Las aseguradoras SegurCaixa Adeslas, Asisa y DKV finally accepts no participants Muface's proximo concert. La retreata de las tres companías de esta mutualidad aboca a 1.5 million workers went to public health. Meanwhile, las mutualidades de militares y personnel de justicia (Isfas y Mugeju) sí contarán con los servicios de Adeslas y Asisa. DKV, in this part, también leave Mugeju.
DKV He explained that this decision was “compelled by the inadequacy of the economic offer, which would lead to improvements in patient care and deterioration of health workers' wages.”
Also money Asisaconditions specified in the tender”insufficient y no permiten manteren la actual calidad asistiental,” he pointed out in the communique.
“Muface with vinculación mantener la vinculación with the will, la falta de una adequate Financión junto a unas coberturas más exigentes y. the decision of the remaining institutions to leave the service Impossible interaction for Asisa manteren la adhesion al modelo sin poner en serio riesgo la solncia de nuestra compañía“, – added the insurer.
by you, Adeslas ha señalado que se presenta a los conciertos de Isfas y Mugeju porque “en los dos casos, los parametres asociados and las tendencias de demanda sanitaria permiten Un equilibrium entre la oferta de mali It is carried out with Administración and los costes sanitarios esperados”.
The government gave the green light to the mutual agreement last October. Las New conditions to think 17.12% increase in premiums and for a period of two years. Thus, the total amount of the contract will increase to 1,337,059,970 euros in 2025, and to 1,344,553,098 euros in 2026. In general, 303.9 million euros more with respect to the last year in which the previous contract was in force.
For these companies, there is no suficate provided that they can provide mutual service. Indeed, There is a 40% increase. The Ministry of Digital Transformation and Public Functions can be restored.
“Las pérdidas para DKV during the renovation 74 million euros en los próximos dos años, casi lo same que en los three años del concierto previous”, ha explained the insurer.
The company guarantees it The model is underfundedbecause the cost of medical benefits in the last concert was 10% more than the first received. Furthermore, “while the per capita health expenditure of autonomous communities and cooperatives has increased by 60.6% over the past decade, Muface's weighted premium has only increased by 31.6%, almost a half-proof increase,” he said. .
New concert
17.12% was distributed for 2025-2026. 16.5% in 2025, 0.62% in 2026. Additionally, make an initial payment for shared media of €1,032.12 1,208.81 in 2026lo que supone un aumento de la premium por segurado de 176.69 euros.
Explain the Ministry of Digital Transformation and Public Function, use the two concepts for preliminary calculations. Therefore, cover it with en la cartera del National de Salud (bucodental or los medicamentos innovativos y), including los nuevos servicios sanitarios. therapy has evolved) and increasing the amount of medical fees.
Y, por otro, el deficit de tariff (la diferencia entre primas abonadas y coste sanitario en el que han incurrido las entities), a efectos de calcular un incremento de prima que permitida compensar las pérdidas y aender los nuevos costs del sanitario.
According to the latest figures facilitated by DKV, three insurers Collection Pérdidas por courage de 470 million de euro considering the increase in costs of recent years.
The future of officials
Before insurers refused to participate in Muface's next concert, mutuality published a statement in which it assures that “both owners and beneficiaries, van one continuous recibiendo la misma asistencia sanitaria que disfrutan con las condiciones actuales”.
Muface explained that “con posterioridad a la fecha de finalización del concierto, the continuity of health benefits will be ensured according to the mechanisms provided for in the Public Sector Contracts Law”. La mutualidad will start work for a new tender.
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