criteria.