Informe revela que el sistema de salud colombiano comenzó el 2026 en medio de una crisis financiera y operativa

El sistema de salud en Colombia arrancó 2026 enfrentando uno de los momentos más complejos de los últimos años, marcado por un deterioro acelerado de sus finanzas, problemas de liquidez y crecientes barreras para los usuarios.

Informe revela que el sistema de salud colombiano comenzó el 2026 en medio de una crisis financiera y operativa

TL;DR

  • Colombia's healthcare system faces a complex situation in early 2026 due to accelerated financial deterioration, liquidity issues, and user access barriers.
  • The system's net worth is negative, reaching $15.8 trillion pesos, a significant increase from $9.7 trillion at the end of 2024.
  • Operational losses by November 2025 exceeded $7.3 trillion pesos, indicating insufficient revenue to cover healthcare costs.
  • Incurrence rates remain above 108%, meaning more is spent than earned on services, particularly in the contributory regime.
  • Lack of timely financial statements from major EPS, like Nueva EPS, hinders accurate risk assessment.
  • Low execution of the Maximum Budget for uncovered medicines and technologies affects EPS liquidity.
  • The adjusted UPC is considered insufficient for rising sector costs, potentially creating a deficit of $2.7 to $3.1 trillion pesos in the contributory regime alone.
  • Users are experiencing increased difficulties, with over two million PQRS and an estimated 300,000 tutelages projected for late 2025.
  • Without urgent technical adjustments, transparency, and resource monitoring, the crisis could deepen in 2026, affecting healthcare quality, timeliness, and continuity.