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The health ‘Italian has accumulated a debt with its suppliers at least 24.4 billion euro.
The calculation and ‘made from Cgia on data referring to 2013, but considered “definitely underestimated” because’ does not include non-payments registered by the local health authorities of Tuscany and Calabria.
The debt in 2014 – according to the secretary of the CGIA Giuseppe Bortolussi – “should not stray much from the result that emerged in the survey of 2013″.
The health ‘more regional ‘debt and’ that of Lazio, with 5.9 billion euro. Follow Campania, with 3.8 billion euro, Lombardy and Piedmont, both with 2.2 billion and the Veneto, with 2 billion euro still be honored.
However, if the debt is related to the resident population, the primacy belongs to the Molise, with 1,416 euro per capita. Follow the Lazio, with 1,017 euro per capita, Campania with 660 euro per capita and Piedmont, with 510 euro for each resident. Regarding the average payment drilled in 2014 and referred only to the supply of medical devices (Source: Assobiomedica), in Calabria, the balance of the invoice and ‘occurred after an average of 794 days (almost after 2 years and 2 months), in Molise after 790 days and in Campania after 350 days.
The current law states that payments of health facilities must take place within 60 days of issue of the invoice, but no regional average – ago Note the Cgia – respect this term.
“Although in recent years the trend of the stock of debt results in declining health – declares Bortolussi – and ‘may be evidence that the figure for 2014 should not deviate much from that of 2013.
Obviously, the policies put in place by the last governments through the advances of liquidity ‘also continued last year. However, taking into account the fact that in the course of 2014 should have accumulated a new share of healthcare debt and adding missed payments of Tuscany and Calabria, the total debt should not stray far from the result shown in the detection of 2013 “.
According Bortolussi, “While the local health authorities pay very late, and ‘also now known that in many cases the supplies are purchased to amounts above market prices and with strong regional differences.
If, as he got to denounce last November the Minister Beatrice Lorenzin, in health care ‘lurk around 30 billion euro of waste, and’ may be evidence that some of the delays in payments is somehow due to the distortions described above.
In other words, not ‘exclude that the agreements between the parties does not occur written so the local health or nursing homes require payments to its suppliers with heavy delays, but at higher prices than those, for example, practiced in the private sector. “
Despite the amount of waste reported by the Minister Lorenzin, the Office of the studies CGIA though keen to point out that our public health expenditure and ‘less than 1.5 percentage points of GDP compared to the French or German. Moreover, the quality ‘of the service provided to Italian citizens, especially in many areas of the North, is unequaled in the rest of Europe.
Probably – concludes Cgia – an important contribution to the reduction of the time of payment may be made with the introduction of the electronic invoice.
The law, in fact, established that from March 31 the entire Public Administration (Pa) can not ‘more’ to accept invoices issued or transmitted in paper form.
In addition, as of June 30 this year, the Pa will not proceed with the payment, even in part, to the sending of the document in electronic form.
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