Informe del Carf sobre impacto fiscal de la reforma a la salud parte de 'supuestos incompletos': Minsalud

diciembre 5, 2025

TL;DR

The Ministry of Health disputes Carf's fiscal impact projections for the health reform, deeming them based on "incomplete assumptions."
The Ministry argues Carf's analysis ignores key reform aspects like system reorganization, administrative efficiency, and preventive care.
Carf's projection method is criticized for not accounting for the structural shift to Primary Health Care (APS) and proactive risk management.
A preventive focus is expected to reduce the demand for high-complexity services and improve resource efficiency.
The Ministry highlights that 17% of hospitalizations in Colombia are for preventable causes, costing 1.7 trillion pesos annually.
The current system's per capita payment unit (UPC) is criticized for incorporating cost overruns and high administrative expenses.
Administrative spending in Colombia's health sector is 5.4%, significantly higher than the OECD average of 3.5%.
Pharmaceutical spending in Colombia is 4-7 percentage points higher than in other countries, with 20% wholesale margins.
The Ministry rejects Carf's attribution of costs like public network modernization and technological updates to the reform itself.
The report allegedly ignores the roles of Adres as a sole resource administrator, public network reorganization, information system interoperability, and territorial leadership.
The government asserts its reform is a transition to a more efficient, modern, equitable, and sustainable system, not a "fiscal leap in the dark."

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