NewsWhore
01-30-2008, 01:50 PM
The treasury office of the Social Security Department (TSS) has promised that today or tomorrow they would pay the local HMOs and health insurers the funds that correspond to January. The National District Medical Association has threatened to strike if the money is not forthcoming. According to Social Security Department treasurer Henry Sadhala, once the issues over the Resolution 147-07 were settled and the unions withdrew their objections, the way was cleared for payments to the HMOs and the insurers. With Resolution 148-08, which replaces the former resolution, medical fees remain the same, the HMOs will get their money based on the collections under the former scheme, which is RD$620 rather than the RD$483.33 under a previous resolution (146-07). According to Sadhala, as soon as the HMOs hand in their invoices, the TSS will start the check processing. Some HMOs say that they do not bill the TSS but conduct all their transactions through Unipago, a process similar to PayPal. The vice-president of the HMO association (ADARS) told El Caribe reporters that the HMOs are waiting for a RD$900 million disbursal by the end of the month.
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