{"id":518642,"date":"2026-11-02T14:16:59","date_gmt":"2026-11-02T14:16:59","guid":{"rendered":"https:\/\/diariodigitalrd.com\/?p=726140"},"modified":"2026-11-02T14:16:59","modified_gmt":"2026-11-02T14:16:59","slug":"ars-con-beneficios-por-rd5580-millones-en-casi-17-anos-las-perdidas-del-semma","status":"publish","type":"post","link":"https:\/\/sarmiento24h.com\/?p=518642","title":{"rendered":"ARS con beneficios por RD$5,580 millones en casi 17 a\u00f1os; las p\u00e9rdidas del SEMMA"},"content":{"rendered":"

Arismendy D\u00edaz Santana advierte sobre p\u00e9rdidas millonarias del SEMMA y deficiencias en la protecci\u00f3n de los afiliados.<\/strong><\/p>\n

SANTO DOMINGO.\u2013Las Administradoras de Riesgos de Salud (ARS)<\/strong> acumularon resultados positivos por RD$5,580.2 millones durante el per\u00edodo enero de 2008-septiembre de 2024, seg\u00fan un an\u00e1lisis del economista y experto en seguridad social Arismendy D\u00edaz Santana<\/strong>, presidente de la Fundaci\u00f3n Seguridad Social para Todos (FSSPT)<\/strong>, quien llam\u00f3 la atenci\u00f3n sobre las diferencias financieras entre las aseguradoras y las deficiencias que persisten en la protecci\u00f3n de los afiliados.<\/p>\n

El an\u00e1lisis se produce cuando las ARS cumplen 18 a\u00f1os de operaciones, desde septiembre de 2007, y toma como referencia los balances publicados por la Superintendencia de Salud y Riesgos Laborales (SISALRIL)<\/strong>.<\/p>\n

Aduanas informa rompe su r\u00e9cord hist\u00f3rico con RD$27,778 millones en octubre<\/a><\/p>\n

D\u00edaz Santana se\u00f1ala, en un texto remitido a DiariodigitalRD, que las aseguradoras privadas registraron ganancias acumuladas de RD$6,200.8 millones, mientras las p\u00fablicas obtuvieron RD$1,456.7 millones. En contraste, las entidades de autogesti\u00f3n presentaron resultados desiguales, con p\u00e9rdidas particularmente elevadas en el Seguro M\u00e9dico para los Maestros (SEMMA)<\/strong>.<\/p>\n

\n
Arismendy D\u00edaz Santana <\/figcaption><\/figure>\n<\/div>\n

Entre las ARS p\u00fablicas, el Seguro Nacional de Salud (SeNaSa)<\/strong> acumul\u00f3 beneficios por RD$1,315.7 millones y ARS Reservas<\/strong> obtuvo RD$141 millones.<\/p>\n

En el sector privado, las mayores ganancias correspondieron a ARS Futuro<\/strong>, con RD$1,249.7 millones; ARS Mapfre<\/strong>, con RD$1,218.2 millones; ARS Renacer<\/strong>, con RD$922.4 millones; ARS Primera<\/strong>, con RD$582.1 millones; ARS Monumental<\/strong>, con RD$579.3 millones, y Grupo M\u00e9dico Asociado (GMA)<\/strong>, con RD$521.7 millones.<\/p>\n

Tambi\u00e9n registraron resultados positivos ARS Yunen<\/strong>, con RD$385.7 millones; ARS SIMAG<\/strong>, con RD$316.2 millones; ARS APS<\/strong>, con RD$203.2 millones; ARS ASEMAP<\/strong>, con RD$192.1 millones, y ARS Meta Salud<\/strong>, con RD$103.6 millones. ARS Universal<\/strong> fue la \u00fanica aseguradora privada con p\u00e9rdidas acumuladas, ascendentes a RD$73.6 millones.<\/p>\n

Expom\u00f3vil Banreservas supera RD$9,985 millones en cr\u00e9ditos aprobados<\/a><\/p>\n

SEMMA acumula p\u00e9rdidas por RD$2,937 millones<\/h2>\n

En las entidades de autogesti\u00f3n, ARS CMD<\/strong> present\u00f3 beneficios por RD$762 millones, mientras el SEMMA<\/strong> acumul\u00f3 p\u00e9rdidas por RD$2,937.3 millones. Por su parte, ARS Plan Salud<\/strong> obtuvo ganancias por RD$98 millones antes de desaparecer junto al Instituto Dominicano de Seguros Sociales (IDSS)<\/strong>.<\/p>\n

El experto precis\u00f3 que los balances de las ARS privadas deben considerar, adem\u00e1s, el pago correspondiente al impuesto sobre los beneficios.<\/p>\n

A juicio de D\u00edaz Santana, aunque los resultados financieros pueden considerarse razonables dentro de un sistema con predominio de la medicina privada lucrativa, el retraso de dos d\u00e9cadas en las reformas estructurales mantiene deficiencias en los servicios p\u00fablicos, bajos indicadores de salud y un elevado gasto familiar de bolsillo.<\/p>\n

Tambi\u00e9n advierte que numerosas aseguradoras contin\u00faan desempe\u00f1\u00e1ndose principalmente como contratadoras y pagadoras, sin garantizar una representaci\u00f3n efectiva de los afiliados, suficiente orientaci\u00f3n ni una detecci\u00f3n eficiente de fraudes y abusos.<\/p>\n

Banco Popular exhibir\u00e1 en Europa su liderazgo en turismo y energ\u00eda limpia<\/a><\/p>\n

Reclaman explicaci\u00f3n sobre d\u00e9ficit del SEMMA<\/h2>\n

D\u00edaz Santana presta especial atenci\u00f3n al d\u00e9ficit recurrente del SEMMA<\/strong> y a la ausencia de estados financieros en su p\u00e1gina web. Su director, Luis Cana\u00e1n<\/strong>, declar\u00f3 recientemente que la instituci\u00f3n cuenta con 201,780 afiliados y que elev\u00f3 su participaci\u00f3n del 22 % al 29 % en la n\u00f3mina del Ministerio de Educaci\u00f3n<\/strong>.<\/p>\n

El presidente de la FSSPT<\/strong> considera necesario explicar el origen del desequilibrio financiero, sus fuentes de financiamiento y sus consecuencias para la calidad y oportunidad de los servicios destinados a m\u00e1s de 201,000 maestros, empleados y dependientes.<\/p>\n

El economista record\u00f3 que hace m\u00e1s de cuatro d\u00e9cadas particip\u00f3 en la creaci\u00f3n del Seguro M\u00e9dico para los Maestros<\/strong>, junto al doctor Jos\u00e9 Garc\u00eda Ram\u00edrez<\/strong> y dirigentes hist\u00f3ricos del magisterio, por lo que expres\u00f3 preocupaci\u00f3n por la situaci\u00f3n actual de esa instituci\u00f3n.<\/p>\n

Finalmente, D\u00edaz Santana plante\u00f3 la necesidad de una segunda etapa de administraci\u00f3n del riesgo, enfocada en prevenir desequilibrios y garantizar servicios oportunos y de calidad. Asimismo, demand\u00f3 que la SISALRIL<\/strong> fortalezca la supervisi\u00f3n de todas las ARS, sin distinci\u00f3n.<\/p>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Arismendy D\u00edaz Santana advierte sobre p\u00e9rdidas millonarias...<\/p>\n","protected":false},"author":1,"featured_media":518643,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[60],"tags":[],"class_list":["post-518642","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-economicas"],"yoast_head":"\nARS con beneficios por RD$5,580 millones en casi 17 a\u00f1os; 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