RD$5 million disbursed for telemedicine services that never reached the population in the Senasa case, according to the MP

Santo Domingo. – The Public Ministry revealed that the National Health Insurance (SENASA) allocated more than RD$5 million pesos from the treasury to pay for telemedicine services that were never received by the affiliated population, as part of an alleged fraudulent scheme investigated within Operation Cobra. According to the Forensic Medical Audit Report conducted on the company Khersum S.R.L., the Public Ministry identified a system of contractual irregularities, technical failures, and maneuvers that violate Law 87-01 and SISALRIL regulations, compromising the validity of the contracts, the financial stability of the state ARS, and the quality of health services. The Public Ministry maintains that SENASA implemented a capitated payment model and a fixed fee for supposed telemedicine services, without technical studies, without criteria for selecting the beneficiary population, and without control mechanisms to verify its use. Despite these deficiencies, the ARS disbursed five (5) million pesos monthly, intended to provide teleconsultations to a projected population of two million affiliates, although there is no objective evidence that these services have been carried out.

You may be interested in: Hazim would have received more than RD$2,881 million

Through said audit, it is revealed that RD$3,882,113,916.57 were disbursed from 2020 to 2025 to Khersum S.R.L. (Punto Médico Familiar) for various services and said contract was signed and authorized by Santiago Hazim and represented by the also accused, Eduardo Read Estrella. These money maneuvers constitute a diversion of high-impact public resources, as the payments were maintained for months without documentary justification and without the citizenry receiving the promised medical care, detailing in the audit that there is no list of beneficiaries, technical reports or usage validations. Also, no operational platforms or sufficient personnel were identified to handle the supposed massive demand for telemedicine that SENASA claimed to have under contract.