Nueva EPS advances stabilization with payments to public hospitals

Nueva EPS announced timely payments to the public hospital network as part of its stabilization plan, starting with December 2025 funds received in January 2026. The entity faces embargoes worth $2.1 billion and is among 10 intervened EPS serving 25 million affiliates. Experts warn of structural issues in Colombia's health system.

Nueva EPS, one of the 10 Health Promoting Entities (EPS) intervened by the National Superintendence of Health, is implementing measures to stabilize its financial operations. The entity notified that it has made timely transfers of resources for December 2025, which were received by public hospitals in January 2026, contributing to their financial and operational stability.

As part of this plan, Nueva EPS applies a differential scheme for low-complexity hospitals in municipalities of categories 4, 5, and 6. Those with more than 10,000 affiliates will receive $35,000 per affiliate, while those with fewer than 10,000 will get $40,000. These actions aim to strengthen comprehensive support for the public network, especially in regions with access and coverage challenges.

However, the entity faces serious challenges. It currently endures judicial embargoes exceeding $2.1 billion, equivalent to one month's operation, ordered by four courts and affecting 95 Service Provider Institutions (IPS). "These actions confirm Nueva EPS's determined support for the country's public hospital network, as a fundamental actor in health care," the entity stated.

In the broader context, the 10 intervened EPS, including Nueva EPS, Coosalud, Famisanar, and others, serve around 25 million affiliates: 7.9 million in the contributory regime and 17.1 million in the subsidized regime. Their combined patrimony is negative at nearly $12.8 billion, with only Cajacopi reporting positive. Historically, about 120 EPS have been liquidated in the last 25 years following interventions, creating uncertainty.

Jesús Albrey González Páez, CEO of González Páez Abogados, criticized the payment scheme: "This form of payments that it will start to make contravenes what is regulated in decree 441 of 2022, which establishes contracting modalities." Paul Rodríguez, a professor at Universidad del Rosario, emphasized: "The EPS not only receives money and buys services; it builds the network of provisions. When I liquidate an EPS, I am breaking the way many people access their doctors."

The technical claims ratio for EPS reached 108% from January to November 2025, indicating that incomes do not cover patient care costs.

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