2019News

CMD says HMO objections to invoices have grown by 70%

The president of the Dominican Medical Guild (CMD), Dr. Wilson Roa, said that just 14 days after the signing of an agreement between the CMD and the group of Health Risk Administrators, the local equivalent to an HMO, objections to medical invoices for services in private clinics and hospitals have increased by 70%. Roa noted that the review of such objections was part of the agreement, and this new action by the auditors of the Dominican Association of Health Risk Administrators (ADARS) could lead to new conflicts.

Dr. Roa told reporters that now the auditors are saying that they do not understand the writing on the invoices for services rendered, and place an objection because of this. While he said this issue might not spark a strike, but the medical professional has the right to decide whether or not to practice medicine through the intermediation of a local ARS.

The CMD boss said that this was an alert to verify just what was happening and that if the situation is not cleared up within 30 days, the CMD would meet, together with the private clinics, to decide what measures to take.

Read more in Spanish:
El Dia

20 May 2019