The IDIS Foundation described it as “clearly insufficient“the Government’s proposal for the next Muface agreement which proposes an increase in premiums of 17.12%. The entity considers that with this increase the model cannot be maintained.
As IDIS explains, while the public investment per person in the general regime is 1,736 euros, in the case of Muface, with the new agreement, the premium would be 1,208 euros. That’s 43% less“and absolutely insufficient to support assistance from insurance companies,” he said in a statement.
Add to this that in 2023, aid to mutualists generated 142 million euros in losses, “a figure that has been accumulating for years and which worsens when the growth in health spending approaches 10% “. The underfunding of the model and the group’s high accident rate (nearly 110%) have led this model “to a situation of high risk of viability“, warned the organization.
The end of Muface, which could come if the insurers do not show up at the concert, “Iwould increase primary care visits by 2%,” which translates to about five million visits, according to the report Impact of mutual societies on the health system.
Likewise, the emergency rate would be affected and there would be an increase in 266% the number of patients on waiting lists for outpatient consultations and a 115% in surgery.
According to this analysis, the 100% public coverage model would also have a significant impact on bed occupancy in the public hospital network. To counter saturation, the public system should add 3,975 beds. Added to this is an increase in public health spending 1,214 million euros annually.
With all this data, the IDIS Foundation indicated that this increase in the premium “coincides with the moment of the worst financial situation of the model in its entire history, an extreme corroborated by the significant accumulation of losses and the very great difference with the financing of the SNS, what it does today untenable“.
