Clipping of news on Brazilian Culture, Law and Citizenship
08/20/2013
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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BRASILIA - The National Health Agency (ANS) and the Ministry of Health announced on Tuesday the suspension of 212 health plans from 21 carriers, not pass the evaluation that takes into account criteria such as term care and negative coverage. With the plans that had been previously suspended, are forbidden to be sold 246 plans from 26 carriers.
It was the first suspension of health plans with a new Methodology. Before, it was taken into account only the terms of service.
The previous monitoring, done in April, already had the new criteria, the negative coverage, including the list of procedures offered, grace period, service network, and reimbursement mechanisms for authorization procedures.
At the time, there was no suspension, because the plans are prohibited from marketing their products when they are repeat offenders. As April ended the first monitoring cycle with the new methodology, it was not until the last cycle, released on Tuesday.
Since 2011, there have been six monitoring cycles. According to the CEO of ANS, Andrew Long, monitoring resulted in the temporary suspension of 618 health plans from 73 carriers, protecting 7.9 million consumers. This is protection for 16.3% of the beneficiaries. Asked if, in general, the government was satisfied as health plans, since the majority was not reached by the suspension, the Health Minister, Alexandre Padilha, said:
- We will only consider that are working well, when we have zero complaints. This monitoring system solves most of the complaints. Ma the fact of not having been suspended does not mean that he had no complaint.
From March 19 to June 18, during the last monitoring cycle, which had the results released today, 17,417 complaints were received.
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Source: The Globe - Online
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This article was translated by an automatic translation system, and was therefore not reviewed by people.