Clipping of news on Brazilian Culture, Law and Citizenship
17/04/2014
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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Injunction in favor of the Nations , representative of companies , was quashed by TRF2/RJ
Determination reaches Assefaz ( Welfare Foundation of the Ministry of Servers Farm ), the Geap ( Social Security Foundation ) and Itaú Health Foundation
RIO - Seven months after the court granted an injunction in favor of Nations - National Union of Institutions of Self-Management in Health , forcing the National Health Agency ( ANS ) to authorize the inclusion of new beneficiaries in existing plans of self-management , even those suspended in cycles of monitoring conducted by the regulator , the Federal Regional Court of the 2nd Region ( TRF2/RJ ) annulled the decision . The announcement was made today by the regulator .
By determining the TRF2/RJ , ANS can reapply suspensions sales of health plans in their entirety by this type of provider. The companies affected are Assefaz ( Welfare Foundation Servers Ministry of Finance ) , the Geap ( Social Security Foundation ) and Itaú Health Foundation . According to ANS , the earlier decision , which granted the injunction to the Nations , undermined the corrective nature of the measure implemented by the agency.
Are defined as self-managed private corporations operating health plans targeted to a specific group of beneficiaries as members of a particular category , for example.
The Nations questioned in court the process of monitoring and evaluation of the security service , conducted by the NSA to monitor and punish plan operators . The authority asked deadline for operators could provide a justification beyond the review of the methodology applied by the NSA , to understand that the evaluation is carried out " in disregard of constitutional principles." The process also points illegality in the calculation of the indicator set by the agency for monitoring and evaluation of the security service , the computing demands generated during the evaluation period , and classified as Voluntary Repair Effective ( RVE ) .
The NSA said it became aware of the action on 10 September last year , and then immediately provided all the information requested by the Federal Court . The injunction was overturned last legal barrier that faced the regulatory agency to apply the suspensions sales plans that descumprissem the maximum periods for consultations , exams and surgeries and then improperly denied coverage for their beneficiaries .
In a statement , the agency noted that "higher decision of the TRF of the 2nd Region , supports the ANS , enhances the quality of the Monitoring Service Assurance process."
Since 2012 when the measure was first applied , 783 plans 105 operators had suspended sales preventively to sanitize their care problems . Currently there are 111 plans 47 carriers in suspension.
Source : The Globe - Online
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This article was translated by an automatic translation system, and was therefore not reviewed by people.