Clipping of news on Brazilian Culture, Law and Citizenship
21/05/2012
This article was translated by an automatic translation system, and was therefore not reviewed by people.
Carolina Pimentel
Reporter Agency Brazil
Brasília - The National Health Agency (ANS) has made mandatory the inclusion of the period and form of adjustment of health insurance contracts with service providers such as doctors. It is what determines the regulatory normative statement published today (18) in the Official Gazette
The standard provides four ways to fix the remuneration paid by the service provider plan: index and current public knowledge, a percentage fixed in advance, cash positive change or choose formula for calculating the adjustment.
"The form and frequency of adjustment must be expressed in the legal instrument in a clear, objective and easy to understand," says the text. The operators will have six months to adjust the contracts.
For the vice president of the Federal Council of Medicine (CFM), Aloisio Tibiriçá, the standard does not end with the arm wrestling between health plans and doctors' fees increased.
In evaluating Tibiriçá, the ANS should have specified that the adjustment is negotiated between the operators and organizations representing physicians. He predicts that operators will select the form of adjustment and the professional option will only accept.
"The doctor will not have another alternative. There is to negotiate with the operator. He is the underdog, "said the vice president.
The standard says that the ANS form of adjustment must be chosen by the "parties" involved in the contract.
In late April, doctors accredited elective care plans suspended for a day in 12 states. In 2011, the category had promoted similar shutdowns. One of the frequent demands is to increase the amount paid by operators to the professionals.
Brazil sought by the Agency, the National Federation of Health Insurance (FENASAÚDE), which represents the 15 largest operators in the country, it has not appeared on the provision of ANS.
Edition: Fabio Massalli
Source: Agency Brazil
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This article was translated by an automatic translation system, and was therefore not reviewed by people.