Overview
- APPAMIA's national stoppage, in effect Monday through Wednesday, keeps emergency care but suspends routine visits with uneven participation by province.
- Resolution 1107/2026 replaced a mixed pay model with flat monthly capitation of 2,100 pesos per assigned patient and removed payments for in‑person consults, home visits, and training, with effect back to April 1.
- Doctors and unions report income losses near 50% in several districts, cite delayed payments since January, and warn that some physicians may quit PAMI or reduce services, which would push more patients to public hospitals.
- PAMI says the change lifts fixed income and tightens oversight, noting that a doctor with 800 patients would see fixed pay rise 121% to 1.68 million pesos while a unified system cuts paperwork and curbs suspected abuses.
- The dispute unfolds as PAMI carries about 500 billion pesos in debts to clinics, pharmacies, and other providers, after Health and Economy officials met late last week to explore a payment plan and as normal service is expected to resume Thursday absent a new escalation.