ADSE creates office to manage health providers network – publico

 
         

                 

                         
                     

                 

 
 

The network of health care providers who have contracts with the General Directorate of Social Protection of Workers in Public Functions (responsible for ADSE) will be managed by an office created especially for this purpose.

In order published on Wednesday in Official Gazette , this new is created “flexible organic unity” with the aim of improving the effectiveness of management of the health benefits system for public employees, retired State and their families.

the new cabinet now created, although with effect from 1 August, will function, in addition to managing the network of contracted providers (hospitals and clinics that have convention with ADSE), analyze the application providers the conclusion of agreement or agreement; proposing the conclusion, revision or suspension of the conventions and agreements with health care providers; evaluate the free system (in which the beneficiaries turn to any doctor regardless of whether or not according to ADSE and is then reimbursed); or carry out inspection by the beneficiaries, contracted providers and pharmacies.

Publicize the prices of health care practice by contracted providers and study the delivery of health care, including prices and new health care are other functions of the office.

This office will be headed by a head of division and functions depending on the Director-general of ADSE, Carlos Liberato Baptista.

the appointment of the responsible office is also already known, having been published on 16 August in Official Gazette . Dulce Valente, superior technique ADSE, was named to replace regime to hold office, on the grounds that “has the required legal requirements (…) as well as the skills, experience and knowledge appropriate to place the profile to provide” refers to the order.

ADSE does not provide direct health care to its beneficiaries who do are hospitals, clinics, and other health organizations, with which it has agreements or conventions. The system also provides access to doctors without agreement after being reimbursed beneficiaries, according to a special table.

The Government intends to make changes to the way the ADSE is managed but not yet taken a decision. On Tuesday, he got to know that the system closed the first half of the year with a surplus of 62 million euros, 9.3% more than in the first half of 2015.