{"id":33910,"date":"2025-12-19T13:54:53","date_gmt":"2025-12-19T17:54:53","guid":{"rendered":"https:\/\/elcasternews.com\/?p=33910"},"modified":"2025-12-19T13:54:53","modified_gmt":"2025-12-19T17:54:53","slug":"bomba-en-senasa-destapan-patron-de-fraude-con-alzas-millonarias-y-afiliados-irregulares","status":"publish","type":"post","link":"https:\/\/elcasternews.com\/?p=33910","title":{"rendered":"BOMBA EN SENASA: DESTAPAN PATR\u00d3N DE FRAUDE CON ALZAS MILLONARIAS Y AFILIADOS IRREGULARES"},"content":{"rendered":"<p data-start=\"108\" data-end=\"452\">Los <strong data-start=\"112\" data-end=\"182\">acusados en el caso de fraude al Seguro Nacional de Salud (Senasa)<\/strong> habr\u00edan usado <strong data-start=\"197\" data-end=\"214\">varios trucos<\/strong> para sacar dinero del seguro del Estado. Entre los principales m\u00e9todos figuran <strong data-start=\"294\" data-end=\"347\">aumentar de manera exagerada los montos aprobados<\/strong> y <strong data-start=\"350\" data-end=\"393\">usar siempre el mismo tipo de afiliados<\/strong> para cobrar <strong data-start=\"406\" data-end=\"451\">servicios m\u00e9dicos que nunca se realizaron<\/strong>.<\/p>\n<p data-start=\"454\" data-end=\"644\">As\u00ed lo establece el expediente de <strong data-start=\"488\" data-end=\"510\">medida de coerci\u00f3n<\/strong> presentado por el <strong data-start=\"529\" data-end=\"551\">Ministerio P\u00fablico<\/strong>, que acusa a los implicados de haber <strong data-start=\"589\" data-end=\"643\">defraudado al Senasa por m\u00e1s de RD$15,000 millones<\/strong>.<\/p>\n<p data-start=\"646\" data-end=\"1005\">Seg\u00fan el documento, una <strong data-start=\"670\" data-end=\"693\">auditor\u00eda al Senasa<\/strong> revel\u00f3 irregularidades en las autorizaciones otorgadas al centro m\u00e9dico <strong data-start=\"766\" data-end=\"791\">Grupo Siulrod, S.R.L.<\/strong>, desde <strong data-start=\"799\" data-end=\"838\">enero de 2022 hasta febrero de 2025<\/strong>. El informe se\u00f1ala que los montos aprobados crecieron de forma desproporcionada y que muchos afiliados <strong data-start=\"942\" data-end=\"1004\">no reconocieron los servicios que supuestamente recibieron<\/strong>.<\/p>\n<p data-start=\"1007\" data-end=\"1206\">Uno de los datos m\u00e1s graves es que <strong data-start=\"1042\" data-end=\"1083\">el 100 % de los afiliados contactados<\/strong> (34 personas) asegur\u00f3 <strong data-start=\"1106\" data-end=\"1127\">no haber recibido<\/strong> los estudios, procedimientos o tratamientos que fueron facturados a su nombre.<\/p>\n<p data-start=\"1208\" data-end=\"1418\">Adem\u00e1s, la auditor\u00eda detect\u00f3 que se <strong data-start=\"1244\" data-end=\"1292\">cobraban pruebas y tratamientos inexistentes<\/strong>, usando <strong data-start=\"1301\" data-end=\"1321\">afiliados reales<\/strong> y <strong data-start=\"1324\" data-end=\"1367\">centros m\u00e9dicos debidamente autorizados<\/strong>, lo que hac\u00eda pasar el fraude como si fuera legal.<\/p>\n<h3 data-start=\"1420\" data-end=\"1452\">Un mismo perfil de afiliados<\/h3>\n<p data-start=\"1454\" data-end=\"1845\">El informe tambi\u00e9n revela que se repet\u00eda un <strong data-start=\"1498\" data-end=\"1547\">patr\u00f3n en los afiliados usados para el fraude<\/strong>. Muchos de ellos ten\u00edan al menos una consulta en <strong data-start=\"1597\" data-end=\"1634\">hospitales militares o policiales<\/strong>, como el <strong data-start=\"1644\" data-end=\"1687\">Hospital Central de las Fuerzas Armadas<\/strong>, el <strong data-start=\"1692\" data-end=\"1735\">Hospital General de la Polic\u00eda Nacional<\/strong>, el <strong data-start=\"1740\" data-end=\"1774\">Hospital Militar Ram\u00f3n de Lara<\/strong>, el <strong data-start=\"1779\" data-end=\"1790\">ISSFFAA<\/strong> y el <strong data-start=\"1796\" data-end=\"1844\">Cuerpo M\u00e9dico de la Base Naval 27 de Febrero<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Los acusados en el caso de fraude al Seguro Nacional de Salud (Senasa) habr\u00edan usado varios trucos para sacar dinero del seguro del Estado. Entre los principales m\u00e9todos figuran aumentar de manera exagerada los montos aprobados y usar siempre el mismo tipo de afiliados para cobrar servicios m\u00e9dicos que nunca se realizaron. As\u00ed lo establece [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":33911,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"format":"standard","override":[{"template":"2","parallax":"1","fullscreen":"1","layout":"right-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"top","share_float_style":"share-monocrhome","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","post_reading_time_wpm":"300","post_calculate_word_method":"str_word_count","zoom_button_out_step":"2","zoom_button_in_step":"3","show_popup_post":"1","show_comment_section":"1","number_popup_post":"1","show_author_box":"0","show_post_related":"0","show_inline_post_related":"0"}],"image_override":[{"single_post_thumbnail_size":"no-crop","single_post_gallery_size":"crop-500"}],"trending_post_position":"meta","trending_post_label":"Trending","sponsored_post_label":"Sponsored by","disable_ad":"0","subtitle":"El informe revela que el 100 % de los afiliados contactados no reconocieron los servicios facturados por el prestador"},"jnews_primary_category":[],"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-33910","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nacionales"],"_links":{"self":[{"href":"https:\/\/elcasternews.com\/index.php?rest_route=\/wp\/v2\/posts\/33910","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/elcasternews.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/elcasternews.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/elcasternews.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/elcasternews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=33910"}],"version-history":[{"count":0,"href":"https:\/\/elcasternews.com\/index.php?rest_route=\/wp\/v2\/posts\/33910\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/elcasternews.com\/index.php?rest_route=\/wp\/v2\/media\/33911"}],"wp:attachment":[{"href":"https:\/\/elcasternews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=33910"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/elcasternews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=33910"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/elcasternews.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=33910"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}