Informe del Carf sobre impacto fiscal de la reforma a la salud parte de ‘supuestos incompletos’: Minsalud Colombia’s Ministry of Health and Social Protection has challenged the fiscal impact projections of the health reform presented by the Fiscal Rule Autonomous Committee (Carf), asserting that the analysis is based on incomplete assumptions. The Ministry argues that Carf’s report omits crucial elements of the reform, such as the system’s reorganization, administrative efficiency, and a focus on preventive care. They criticize the methodology for projecting costs based on the current flawed system and ignoring structural changes intended to create a more efficient and sustainable healthcare model.

• The Ministry of Health disputes Carf’s fiscal impact projections for the health reform, deeming them based on “incomplete assumptions.”
• The Ministry argues Carf’s analysis ignores key reform aspects like system reorganization, administrative efficiency, and preventive care.
• Carf’s projection method is criticized for not accounting for the structural shift to Primary Health Care (APS) and proactive risk management.
• A preventive focus is expected to reduce the demand for high-complexity services and improve resource efficiency.
• The Ministry highlights that 17% of hospitalizations in Colombia are for preventable causes, costing 1.7 trillion pesos annually.
• The current system’s per capita payment unit (UPC) is criticized for incorporating cost overruns and high administrative expenses.
• Administrative spending in Colombia’s health sector is 5.4%, significantly higher than the OECD average of 3.5%.
• Pharmaceutical spending in Colombia is 4-7 percentage points higher than in other countries, with 20% wholesale margins.
• The Ministry rejects Carf’s attribution of costs like public network modernization and technological updates to the reform itself.
• The report allegedly ignores the roles of Adres as a sole resource administrator, public network reorganization, information system interoperability, and territorial leadership.
• The government asserts its reform is a transition to a more efficient, modern, equitable, and sustainable system, not a “fiscal leap in the dark.” https://nicaragua-hub.syndichain.com/articles/1894f560-651b-4592-87fd-aba62c8f8468 https://www.portafolio.co/economia/gobierno/informe-del-carf-sobre-impacto-fiscal-de-la-reforma-a-la-salud-parte-de-supuestos-incompletos-minsalud-484217