Clipping of news on Brazilian Culture, Law and Citizenship
03.12.2015
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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The National Health Agency (ANS) launched on Wednesday (02/12), a new tool that allows research on procedures carried out by beneficiaries of health plans. Called D-TISS, the system provides access to data on the number of procedures performed by doctors, labs, clinics and private hospitals to health plan operators and visualization of spending on healthcare expenditure across the country and state, sex of the recipient and size of the operator. There is also the possibility of obtaining data in the form of maps. All through a user-friendly mechanism to search by keyword.
The application database D-TISS also has international indicators of countries of the Organization for Economic Cooperation and Development (OECD), formed by more than 30 nations, including Brazil.
"This is the first time that health plans, providers and consumers have access to epidemiological and financial data in detail in a single area. The D-TISS is an important tool to access information and more an incentive to ANS for the sake of transparency of industry data, benefiting research on the procedures performed in the health insurance, "says Sector Development Director of the Agency, Martha Oliveira . "With it, you can not only learn more about the health insurance market, but also have a panoramic view of the sector, allowing comparison of data with geographic distribution, something strategic for health insurance," he concludes.
Regarding the financial vision, D-TISS provides access to the values of minimal expense, average and maximum of proceedings, with the possibility of generating a box-plot - graph produced from data available in the system information. By state filters, age, sex, operator of the size and competence may also be used.
In the testing phase, the D-TISS is being made available in beta with a set of information about the selected operators, from the quality and consistency of assistance and financial data, and 57 procedures for mandatory coverage by the ANS list. Gradually will be included in the system data from more operators and new procedures. The D-TISS can now be accessed from two of the ANS portal areas: Quality and Space Industry Data.
For the NSA, the presentation of national and international indicators of information related to the procedures seeks to integrate the data of utilization of health services with a technical and scientific basis to support the decision making of all stakeholders, providing a broad view of the sector and sharing knowledge about the area.
STANDARD TISS - Changeling Private Health Information (TISS) is the mandatory standard for the electronic exchange of health care data of beneficiaries of plans among providers, operators and ANS. With the TISS, it can standardize administrative actions, subsidize the evaluation actions and economic, financial and welfare monitoring of private insurance providers of health care and compose the Electronic Health Record.
The D-TISS is an offshoot of Standard TISS, with information presented in an easily accessible format and handling, available to the general public.
MORE TRANSPARENCY - The launch of the new application of the ANS is part of a series of measures to boost the transparency of the health insurance information. In November, the Agency published Normative Resolution No. 389, which requires operators to create areas in their portals for the dissemination of information to the contracting of health plans.
To meet this norm, from 2016, managed care plans should create in their portals on the Internet, an exclusive area with individualized health plan beneficiary information and an area for contracting companies of collective plans. Information for consumers include the registration of user data and a complete history of plan of use, with the record of consultations, tests and hospitalizations. This will be grouped on the Portal Supplementary Health Beneficiary Information (PIN-SS), an area with restricted access, which can be seen only with the use of login and password. The companies will have access to advance information about the calculation of the adjustment to be applied by operators in enterprise collective agreements and membership.
know more
Access the D-TISS.
Check the list of procedures available in D-TISS.
Learn more about the restricted areas to be created for beneficiaries and legal entities established by RN 389.
ok some advantages of using the D TISS
Source: ANS
To access the ANS site, click here.
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This article was translated by an automatic translation system, and was therefore not reviewed by people.