health
Fomag Denounces Sumimedical for Irregular Payments and Possible Detriment of $127 Billion in Health
Interest on interest reportedly raised debt from $23 billion to $127 billion. Photo: Fomag Courtesy
TL;DR
- Fomag denounced Sumimedical S.A.S to the Attorney General's Office for alleged irregularities.
- The alleged patrimonial detriment is close to $127 billion, affecting over 830,000 affiliates.
- The complaint includes accusations of irregular payments, data manipulation, and unfavorable contractual decisions.
- A central issue involves the calculation of financial interest, with allegations of compound interest (anatocism) inflating a $23 billion debt to $127 billion.
- Inconsistencies were found in the audit of medical accounts, including altered invoice statuses and values.
- Fomag has suspended payment approvals to prevent erroneous recognitions.
- Concerns exist regarding the manipulation of data on Sumimedical's Horus platform.
- Allegations also include operational decisions that affected health service delivery.
- Fomag suggests these irregularities might be an attempt to sabotage the implementation of the new teaching profession health model.
- Fomag requested an agile investigation by the Attorney General's Office.