The Secretary of Health of São Paulo, Eleuses Paiva, announced this Monday (28), in a ceremony at Palácio dos Bandeirantes, the creation of the SUS Paulista Table.
“Today, the more the Santas Casas and philanthropic entities serve the SUS, the more they suffer”, criticized Paiva, emphasizing the lag of the national table.
According to the secretary, under the new policy, a new amount will be added to the national value, with resources from the state treasury. “No procedure will remain without readjustment,” he said.
Paiva announced that the readjustments will reach, in some cases, 400%. Normal births, for example, for which hospitals receive BRL 443.40 from the SUS, will receive BRL 2,227.
“It is the first major structural step that we are taking in Health”, said Tarcísio after signing the decree that provides for the São Paulo table.
“It is not possible to wait for the national readjustment. São Paulo has always led, has always been an example and will be one more time”, he added.
At the event, the governor announced plans to make resources more flexible for education and health.
According to Tarcísio, the proposal is to have 42% of the state’s resources invested in education and health, with a minimum of 25% for the former, 12% for the latter and 5% that can be divided in different ways for both.
Tarcísio also stated that, next year, a lottery should be implemented to help finance Santas Casas in the state.
Philanthropic entities have been complaining for years that the SUS table, paid by the federal government, has very low values, which forces hospitals to look for other sources of income to close accounts. The state management plan is to complete this amount.
The announcement was made at the event celebrating the 60th anniversary of the CMB (Confederation of Holy Houses of Mercy, Hospitals and Philanthropic Entities).
The expectation, according to the secretary, is that the new table replaces the agreement policy and improves transparency in accountability.
The new model is expected to come into effect in early 2024.
In addition to Paiva, Governor Tarcísio de Freitas (Republicans) were present; the president of the CMB, Mirocles Véras, and the director-president of Fehosp (Federation of Santas Casas and Charitable Hospitals of the State of São Paulo), Edson Rogatti.
The state of São Paulo has 409 philanthropic hospitals, totaling 45,485 general beds, 28,808 of which are for the SUS. The entities also have 6,105 ICU beds, 3,648 of which are dedicated to public service.
According to Fehosp, last year, Santas Casas and philanthropic hospitals in São Paulo performed approximately 11.3 million outpatient consultations, 1,248,951 outpatient surgeries and 634,868 outpatient oncology consultations.
They were also responsible, in 2022, for 708,197 cancer treatments; 33,798 heart surgeries and 5,370 organ transplants.