The Ministry of Public Function has decided to suspend the deadline for submitting offers for MUFACE, which ended this Monday, with the aim of modifying the specifications to include “corrections detected”. This decision comes after weeks of conversations between the department directed by Óscar López and the insurers, the main of Adelas and Asisa, which are the ones with the greatest volume of officials attend at this time.
Just an hour after this decision was known through the contracting portal, Adeslas has issued a statement in which he states that “he has been maintaining throughout this week different contacts with the Ministry for Digital Transformation and Public Function ” “As a result of these conversations, we can confirm that there have been significant advances that would allow the current situation to be resolved and define a fair, balanced and sustainable model for MUFACE.”
As indicated by the company, “if these advances are consolidated in an adequate proposal by the administration,” Adeslas “would reconsider the current position and take the necessary steps to give continuity favorably to their presence in MUFACE.”
With this movement, Public Function wins time while trying to solve a delicate issue, which has a million and a half people in suspense, including officials and their relatives, and on which there are different sensibilities within the Executive itself. The adding wing, with the Ministry of Health, had been in favor of going to a model to extinguish.
The department directed by López had already extended in two weeks the deadline for insurers to attend the concert, after Adeslas and Asisa said they renounced. Now, the deadline is suspended until the Ministry incorporates these “corrections detected”, without the resolution, published this Saturday in the public sector contracting portal, clarify what they are. Although the current concert ended this January 31, the Government played the letter of a forced extension, so the companies that served are obliged to continue doing it until the tender is resolved.
Lopez had shown this Friday “almost convinced” that an agreement would be achieved. “I am optimistic, we are talking (with the insurers) and looking for a solution,” he said in an interview in OndaCeroin which he opened the door to the possibility of attending this second tender even some of the companies that had resigned to present themselves, Adeslas y DKV. This movement reads as a new movement to try to find some formula that compensates for these private companies.
Insurers who pay attention to mutualists who opt for private health in front of the public, just over one million and about 400,000 relatives, have been stating that the model is undeading, with arguments such as the unit cost per patient less than what Public health allocates for those of the public or the increase in inflation and health costs. In fact, in total, they ensure that in the extended concert they would have lost about 400 million euros.
Although the mutuality issued in December a report indicating that the insurers “do not contribute the evidence of costs” for an increase in the premium, the executive, who wants to save the concert at all costs and rethink the model in the next Three years, he raised last week, in a response to Asisa about the tender, the possibility of compensating the extraordinary costs of companies in situations, among which cited the unbrusation or the health crisis. Sources of the sector understood this as a red carpet to claim those amounts, although they also indicated that there were ambiguities in the formulation of the response that wanted to clarify to assess whether they could continue in mutuality with full economic guarantees.
Adeslas, integrated in the Madrid Mutual Group and participated by CaixaBank, had rejected to go to this tender, estimating that it would generate losses of about 250 million euros for the 2025-2027 period, the same as those registered between 2022 and 2024. This is the company that chooses the most mutualists, so their decision then supposed a headache for the administration: more than half a million people go to it, followed by Asisa, with 364,000 beneficiaries and DKV, with almost 200,000. Meanwhile, 457,307 public workers choose public health.
This second tender represents a cumulative increase in 33.5% premium in three years, for a total amount of 4,500 million euros. “The government has made the greatest effort in history, no one can deny it. It is a rise of 1 billion additional euros to what we already had, ”said the ministers, which pointed out that they were“ exploring formulas ”. Insurers had rejected an earlier tender, with a 17%rise.
In between, the Alliance for Spanish Private Health (ASPE), the employer of the sector, also claimed the Ministry of Direct Interloccation. As they pointed out in a statement, their conversations with the insurers about the amount that they would pay them to derive patients to their medical centers, “the economic improvements raised in the negotiations would favor them only to them.”
Source: www.eldiario.es
