Today we talked to many important individuals at the University of Austral. First, we met with the medical director of OMINT. OMINT is a private, prepaid company with 159 institutions which offer prepaid health. They talked about how Argentinas healthcare system is divided into three sectors; public, private, and social. These sectors all focus on unified regulation for coverage and service obligations. There is no limit of coverage for the prepaid health. There exists a base law, which explains that no member should be left without essential treatments or disability care. By law, both private companies and unions are required to cover the same baseline of health. The social security payments now are directed to the person, and they can decide where to use that. They explained how they face medical inflation on top of economic inflation, which proves to become a huge issue when financing these hospitals. The reasons for this medical inflation are due to many different factors, new technology, a demographic aging population, chronic diseases, disability, new laws, patient demands, inefficiency, defensive medicine, and lawsuits all factor in to this medical inflation. Some of the key challenges which they face are the coverage, and since there is no limit of what can be covered, this comes with a financial risk. Another challenge is that the few proving faced government pressure, which affected private member capability. On the other hand, they had a high level of service delivery, They also had a high quality healthcare providers, which in turn led to a high level of health outcomes.
Next, we learned about AMTENA healthcare, which is social. They provide healthcare to one of the indigenous cultures, although they are hard to access because the healthcare system is not perfect. They use food as a hook to motivate people to be treated. This is a population who doesn’t have much, roads are inaccessible, there is no energy or connection. They have done a total of 1678 general surgeries with a 0.1% mortality rate. They offer help to these people, but also consider other situations, and offer them farms to grow their own food.
