NewsWhore
10-22-2007, 05:00 PM
The differences between the Health Management Organizations (HMOs in English and ARS in Spanish) and the National Family Health Insurance Program (SFS) continue to multiply. The most recent comments by the head of the National Social Security Council (CNSS) accused the HMOs of blocking the system, "and therefore, the best thing would be for all of them to remain outside (the SFS)". Jose Ramon Fadul also said that the ARS/HMOs would have to return RD$253 million that they had collected on policies. The sum represents 18% of the premiums that are intended for preventative health care. Jose Cruz Pichardo, an official of the HMO association (ADARS), told Lisania Batista from Diario Libre that without the HMOs the system would not work since there wouldn't be anybody to administer the claims. He said that the call to eliminate the HMOs is just an attempt to convert the whole system into a state-run health program.
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More... (http://www.dr1.com/index.html#5)