Clipping of news on Brazilian Culture, Law and Citizenship
24/04/2013
This article was translated by an automatic translation system, and was therefore not reviewed by people.
Ministry of Health announces new rules on Wednesday (24).
Coverage is why 75% of the complaints made against plans.
Complaints against health plans to deny coverage could result in fines and even suspensions plans from July. Before the National Health Agency (ANS) did not include complaints about coverage in their reports. The announcement of the new rules will be made on Wednesday (24) by Health Minister, Alexandre Padilha, at a public hearing in the Senate.
Negative coverage related to list of procedures, grace period and service network will become part of the quarterly monitoring reports that the NSA does since December 2011. According to the health ministry, the rejection of coverage is the main cause of complaints against the plans: 75.7% of them deal with the issue.
Up until now, were only listed the information about non-compliance with deadlines for appointments and tests. The final report to be released by the minister, however, already includes the new rules. In December last year to March this year, 13,348 were complaints involving 509 health plan operators.
The plans that appear in these reports can be fined up to $ 100 thousand, be suspended in case of recidivism and lead to the removal of their leaders. Administrative measures, however, can only be applied from the second report under the new rules, which will be completed in July - so any plan or carrier was suspended after the report to be released Wednesday.
Suspended
The latest report, covering the period between September and December last year, resulted in the suspension of 29 operators - these, 12 have been released. Of the remaining 17, eight are leaving the market and the other nine are called in "the special technical direction" or being directed to it.
Since monitoring began in late 2011, ANS reported 44,755 complaints. The result was the temporary suspension of 396 plans, operators corresponding to 56 -16 of them were present in all reports made by the agency so far have been given to the special technical direction. 11 Other made a commitment to improve ANS issues like network structure, call centers and marking procedures.
Source: G1 - News
Our news are taken in full from our partner sites. For this reason, we can not change the contents of the same even in cases of typos.
This article was translated by an automatic translation system, and was therefore not reviewed by people.