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directive regulating performance based coverage Subsidized Financing Scheme under the Universal Health Insurance and its Annexes

directive regulating the coverage performance based Regime finance subsidies under the Universal Health Insurance and its Annexes
RESOLUTION Head Office N º 133-2010-SIS
Lima, 15 October 2010
VIEW: Memorandum No. 546-2010-SIS-GO and Operations Management Report No. 280-2010-SIS/OAJ of the Office of Legal Affairs;

That WHEREAS, by Act No. 27657 - Law of the Ministry of Health, created the Comprehensive Health Insurance (SIS) as a decentralized public health sector, described by Supreme Decree N º 034-2008-PCM as a public Executor, whose mission is to administer the funds used to finance health benefits individual poorest and most vulnerable lacking health insurance, in accordance with Policy Sector;
That the Article 13 of the Rules of the Law of the Ministry of Health, approved by Supreme Decree N º 013-2002-SA, provides that the Chief of the Comprehensive Health must design, redesign and continuously improve the processes of the SIS;
That Article 30 Rules of Organization and Functions of Comprehensive Health Insurance, approved by Supreme Decree N º 009-2002-SA, said that the Operations Department is the body proposed line, evaluates and supervises benefit plans by type of population, offering benefits in terms of costs, fees, financing and supply of facilities, service providers, as well as proposes mechanisms for negotiation;
That Article 7 of Law N º 29344, Law Framework for Universal Health Insurance, said the Comprehensive Health Insurance as a managing institution of Insurance Funds (IAFA)
That Article 13 of said Act provides that the Plan Essential Health Assurance (PEAS), is the prioritized list of conditions and interventions insurable are financed at least all insured institutions fund managers, health insurance, whether public, private or mixed, and contains explicit guarantees of timeliness and quality for all beneficiaries;
That by Supreme Decree N º 016-2009-SA, approving the Essential Plan Health Insurance (PEAS) and the list of conditions ensure, Interventions and Performance and Explicit Guarantees, which are financed at least all institutions insured by the fund managers, health insurance, whether public, private or mixed;
That Article 4 of this Decree provides that in the case of SIS, becomes void in the LPIS the pilot areas, where at least be offered the PEAS, except those benefits that were granted in exceptional circumstances, which form part of the insured's coverage until his total attention;
That Article 99 of the Regulation of Law No. 29344, Framework Law on Universal Health Insurance, approved by Supreme Decree N º 008-2010-SA, provides that the institutions administering the Health Insurance Funds (IAFAS), as the SIS, can offer supplemental plans to PEAS. Furthermore, Article 100 of that Regulation empowers the IAFAS to structure the supplementary schemes under the conditions of PEAS. The value of the assets is determined as the extent and nature of the coverage offered;
That Article 1 of Resolution No. 092-2010/SIS Jefatural, published on July 23, 2010, adopted the Directive No. 003-2010-SIS/GO "directive regulating the process of joining the Scheme of Financing Subsidized comprehensive health insurance under the Universal Health Insurance - Law N º 29344 * and its Annexes;
That, according to documents seen the Operations Department supports the adoption of Directive regulating the performance based coverage and care processes in Subsidized Financing Scheme;
That, with the approval of the Assistant Chief of the SIS, General Secretariat Management of Finance, Operations Management and a favorable opinion of the Office of Legal Affairs;
In accordance with the provisions of paragraph i) of Article 11 of the Rules of Organization and Functions of Comprehensive Health Insurance, approved by Supreme Decree N º 009-2002-SA;
RESOLVED:
Article 1 .- To approve the Directive No. 05-2010-SIS/GO directive regulating performance based coverage Subsidized Financing Scheme under the Universal Health Insurance and its Annexes, forming an integral part of this Resolution. Article 2 .-
rescind pilot areas AUS any provision that is opposed to the provisions of Directive approved by this resolution.
Article 3 .- To instruct the General Secretariat of publication of this resolution, adopted Directive and its annexes, on the website of the Comprehensive Health Insurance, http://www.sis.gob.pe/Portal/transparencia / disposiciones.html .
recorded, communicated and published.
QUINTANILLA LUIS ALBERTO Huarachi
Chief Institutional Comprehensive Health Insurance

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Delivered water pollution to the Division of Carabobo State

On October 19 this year, representatives of the Movement for Water Quality met with the Deputy Ombudsman Carabobo State, Abg. Teodardo Zamora Parra, to make formal delivery of the 100-page report contentivo of studies, analysis, evidence, legal ACTIONS and proposals drawn up by the movement in relation to the problem of water pollution in the state.

In the meeting held in Public Defender, Edison Durán, Melissa Hahn, Frank Vera and Fabio Padoan, in addition to record and explain the most important aspects of the report above, given a document requesting the Ombudsman, the following:

1. The Ombudsman of Carabobo State, comply and enforce the points agreed in the Act dated June 15, 2010, signed by the Abg. Teodardo Jose Zamora Parra, Carabobo State Deputy Defender, Defender Jerry Chacon, Daniel Ramirez, Juan Carlos Uzcategui, Mr. Manuel Fernandez, President of the Hydrology Centre, HIDROCENTRO, Happy Bordonel of HIDROCENTRO and representatives of the Movement for Quality water, among others, where HIDROCENTRO Management agrees to hold a meeting with members Movement for Water Quality in the first week of July, with the objective of developing a schedule of visits to plants Wastewater Treatment "La Mariposa" and "The Guayos" and the Water Purification Plant " Alejo Zuloaga.

2. That the Ombudsman requires the Ministry of Environment and HIDROCENTRO Popular submission and publication of the Environmental Impact Study for the Diversion of Lake Valencia, as provided in Article 129 of the Constitution of the Bolivarian Republic of Venezuela.

3. That Ombudsman make its good offices to the appointment of an Environmental Prosecutor which focuses its efforts to investigate the many causes of water problems in the state of Carabobo, investigating the veracity of the allegations and evidence presented in the report recorded by the Movement for the Water Quality Advocate Caracas Metropolitan Area, Abg. Nahom Figuera, on Date 10/13/2010, and the Ombudsman of Carabobo State, the Abg. Teodardo Jose Zamora Parra, as of 15/10/2010. We also require that the Environmental Prosecutor will continue to prevent committing environmental crimes reported and documented in the report, and determine the responsibilities and penalties as may be appropriate.

4. The Ombudsman of Carabobo State make its good offices to achieve a working meeting of the Movement for Water Quality in the Office of the State of Carabobo, in order to present the main findings and conclusions of the aforementioned study.

The cordial meeting at the headquarters of the Ombudsman of Carabobo, the Ombudsman Zamora Parra pledged to take the steps necessary to urge the respective institutions, so that compliance with requests made in the 4 the document. From the Movement for Water Quality confident that the good offices the Ombudsman of Carabobo State will contribute on the path of the solutions to this problem that affects us all equally.

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Delivered Report prepared by the Movement for Water Quality to the Ombudsman's Office in Caracas

On Wednesday 13th of October, we honor his word, we completed and presented the 100-page report with all the evidence that has been collected. As well as studies, analysis, action laws and proposals from the Movement for Quality of water we have been doing. Members of the Movement, Fabio Padoan, Frank Vera, Manuel Perez, Lucio Herrera and Edison Durán, moved to the Ombudsman's office in Caracas to record the document where they were gratefully received by Dr. Nahomi Figuera, ombudsperson Caracas Metropolitan Area, along with other officials of the institution.

For about an hour more than had the oportundiad to explain in sufficient detail the serious water situation in our region and to identify the key findings of the report. Advocate Figuera said a sincere interest in knowing more about it, realizing the gravity of the situation and the importance of the institution he represents is involved in it. Dr. Figuera contacted the Ombudsman of Carabobo, Dr. Teodardo Zamora who arranged a meeting for Friday October 15 at the headquarters of the Ombudsman in Carabobo.

addition, the Ombudsman asked his good offices to secure an appointment being made environmental tax which focuses its efforts to investigate in depth the multiple causes of the problem and prevent further commenting on environmental crimes documented in the report. Similarly, Dr. Figueroa was committed to us personally present the report to the Ombudsman Gabriela Ramírez and explain the case. From the Movement for Water Quality expect the Ombudsman to take responsibility for their moral commitment legal and Constituación him by the Venezuelan laws and in favor of defending the basic human right of access to drinking water all Valencia.