Fraud at Senasa

[NewsWhore]

Senasa, the governmental health provider, has announced an investigation is under way into 124 affiliates who used services for RD$254 million in a single year, as reported in Hoy. Senasa suspects complicity with medical centers. The government health provider, that has been regarded as one of the better-managed government operations for its efficiency, announced that the suspected fraud has affected the service it can provide to its affiliates. Senasa said it would need to adjust its services to the 3.6% coverage established by the Superintendence of Health and Labor Risks (Sisalril). Senasa affiliates, especially those with catastrophic sicknesses, had benefited from higher coverage than that offered by private health providers.

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