Muface refuses to include in its plan until 2028 the voluntary nature of the model and that the new officials move to public health

The General Council of Muface has just given the green light to the new strategic plan 2026-2028, which will come into force on January 1. A document of more than 180 pages in which the three axes are detailed of action around which its three-year roadmap will revolve with more than 50 projects, which aim to make mutuality a “agile, effective and efficient organization”. A program that does not contemplate the conversion of this mutual fund to a voluntary model nor the incorporation of new officials into public health, whichwhat were the two structural measures that Airef requested.

The Independent Fiscal Responsibility Authority released last March an analysis that studies the spending associated with health care in the administrative mutualism and that contemplates these two initiatives as the star proposals. Its publication coincided with the deep crisis that the system was going through and that was about to destroy this mutual fund. “The measures must be addressed in a context broader than that of the mutuality itself and, therefore, it does not seem that its inclusion in this plan is the ideal instrument to work on them“says the new plan.

Specifically, it specifies that since it is something unpublished, it must be included as a line of work that must be developed on “the basis of the evidence and data provided by the study.” Muface sources transfer to Economic Information that although their development in this strategic cycle is viable, it will depend on the circumstances, especially, of political will, so there is the possibility that if they are put on the table, they will not arrive until 2029. In the document itself they specify the need to examine the reforms in depth.

In contrast, they have adopted those actions aimed at reinforcing the dimension health of mutualism, as well as those directed to improve efficiency with the current configuration. In this sense, they link some proposals formulated to the lines of work that Muface has been developing, such as, for example, those related to reinforcement by the mutual societies of their health information systemsthe promotion of digital medical history and the acceleration of the implementation of electronic prescriptions.

‘Muface Avanza2’ is the name given to the plan for 2028 and which is integrated based on three axes: the digital transformation of the General State Administration (AGE), high-impact projects in digitalization of the public sector, as well as the digital transformation and modernization of the Ministry of Territorial Policy and Public Function, autonomous communities and local entities. This program is preceded by ‘Avanza’ 2021-2023which was extended last year in the midst of the crisis that the mutual society was going through, in which the survival of the model came to be put at stake.

Among the most notable projects is the mission to complete the implementation of the agreed electronic prescription, the modernization of the temporary disability management model or a training plan. Likewise, it contemplates the need to move towards a model for evaluating the quality of care provided by the subsidized entities. In the document itself they admit a lack of systematic mechanisms to assess whether the health care offered conforms to evidence-based clinical criteria.

As a novelty, the launch of a pilot project called Muface 65 is also contemplated, which consists of eliminating the appointment once a week for people over 65 years of age. The initiative, which is an extension of Muface 75, will start with a pilot project in Madrid, and then begin to be replicated in the rest of Spain. Another achievement is the implementation of the electronic prescription for concerted option mutualists in five new autonomous communities. It is about Castilla-La Mancha, Galicia, Aragon, Madrid and the Basque Countryup to a total of 13 regions, plus Ceuta and Melilla. The extension to the remaining four (Andalusia, Catalonia, Castilla y León and the Valencian Community) is planned for the first quarter of 2026.