César Oyarzo Mansilla takes office as director of the National Health Fund

The Ministry of Health appointed César Oyarzo Mansilla as Director of the National Health Fund (Fonasa), the agency that manages public insurance and the financial protection of millions of Chileans. The appointment is materialized through supreme decree No. 25, dated March 24, 2026, and is formalized in the Official Gazette of the Republic of Chile No. 44,529, dated Thursday, August 20, 2026, in Section I of General Norms.

In his capacity as the highest authority of the service, Oyarzo Mansilla signed two exempt resolutions, both dated August 5, 2026, which restructure the internal organization of Fonasa and adjust the delegation of powers within its dependencies. The documents, identified by references CVE 2853836 and CVE 2853837, come into effect on August 10, 2026.

A new structure for Fonasa

Exempt resolution 1G/No. 170 modifies resolution 1G/No. 106, dated July 1, 2024, which established the structure and internal organization of the service. The reform responds to a significant period of transformation, marked by the increasing complexity of the health system, demographic and epidemiological changes, and the need to strengthen the financial protection of individuals.

The new structure of the Central Level consists of eight divisions:

• Division of Inspection and Control
• Division of Commercial Management
• Division of People Management and Development
• Division of Financial and Budgetary Management
• Division of User Management
• Legal Division
• Division of Planning and Strategic Development
• Information Technology Division

Additionally, the Executive Sub-directorate of Institutional Coordination, the Institutional Transformation Office, and the Manager and Leader of Priority Strategic Programs are created, all reporting directly to the Director.

Modernization and digital transformation

Resolution 1G/No. 170 promotes a shift from a predominantly functional organization toward a strategic, integrated, and user-centered institution. The Institutional Transformation Office will lead modernization, public innovation, change management, and the incorporation of artificial intelligence, with the goal of optimizing processes and avoiding technological obsolescence.

The Department of Contracts, Procurement, and Document Management and the Department of General Services and Physical Resources will report to this office. The Internal Audit, for its part, will advise the Directorate on internal control, risk management, and governance, coordinating with the General Government Internal Audit Council (CAIGG) and the Ministerial Audit.

Adjusted delegation of powers

Exempt Resolution 1G/N° 171 modifies Resolution 1G/N° 100, dated July 23, 2025, which delegated powers to the heads of Fonasa’s internal departments. The adjustment updates the names of the new departments created to replace those suppressed:

• The Administration Division becomes the Institutional Transformation Office.
• The Purchasing and Procurement Department becomes the Contracts, Purchasing, and Document Management Department.

Both resolutions were issued in accordance with articles 52, 53, and 54 of Decree with Force of Law N° 1, of 2005, of the Ministry of Health, and are exempt from the toma de razón (legal review) process according to Resolution N° 36, of 2024, of the Comptroller General of the Republic.

The arrival of César Oyarzo Mansilla at the direction of Fonasa and the restructuring he is promoting mark a turning point in the management of Chile’s main public insurer. For millions of affiliates, the reorganization seeks more agile care, greater financial protection, and a more efficient administration of public resources in a healthcare system undergoing full transformation.

Source: Official Gazette of the Republic of Chile, No. 44,529, Thursday, August 20, 2026, Section I (General Norms), Ministry of Health, National Health Fund (official references: CVE 2853836 and CVE 2853837).