Supersalud dice que subida de quejas a EPS no es solo en intervenidas; ¿es verdad?
La Superintendencia de Salud se refirió al incremento en las cifras de peticiones, quejas, reclamos, denuncias y sugerencias (PQRDS) en las entidades ...
TL;DR
- The Superintendence of Health attributes the increase in PQRDS (petitions, complaints, claims, reports, and suggestions) to strengthened user service mechanisms and easier access to reporting channels.
- Data shows a generalized increase in claims across all EPS, with non-intervened EPS experiencing higher growth in PQRDS compared to intervened ones.
- The rate of complaints increased from 322.03 to 420.83 per 10,000 affiliates between 2024 and 2024, a 30.68% rise.
- Comfenalco Valle (non-intervened) has the highest complaint rate, followed by SOS (intervened) and Capital Salud (non-intervened).
- Six out of the top 10 EPS with the highest complaint rates are not under intervention.
- Other official sources (Defensoría del Pueblo and Corte Constitucional) also show a significant increase in health complaints and legal actions (tutelas) since 2022.
- The number of tutelas filed has consistently increased year over year, with a projected 314,658 in 2025.
- Claims received by the Defensoría del Pueblo have also shown an upward trend, projected to reach 42,159 in 2025.
- Supersalud has seen a rise in complaints, projected to reach 2,011,277 in 2025.
- Tutela claims against intervened EPS have increased from 2021 to 2024, with varying rates across different EPS.