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New covers health plans can impact adjustments

12/08/2013

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

 

 




Alana Gandra
Brazil Agency reporter

Rio de Janeiro - The National Health Agency (ANS) will analyze all contributions received during the Public Consultation 53, closed on the last day 6, seeking the inclusion by health plans, about 80 toppings. They include medical and dental procedures, medications, therapies and tests, as well as update more than 30 procedures already covered. The proposal highlights the inclusion of 36 oral drugs to treat cancer home, the introduction of a new technique for radiotherapy and surgery approximately 30 per video.

After the meeting of the technical group of the agency, scheduled for the end of September this year, the new list should be completed for publication on 1 January 2014, reported the press office of the NSA.

The Federation of National Health Insurance (FenaSaúde), which represents the leading specialty health operators and medical and dental group in the country, believes that updating the list of procedures and health events of ANS is required to monitor the progress of medicine.

The executive director of FenaSaúde, former Minister of Social Security José Cechin, recalled that in the area of drugs neoplastic (cancer), progress has been very rapid. "The new edition of the list is to update what is happening in technology. Certainly meets consumer expectations and the idea is that the new medication will better past. " The 36 drugs covering 52 different problems arising from cancer, he said. "It is quite an important advance."

The inclusion of these new drugs will certainly have an effect on the cost of health insurance providers, said Cechin. He added that it is difficult, however, to estimate, in principle, this impact, since no one can say how many people will use the new medications will be covered. Only one year after the entry into force of the list is that it will have a sense, even the number of patients who have resorted to this type of treatment and the consequences that new drugs will have on the disease.

"We'll have to watch and own ANS does it go watching over the next year. At the end, she will say that the impact was so hard and will take this into account when authorizing adjustment of individual plans. " In group plans, the trading is done directly between the operators and companies hiring plans.

Cechin stressed that the impact of the new coverage will vary from company to company. The impact can be significant for operators who have not yet included these drugs. "The impact differs from carrier to carrier, depending on what she has already practiced, and the incidence of this disease in the population of beneficiaries."

He believes that the number of admissions for the treatment of various cancers, which last year totaled 96,700 people, within the universe of 1.9 million, could fall after the effective date of the new list of procedures. "In principle, it is expected that it will reduce the admission is made to administer medication (cancer). The expectation is. " The confirmation if this is true will be made over the next year, said Cechin.

The 96,700 admissions for treatment of cancers, made in 2012, representing 5.1% of total admissions for plans of companies associated with FenaSaúde the period. Among other types of malignancies, we highlight 15 500 hospitalizations due to cancer of the cervix, 11 700 the colon and rectum, 6400 to breast cancer and the 2400 Prostate Cancer . The increase in admissions generated by cancer reached 34.2%, compared to 2011.
The data will be released later this month on the 4th Relief Indicators Bulletin of FenaSaúde.

Edition: Grace Adjuto


Source: Agency Brazil

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