Acemi warns of risks due to decree redistributing affiliates among EPS in 2026

Decree 0182 redefines territorial eligibility of EPS in 2026. Photo: iStock

Acemi warns of risks due to decree redistributing affiliates among EPS in 2026

TL;DR

  • Decree 0182 modifies rules for territorial and population-based health insurance, redistributing affiliates based on new territorial eligibility criteria.
  • Acemi claims the decree is illegal, constituting contempt of court as it mirrors a previously suspended decree (0885 of 2025).
  • The redistribution is expected to lead to some EPS withdrawing from municipalities, new users being assigned to dominant entities, and a significant concentration of affiliates in Nueva EPS.
  • Acemi highlights concerns about the financial and operational capacity of intervened EPS, which would receive a large influx of new users, and Nueva EPS, whose financial situation is reportedly unknown and faces service delivery issues.
  • EPS associated with Acemi are projected to lose over 800,000 users, while the decree is seen as deepening the current healthcare crisis rather than stabilizing it.