Clipping of news on Brazilian Culture, Law and Citizenship
26/03/2013
This article was translated by an automatic translation system, and was therefore not reviewed by people.
Selma with his brother who needs home care: legal battle keeps service at home Photo: Thiago Otter / O Globo
The National Health Agency (ANS) confirmed on Monday that will change the criteria for evaluating health plans in April. The survey is used by the body, since 2012, to suspend the sale agreements considered problematic. Today, the evaluation is done only based on the number of complaints about the failure of the maximum periods for appointments and tests. No, but a date for the measures come into force.
According to the CEO of ANS, Andre Longo, the agency is cracking down against healthcare organizations to ensure a standard of quality service:
- The plans grew too fast in recent years. This increase in clientele must be accompanied by an increase in the network, which is often slow to happen - he says.
One point that should now be evaluated is the refusal of the authorization for medical procedures. As of May, any negative plans must be justified in writing.
Currently, one of the most controversial points in the relationship between users and covenants is the home care system - in which the patient receives full medical supervision at home.
According to ANS, the plans are not required to provide home care, but there are exceptions, when supply is determined by the contract. The lawyer Alexandre Costa explains that most users can ensure the service in court for an injunction.
- But if it loses the case, run the risk of having to repay the plan - explains.
A retired teacher Selma Lino Costa, 69, already had to go to court twice to get the home care service. First, to my mother, who suffered from Alzheimer's.
- She spent five years in treatment at home, the basis of judgments, until last year, when he died. Now we need to go to court again to guarantee service for my brother, who is a neurological problem. Within 24 hours, went to the injunction that the plan would pay everything but the case is still being tried. The care home is much better than in the hospital. The plans should release soon - says.
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Source: Extra - Online
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This article was translated by an automatic translation system, and was therefore not reviewed by people.