This Independent Association Center and Officials (CSIF) asked the general assembly. General Mutual Civil Servants Association (MUFACE) increase the financing of the health concert, as they have long warned, to avoid cuts in aid. At the general assembly meetingOrganized on June 28, the union asked the steps taken by the Muface headquarters to increase that funding. Thus, CSIF agrees with the concern recently expressed by the main MUFACE insurers to El Periódico de España from the Prensa Ibérica group. about a possible bankruptcy of the model.
As reported by CSIF, MUFACE management reported that, in cooperation with the State Attorney’s Office, they are seeking ways to increase the budget allocated for the public contract with insurers. In parallel with this, the union called out to political parties within the framework of the election campaign, “To ensure the financing of the system so that the quality of health received by the associate members is not affected. last year”.
According to data from the MUFACE report, which was closed as of December 2022, the organization has a total of 1,053,934 owners, representing an increase of 15,500 over the previous year. This is how CSIF continues to approach a group of one and a half million people among owners and beneficiaries (relatives of associate members). Altogether, if we consider the remaining partners, ISFAS (Armed Forces Social Institute) and MUGEJU (Mutualidad General Judicial), The group reaches nearly two million people.
health benefits
The report notes that over the past year, there have been more than 2,000 consultations on the health benefits associated with use. media that is not compatiblepre-authorization of services, diagnostic tools, non-contractual benefits or vital emergenciesamong others.
In 2022, 1,148 administrative appeals were registered (16.19% more than the previous year), most of them for reimbursement of health expenses.
In addition, CSIF details, 1,148 administrative appeals were registered in the same year (16.19% more than in the previous year), most of which corresponded to reimbursement. health expendituresCovering pharmacy and prosthetic costs. But in the report, the CSIF states that “health care claims are not analysed. against the actions of compliant medical organizations“So the union demands that reciprocity destroy it.
the future of the model
Just a few days ago, the main MUFACE insurers Adeslas, ASISA and DKV due to a possible bankruptcy of the model at the expense of financing. According to sources from companies this newspaper consulted, only one in three insurers has accumulated losses. The first of the current concert exceeding 170 million euros in 2022. But in addition to that, they say, it will lead to the “collapse” of the public health system, having to take care of almost everyone. two million members
MUFACE is the responsible public institution. cover health and pharmaceutical careas well as other social possibilities (temporary disability, risky situations during pregnancy, partial permanent disability and severe disability, disabled dependent child,…) to appointed officers. They insist that it is necessary to review the underfunded model both in absolute terms and comparatively. with public health funding.
The pressure of “very old” premiums that companies point to is shrinking the scales that insurance companies pay. They pay the doctors who treat the mutuals. Autonomous doctor rates in Spain have been on the table for months. They’ve been asking for reasonable scales (wages) for years and update what companies charge per consultation.
renew the concert
Concert for health service delivery from companies with MUFACE Needs to be renewed in 2025. Pre Entered into force at the beginning of 2022. Therefore, think about insurers, it’s time to think about the future. They deem it necessary to “a comprehensive review of the model to balance the amount paid for a patient in the public system and a patient in the private system”. They understand that “there will always be a lower cost” in private healthcare “for greater efficiency of the industry”.
MUFACE management pointed out that it is aware of it”the impact of the current economic situation in the budget of the signed health agreement For the years 2022-2024. It is also sensitive to “complaints and allegations made by the reciprocal collective or union representation”.