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List with 80 new procedures required for plans may be even higher, says ANS

29/05/2013

This article was translated by an automatic translation system, and was therefore not reviewed by people.

 

 


 


New additions can be made from the suggestions of beneficiaries who may be sent to the regulator from June 7

Fenasaúde said consider the process important update, but states that it can only assess the impact of new hires after the completion of the list

Check out the main proposals
 
Martha Oliveira, manager ANS: 70% of contributions received in the last visit were beneficiaries Gustavo Stephan / O Globo
 
RIO - The National Health Agency (ANS) announced yesterday that the proposed revision of the procedures required to be covered by health plan operators from January 2014 provides for the inclusion of 80 new roofs, including medical and dental procedures, medicines, therapies and tests, as well as expansion of indications for over 30 procedures already covered. The population may send suggestions and criticisms between June 7 and July 7, which can increase the number of new procedures to be incorporated into the plans, says the general manager of the Regulatory Assistance ANS, Martha Oliveira. The proposed access and sending suggestions can be made through this link.

- In the last review, in 2011, received 6500 contributions. Of these, 70% came from beneficiaries. All suggestions will be evaluated by the agency and may be incorporated into the final document, which will be considered by the joint committee of the ANS. The list of new procedures can be even greater - Martha explains Oliveira, General Manager Regulatory Assistance ANS.
 
For new toppings proposals highlight the inclusion of 36 oral drugs for cancer treatment, the introduction of a new technique for radiotherapy and approximately 30 surgeries per video, as hysterectomy (removal of the uterus), nephrectomy (removal of kidney ) and cystectomy (removal of bladder), consultations with physiotherapists for treatment planning and laboratory tests for diagnosis and monitoring of autoimmune diseases. For dental plans, procedures are included as periodontal grafts.
 
For the oncologist Rafael Kaliks, scientific director of the NGO Oncoguia, was a matter of time until treatment oral cancer were incorporated:
- It is a very big achievement. Most oral treatments are now standard in the world. Furthermore, the extension of PET scans indication benefit many patients with cancer.
 
According to ANS, all contributions received will be reviewed. Then again the group will be convened to evaluate technical contributions to then be sent the final draft of the Normative Resolution. We will describe the analyzes for each contribution.
 
Joana Cruz, lawyer of the Brazilian Consumer Defense (IDEC), the list has more than ten exceptions provided for by the Law on Health Plans So Idec is contrary to the roster.
 
- We understand that regulation is illegal because it increases the ten exceptions that are in the law and reduces warranty coverage by considering only what is in the list is required. This also contradicts the Code of Consumer Protection.
 
In a statement, the National Federation of Health Insurance (FenaSaúde), which brings together 31 plan operators, said the process of considering major update, but states that it can only assess the impact of new acquisitions after completing the list of mandatory procedures.
 
The main proposals:
 
- Inclusions: New technique of radiotherapy for oral cancer drugs, about 30 surgeries a video, how to remove the uterus, kidney and bladder; subcutaneous immunobiological therapy for rheumatoid arthritis; radioablação to remove liver tumors; laboratory tests for diagnosis and autoimmune diseases; consultations with physiotherapists for treatment planning.
 
- Magnification: pet scan, passing three indications (lung tumor for non-small cell lymphoma and colorectal cancer) to eight (including solitary pulmonary nodule, metastatic breast cancer, head and neck, esophagus and melanoma), an increase
full consultation with a nutritionist to cases of obesity and overweight, expanding indications for consultation with a psychologist and physiotherapist.
 
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Source: The Globe - Online

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