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Si bien se contempla un incremento en el monto total ofertado, el mismo no resultar\u00eda suficiente para absorber un incremento de esta magnitud concentrado en un solo \u00edtem, m\u00e1s a\u00fan considerando los ajustes de precios y aranceles registrados desde el llamado anterior. Solicitamos, por tanto, que los valores establecidos guarden razonabilidad y proporcionalidad con la estructura de costos y la evoluci\u00f3n general de los aranceles del periodo.", "author": {"name": "MEDI PLAN S.A.", "id": "PY-RUC-80025664-6"}}, {"id": "e6acb2cb9617e609c2fca23dca947f0e760e620d-1", "date": "2026-09-17T12:04:16-04:00", "title": "\u00cdtem 16 Anexo de centros asistenciales requeridos.", "description": "Se solicita a la Convocante revisar y modificar el cuadro de ciudades establecido en el apartado \u201cCentros asistenciales requeridos\u201d, espec\u00edficamente respecto de la ciudad de Villa Elisa, considerando que, conforme a los registros publicados por la Superintendencia de Salud, no se identifican establecimientos con internaci\u00f3n habilitados en dicha localidad. En consecuencia, la exigencia de contar con presencia asistencial en dicha ciudad resultar\u00eda de dif\u00edcil o imposible cumplimiento en las condiciones actualmente establecidas, por lo que solicitamos su exclusi\u00f3n del listado o la adecuaci\u00f3n del requisito, a fin de evitar una condici\u00f3n que limite injustificadamente la concurrencia y resulte incompatible con la oferta real de prestadores.", "author": {"name": "MEDI PLAN S.A.", "id": "PY-RUC-80025664-6"}}, {"id": "fdc87036fc3188375367c4136c5b647e71819d7f-1", "date": "2026-09-17T12:04:49-04:00", "title": "\u00cdtem 16 Anexo de centros asistenciales requeridos.", "description": "Se solicita a la Convocante aclarar cu\u00e1l ser\u00e1 el criterio t\u00e9cnico y objetivo que utilizar\u00e1 el Administrador del Contrato para otorgar su conformidad al reemplazo de un prestador ofertado, considerando que dicho reemplazo deber\u00e1 ajustarse a las condiciones, especificaciones y requisitos t\u00e9cnicos establecidos en el PBC. Esto teniendo en cuenta que la evaluaci\u00f3n del reemplazo se debe evaluar conforme al cumplimiento de los requisitos t\u00e9cnicos y contractuales, sin considerar preferencias subjetivas o la exigencia de permanencia de prestadores espec\u00edficos, contempl\u00e1ndose la posibilidad de sustituirlos por prestadores de iguales o superiores caracter\u00edsticas, particularmente ante circunstancias ajenas a la voluntad del adjudicado o situaciones de fuerza mayor.", "author": {"name": "MEDI PLAN S.A.", "id": "PY-RUC-80025664-6"}}, {"id": "f58703a8e85ded4f5bdcd4ab572caec622248e81-1", "date": "2026-09-17T12:04:29-04:00", "title": "Inclusi\u00f3n de equipos espec\u00edficos.", "description": "Se solicita a la Convocante definir el criterio m\u00e9dico, t\u00e9cnico y de estructura de costos considerado para la inclusi\u00f3n de la cobertura de Nefrolitotom\u00eda Percut\u00e1nea para Litiasis Renal/Ureteral (incluye uso de l\u00e1ser urol\u00f3gico) y Ureteroscop\u00eda Terap\u00e9utica para Litiasis Renal/Ureteral (incluye uso de l\u00e1ser urol\u00f3gico), considerando que la especificaci\u00f3n de un equipo o tecnolog\u00eda determinada podr\u00eda interpretarse como un direccionamiento hacia un oferente o prestador espec\u00edfico. 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