Government updated contracting conditions for the health sector

The National Government announced that it issued Decree 441 of 2022, which regulates and updates general aspects of procurement in the health sector and includes mechanisms to protect users of the system. The implementation was carried out, as announced by the Ministry of Health, with the aim of guaranteeing and facilitating health care for Colombians and improving the flow of resources between actors.

The Health portfolio also specified that this decree was the result of joint work between the different actors in the sector and “reflects the progress and innovation in contractual instruments, aimed at the use of payment methods aimed at the integral provision of services, the non-fragmentation of these services and the obtaining of health outcomes”.

These were the parameters of the new policy that were released by the Ministry of Health and Social Protection:

-Guarantee of timely and comprehensive care without barriers.

-Provision of information that allows informed decisions to be made about their provider or provider, as well as the EPS to which they wish to be affiliated.

-Elimination of authorizations for the care of diseases such as childhood cancer, adult cancer, HIV, maternal and perinatal population and health promotion and prevention.

-Care models that respond to different health needs, according to population and territorial differences.

-That users in general and especially those with chronic and high-cost conditions are not affected by administrative processes such as provider changes, early termination of contracts or population assignments.

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In the same way, it was informed what aspects are, both for the provision of individual and collective care services, which providers, insurers, territorial entities, ARL, pharmaceutical managers and logistics operators should take into account from now on:

-Update of payment methods aimed at obtaining health results.

-Inclusion of the technical note as a transparency tool to ensure the financial and operational viability of contracts.

-Update and standardization of the minimum contents of contracts.

-Rules for the automatic renewal of contracts.

-Inclusion of providers of health technologies.

-Compulsory monitoring of willingness agreements through indicators of management, quality and health outcomes, accompanied by auditing and monitoring processes to the technical note.

-Need to define by the parties mechanisms for the delivery and updating of information based on technological solutions, as well as communication channels that include the use of information and communication technologies.

-The criteria related to the sales invoice in the health sector are established as a security title and provisions are made regarding its supports, returns, glosses and payment procedures.

The decree enters into force on May 1, 2022 for contracts signed after that date, and from July 1 of the same year the contracts in execution must comply with all the regulations set out in the document.

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