Post by xyz3600 on Feb 25, 2024 4:13:33 GMT -5
There is a bill that aims to change the laws that regulate the private health plan market, and the authors of this proposal are counting on the government's sympathy for the issue to approve it. However, unfortunately, this project does not aim to help consumers, but rather the financial health of operators, as it has, among other points, the facility to readjust contracts by age group, eliminate maximum waiting times for appointments and exams and, in addition, it allows the Supplementary Health Council (Consu), a political body, to review and change the decisions of the National Supplementary Health Agency (ANS), which is a technical and independent body. Another point of such a bill is that the Consu would have the prerogative to decide readjustments of individual and family plans, based on technical notes from operators (articles 85 and 46), and not on ANS criteria, in addition to the power to determine the minimum list of mandatory procedures that operators must offer.
One of the most serious points in this bill is the issue of fines for lack of service by the operator. Today, a refusal to provide service is enough to open up the possibility of fines being imposed on operators. With this new proposal, however, the operator would only be fined if it affected a group of people. It would therefore be necessary to reach the community so that the penalty could be applied, and the ceiling for such a Middle East Mobile Number List fine would not exceed R$1.5 million. And this is very serious, because, in Brazil, the law is often only obeyed when there is a harsh penalty attached. It is important to understand that, if today, with the legislation as it is, conflicts, denials of care and legal actions are immense, often leading the consumer to a real crossroads to have the right to receive treatment, if this law is approved, the consumer will be immensely harmed.
ANS is the regulatory agency linked to the Ministry of Health responsible for the health plan sector in Brazil, it was created by Law 9,961 of 2000 and its main function is to promote the defense of the public interest in private health care, contributing to the development of health actions in the country. It is the body responsible for regulating, standardizing, controlling and supervising activities related to private health care. Among its responsibilities are monitoring the performance of health plan operators (companies) and compliance with the law; regulation of the relationship between operators and service providers (doctors, laboratories and hospitals) and consumers; "detail" (standardize) aspects of the Health Plans Law, when necessary and permitted; authorize adjustments to monthly fees for individual and family plans; among other duties described by law.
One of the most serious points in this bill is the issue of fines for lack of service by the operator. Today, a refusal to provide service is enough to open up the possibility of fines being imposed on operators. With this new proposal, however, the operator would only be fined if it affected a group of people. It would therefore be necessary to reach the community so that the penalty could be applied, and the ceiling for such a Middle East Mobile Number List fine would not exceed R$1.5 million. And this is very serious, because, in Brazil, the law is often only obeyed when there is a harsh penalty attached. It is important to understand that, if today, with the legislation as it is, conflicts, denials of care and legal actions are immense, often leading the consumer to a real crossroads to have the right to receive treatment, if this law is approved, the consumer will be immensely harmed.
ANS is the regulatory agency linked to the Ministry of Health responsible for the health plan sector in Brazil, it was created by Law 9,961 of 2000 and its main function is to promote the defense of the public interest in private health care, contributing to the development of health actions in the country. It is the body responsible for regulating, standardizing, controlling and supervising activities related to private health care. Among its responsibilities are monitoring the performance of health plan operators (companies) and compliance with the law; regulation of the relationship between operators and service providers (doctors, laboratories and hospitals) and consumers; "detail" (standardize) aspects of the Health Plans Law, when necessary and permitted; authorize adjustments to monthly fees for individual and family plans; among other duties described by law.