health

EPS Deteriorated After Government Interventions: Prosecutor's Office Revealed Serious Failures

The crisis in the healthcare system was once again evident during a key hearing before the Constitutional Court, where the Minister of Health, Guillermo Alfonso Jaramillo, had to answer for constant disobedience, the management of the Unit of Payment per Capita (UPC), and the multiple failures affecting millions of users in the country.

EPS Deteriorated After Government Interventions: Prosecutor's Office Revealed Serious Failures

TL;DR

  • The health system's crisis was highlighted in a hearing before the Constitutional Court, involving the Minister of Health and the Prosecutor's Office.
  • The Prosecutor's Office presented a detailed analysis of structural problems, focusing on the compliance of orders related to the sufficiency of the UPC (Unit of Payment per Capita).
  • There is a backlog in UPC payments between 2021 and 2024, deepening the system's financial deficit.
  • Problems were identified in the quality of information provided by EPS and healthcare providers, hindering accurate adjustments to the UPC.
  • Users face recurring difficulties in obtaining medications and scheduling medical appointments due to administrative, legal, and financial issues within EPS.
  • Eight intervened EPS have shown significant deterioration in all aspects, contrary to expectations.
  • The number of complaints, tutelas (legal actions), and disobedience incidents has increased, with over 312,000 tutelas filed in 2025.
  • The Nueva EPS, with over 11 million affiliates, is in a complex 'legal limbo', and clarity on its future has not been provided by the Superintendency.
  • The lack of timely medication delivery poses a serious risk to patients with chronic or high-cost conditions.