Illustration of Cambio Healthcare executives paying Region Dalarna's fines for the Cosmic procurement scandal, with disapproving Konkurrensverket observer.
Illustration of Cambio Healthcare executives paying Region Dalarna's fines for the Cosmic procurement scandal, with disapproving Konkurrensverket observer.
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Cambio to pay Region Dalarna's fines in Cosmic case

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Nine regions, including Region Dalarna, avoid paying 10 million kronor fines each for the illegal procurement of the Cosmic journal system. Supplier Cambio Healthcare will cover the costs per prior agreement. Konkurrensverket criticizes the arrangement but will not act in this case.

The Göta Court of Appeal has ruled that the joint procurement of the Cosmic journal system by nine Sussa regions was illegal. The judgment imposes fines of 10 million kronor per region for unauthorized add-on agreements. The regions are Blekinge, Dalarna, Gävleborg, Halland, Norrbotten, Sörmland, Västerbotten, Västernorrland, and Örebro. The Sussa collaboration aims at strategic development of healthcare support applications since the mid-1990s to enable more efficient care and equality. A main agreement exists between the regions and Cambio Healthcare. Per prior agreements, Cambio will pay the fines. Elin Norén (S), chair of Region Dalarna's executive board, states: 'The 10 million sentenced to Region Dalarna for illegal add-on agreements in the Cosmic case is not something the region will pay.' She adds: 'We have an agreement with Cambio that they will cover these ten million.' No decision has been made on appealing to the Supreme Administrative Court; the issue will be discussed jointly among the regions. Konkurrensverket criticizes the company paying the fines, as it undermines the purpose of the sanction fee. Anna Görgård, legal counsel at Konkurrensverket, says: 'We will not pursue it in this specific case, but if we see such agreements in other matters, we will take action.'

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Reactions on X to Cambio covering fines for nine regions' illegal Cosmic procurement are predominantly skeptical and critical. Users argue the arrangement undermines sanctions, with costs likely passed to taxpayers via future bills. Political links to Göran Persson and Social Democrats are highlighted negatively. Konkurrensverket's criticism is echoed, though some posts neutrally report the news.

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Illustration of Region Dalarna council allocating 30 million SEK to child psychiatry, showing politicians debating budget with symbolic care elements.
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Region Dalarna allocates up to 30 million SEK to child psychiatry for 2026

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Region Dalarna's regional council has decided to allocate up to 30 million kronor extra to the care choice for child and youth psychiatry (BUP) in 2026. The investment aims to retain care providers. The opposition warns that the funds will not solve the root problems.

All regions in the Sussa collaboration, including Region Dalarna, are appealing a Kammarrätten ruling imposing 10 million kronor fines each. The ruling concerns a supplementary agreement on the Cosmic system. The regions are deemed to have erred in the handling.

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In the ongoing Sussa Cosmic contract saga, regions including Region Dalarna are appealing the Kammarrätt's recent decision to uphold million-kronor fines (10 million SEK each) over a supplementary agreement for the Cosmic journal system. After winning in administrative court, they lost on Konkurrensverket's appeal. 'We believe we are right,' says Sofia Jarl (C).

The Moderates in Region Dalarna want a quick investigation into the Cosmic journal system following widespread criticism of the platform.

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Region Dalarna accepts a sanction fee of about 275000 kronor after the Work Environment Authority reviewed overtime among doctors. At the same time the region appeals a threatened fine of one million kronor.

Criticism of the Cosmic journal system is growing at Falu hospital. The women's clinic and orthopedic clinic have reported the region due to increased stress, longer waiting times, and risks to staff and patients. One demand is to reinstate Take Care.

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Åsa Dedering is leaving her role as health care director in Region Dalarna on 6 July. The decision was made at her own request after about five years in the post.

 

 

 

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