The application of Law 87-01 to avoid conflicts between clinics and insurance companies is the central proposal of Carolina Serrata, former director of the General Directorate of Information and Defense of Affiliates to Social Security (DIDA), to address the recurring disputes in the Dominican healthcare sector. This Thursday, Serrata stated that conflicts between Health Risk Administrators (ARS), private clinics, and medical service providers can be drastically reduced through the rigorous implementation of this legal framework.
The conflicts in the healthcare system are not new, but their intensity has increased, affecting both patients and the operability of institutions. The Law 87-01 to avoid conflicts between clinics and insurance companies establishes clear rules on responsibilities, coverages, and dispute resolution mechanisms, eliminating the discretion that generates disputes today.
Carolina Serrata insists that the Law 87-01 to avoid conflicts between clinics and insurance companies not only protects affiliates but also guarantees the operational sustainability of ARS and clinics, preventing bilateral disagreements from becoming attention crises.
Key mechanisms of Law 87-01 to avoid conflicts between clinics and insurance companies
The law contemplates:
- Explicit definition of mandatory coverages for each type of policy.
- Quick arbitration mechanisms between ARS and providers.
- Prohibition of service retention due to payment disputes.
The Law 87-01 to avoid conflicts between clinics and insurance companies is, according to Serrata, the most effective tool to restore confidence in the public and private healthcare system.
The role of DIDA in the implementation of Law 87-01 to avoid conflicts between clinics and insurance companies
DIDA, under Serrata’s historical leadership, has been a key agency in defending affiliates. Now, its proposal to use the Law 87-01 to avoid conflicts between clinics and insurance companies seeks to strengthen supervision and accountability in the sector.
Serrata Méndez, who has also urged healthcare centers not to demand payments in emergencies, concludes that the Law 87-01 to avoid conflicts between clinics and insurance companies must be applied firmly and without exceptions.
In conclusion, the Law 87-01 to avoid conflicts between clinics and insurance companies is the most viable solution to ensure a functional, transparent, and service-oriented healthcare system for all Dominicans.
